Abstract：Objective:To explore the clinical effectinvess of retroperitoneoscopic renal pedicle lymphatic disconnection in the management of chyluria. Methods:A total of 15 patients with chyluria treated with retroperitoneoscopic renal pedicle lymphatic disconnection in our department from September 2007 to April 2008 were retrospectively analyzed. Of the 15 patients, 7 were male and 8 were female with an average age of 38 years and case history from l to 10 years. Chyluria was found on the left in 8 cases, and on the right side in 7 cases. . Results:Fifteen cases were all successfully treated with laparoscopic management, and none was transferred to open suigery. The mean operating time was 90 min (60-125 min). The mean introperative bleeding was 70 mL (20-140 mL) with no blood transfusion. Chyluria of all patients disappeared on the operation day postperatively. No patients had complication after operation. The mean postoperative hospital stay was 7 days: During the follow-up period of 0.5 to 3 years, only one case recurred on the opposite side and was treated with laparoscopic management again. No recurrence of chyluria was found in other patients. Conclusions:Retroperitoneoscopic renal pedicje lymphatic disconnection for chyluria is a safe and efficient mehtod with advantages of mini-invasion, fewer complications, rapid recovery and low recurrence rate, and worth to be extended
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