Chinese expert consensus on the diagnosis and treatment of chylous ascites after lymphadenectomy for gynecological malignancies(2025 edition)
Chinese Anti-Cancer Association Committee for Integrative Traditional Chinese-Western Medicine in Ovarian Cancer
Obstetrics and Gynecology Branch of Guangxi Medical Association
Abstract：Chylous ascites is a rare but serious complication after lymph node resection for gynecological malignancies.Its occurrence is closely related to high-level para-aortic lymph node resection,laparoscopic operation and perioperative malnutrition.Clinical diagnosis of chylous ascites requires a combination of criteria such as a chylous fluid drainage volume≥200 mL/d and a triglyceride level exceeding 200 mg/dL in the fluid.A stepwise therapeutic approach is recommended:conservative management(dietary modification combined with pharmacological therapy)as the first-line treatment,followed by lymphangiography in or in no combination with embolization for the patients who have failed to respond to the conservative treatment,and surgical ligation or lymphovenous anastomosis for refractory cases.The consensus emphasizes preventing chylous ascites through comprehensive measures such as meticulous intraoperative operations,the application of biological agents,and delayed extubation after surgery.The formulation of this consensus provides an evidence-based foundation for the standardized clinical management of chylous ascites after lymphadenectomy for gynecological malignancies.
Keywords：Chylous ascitesGynecological malignanciesPost-lymphadenectomyExpert consensus
Publication Date：2025-10-30
Online Publishing Date：2025-11-13(First online date of this platform, not the publication date of the document)
Pages：9( 1071-1079 )