{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T08:55:09Z","timestamp":1776329709819,"version":"3.50.1"},"reference-count":47,"publisher":"Baskent University","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Exp Clin Transplant"],"published-print":{"date-parts":[[2023,5]]},"DOI":"10.6002\/ect.2023.0041","type":"journal-article","created":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T04:19:10Z","timestamp":1686802750000},"page":"397-407","source":"Crossref","is-referenced-by-count":2,"title":["Chylous Ascites After Robot-Assisted Laparoscopic Donor Nephrectomy: Is Early Surgical Intervention Necessary?"],"prefix":"10.6002","volume":"21","author":[{"given":"Muizz","family":"Zaman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafal","family":"Ryncarz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Yildirim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samir","family":"Iskhagi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reza","family":"Saidi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gennady","family":"Bratslavsky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rauf","family":"Shahbazov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4021","reference":[{"key":"ref0","unstructured":"References"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"1. Bhattu AS, Ganpule A, Sabnis RB, Murali V, Mishra S, Desai M. Robot-assisted laparoscopic donor nephrectomy vs standard laparoscopic donor nephrectomy: a prospective randomized comparative study. J Endourol. 2015;29(12):1334-1340. doi:10.1089\/end.2015.0213","DOI":"10.1089\/end.2015.0213"},{"key":"ref2","unstructured":"2. Cohen AJ, Williams DS, Bohorquez H, et al. Robotic-assisted laparoscopic donor nephrectomy: decreasing length of stay. Ochsner J. 2015;15(1):19-24."},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"3. Lizaola B, Bonder A, Trivedi HD, Tapper EB, Cardenas A. Review article: the diagnostic approach and current management of chylous ascites. Aliment Pharmacol Ther. 2017;46(9):816-824. doi:10.1111\/apt.14284","DOI":"10.1111\/apt.14284"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"4. Kortram K, Ijzermans JN, Dor FJ. Perioperative events and complications in minimally invasive live donor nephrectomy: a systematic review and meta-analysis. Transplantation. 2016;100(11):2264-2275. doi:10.1097\/TP.0000000000001327","DOI":"10.1097\/TP.0000000000001327"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"5. Leibovitch I, Mor Y, Golomb J, Ramon J. The diagnosis and management of postoperative chylous ascites. J Urol. 2002;167(2 Pt 1):449-457. doi:10.1016\/S0022-5347(01)69064-5","DOI":"10.1016\/S0022-5347(01)69064-5"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"6. Tiong HY, Goel RK, White WM, Goldfarb DA, Kaouk JH. Chylous ascites after laparoscopic donor nephrectomy. Asian J Endosc Surg. 2015;8(1):34-39. doi:10.1111\/ases.12144","DOI":"10.1111\/ases.12144"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"7. Bhardwaj R, Vaziri H, Gautam A, Ballesteros E, Karimeddini D, Wu GY. Chylous ascites: a review of pathogenesis, diagnosis and treatment. J Clin Transl Hepatol. 2018;6(1):105-113. doi:10.14218\/JCTH.2017.00035","DOI":"10.14218\/JCTH.2017.00035"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"8. Browse NL, Wilson NM, Russo F, al-Hassan H, Allen DR. Aetiology and treatment of chylous ascites. Br J Surg. 1992;79(11):1145-1150. doi:10.1002\/bjs.1800791110","DOI":"10.1002\/bjs.1800791110"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"9. Aerts J, Matas A, Sutherland D, Kandaswamy R. Chylous ascites requiring surgical intervention after donor nephrectomy: case series and single center experience. Am J Transplant. 2010;10(1):124-128. doi:10.1111\/j.1600-6143.2009.02883.x","DOI":"10.1111\/j.1600-6143.2009.02883.x"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"10. Breda A, Veale J, Liao J, Schulam PG. Complications of laparoscopic living donor nephrectomy and their management: the UCLA experience. Urology. 