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Robotic surgery for treatment of chyluria

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Abstract

Chyle is a milky lymphatic fluid that is normally formed in the small intestine to aid in the absorption of dietary fats. Occasionally, chyle leaks into the kidney, ureter, or bladder, which results in chyluria. Chyluria is most commonly caused by the parasite Wuchereria bancrofti and is therefore extremely rare in the USA. The use of robotic surgery for treatment has been suggested as a viable option, but has not been thoroughly reported in the literature. This article reviews the literature on the various treatment options for chyluria and presents the case of a 75-year-old Indian female from the USA who was diagnosed with non-parasitic, persistent chyluria and treated with right robotic ureterolysis, renal hilar dissection and intraperitonealization of the ureter.

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Authors and Affiliations

  1. Icahn School of Medicine at Mount Sinai, 1428 Madison Ave, New York, NY, 10029, USA

    Naman Barman

  2. Department of Urology, The Mount Sinai Health System, One Gustave L. Levy Place, Box 1272, New York, NY, 10029, USA

    Michael Palese

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  1. Naman Barman
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  2. Michael Palese
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Correspondence to Michael Palese.

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Conflict of interest

Naman Barman and Michael Palese declare that they have no conflict of interest.

Human and animal rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

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Informed consent was obtained from all individual participants included in the study.

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Barman, N., Palese, M. Robotic surgery for treatment of chyluria. J Robotic Surg 10, 1–4 (2016). https://doi.org/10.1007/s11701-016-0560-5

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  • DOI: https://doi.org/10.1007/s11701-016-0560-5

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