2007;69(1):49-52. doi:10.1016\/j.urology.2006.09.030","DOI":"10.1016\/j.urology.2006.09.030"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"11. Capocasale E, Iaria M, Vistoli F, et al. Incidence, diagnosis, and treatment of chylous leakage after laparoscopic live donor nephrectomy. Transplantation. 2012;93(1):82-86. doi:10.1097\/TP.0b013e31823b2d8e","DOI":"10.1097\/TP.0b013e31823b2d8e"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"12. Dale LA, Sandoval PR, Ratner LE. Chylous ascites following laparoscopic live donor nephrectomy: A new improved treatment paradigm. Clin Transplant. 2019;33(3):e13483. doi:10.1111\/ctr.13483","DOI":"10.1111\/ctr.13483"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"13. Ng ZQ, He B. A proposed classification system and therapeutic strategy for chyle leak after laparoscopic living-donor nephrectomy: a single-center experience and review of the literature. Exp Clin Transplant. 2018;16(2):143-149. doi:10.6002\/ect.2016.0305","DOI":"10.6002\/ect.2016.0305"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"14. Weniger M, D'Haese JG, Angele MK, Kleespies A, Werner J, Hartwig W. Treatment options for chylous ascites after major abdominal surgery: a systematic review. Am J Surg. 2016;211(1):206-213. doi:10.1016\/j.amjsurg.2015.04.012","DOI":"10.1016\/j.amjsurg.2015.04.012"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"15. Ilhan E, Demir U, Alemdar A, Ureyen O, Eryavuz Y, Mihmanli M. Management of high-output chylous ascites after D2-lymphadenectomy in patients with gastric cancer: a multi-center study. J Gastrointest Oncol. 2016;7(3):420-425. doi:10.21037\/jgo.2016.02.03","DOI":"10.21037\/jgo.2016.02.03"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"16. McGrath EE, Blades Z, Anderson PB. Chylothorax: aetiology, diagnosis and therapeutic options. Respir Med. 2010;104(1):1-8. doi:10.1016\/j.rmed.2009.08.010","DOI":"10.1016\/j.rmed.2009.08.010"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"17. Shahbazov R, Maluf D, Azari F, et al. Laparoscopic versus finger-assisted open donor nephrectomy technique: a possible safe alternative. Exp Clin Transplant. 2020;18(5):585-590. doi:10.6002\/ect.2019.0115","DOI":"10.6002\/ect.2019.0115"},{"key":"ref18","doi-asserted-by":"publisher","unstructured":"18. Janki S, Terkivatan T, Kimenai HJ, JN IJ, Tran TC. First case report of chylous ascites after robot-assisted donor nephrectomy. J Surg Case Rep. 2016;2016(7). doi:10.1093\/jscr\/rjw118","DOI":"10.1093\/jscr\/rjw118"},{"key":"ref19","doi-asserted-by":"publisher","unstructured":"19. Simon SP, Thomas J, Tidayath BN, Bhat SH. A rare complication after laparoscopic donor nephrectomy: Chyle leak-A case report. Indian J Transplant. 2020 14(4):374-376. doi:10.4103\/ijot.ijot_43_20","DOI":"10.4103\/ijot.ijot_43_20"},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"20. Jairath A, Singh A, Ganpule A, Mishra S, Sabnis R, Desai M. Management protocol for chylous ascites after laparoscopic nephrectomy. Urology. 2015;86(3):521-528. doi:10.1016\/j.urology.2015.06.001","DOI":"10.1016\/j.urology.2015.06.001"},{"key":"ref21","doi-asserted-by":"publisher","unstructured":"21. Meulen ST, van Donselaar-van der Pant KA, Bemelman FJ, Idu MM. Chylous ascites after laparoscopic hand-assisted donor nephrectomy: is it specific for the left-side? Urol Ann. 2013;5(1):45-46. doi:10.4103\/0974-7796.106967","DOI":"10.4103\/0974-7796.106967"},{"key":"ref22","doi-asserted-by":"publisher","unstructured":"22. Alwatari Y, Raza O, Ruch B, Bhati C, Levy M, Sharma A. Chyle leak after robotic living donor nephrectomy: literature review and management. Exp Clin Transplant. 2022;20(10):945-949. doi:10.6002\/ect.2021.0131","DOI":"10.6002\/ect.2021.0131"},{"key":"ref23","doi-asserted-by":"publisher","unstructured":"23. Bachmann A, Wyler S, Wolff T, et al. Complications of retroperitoneoscopic living donor nephrectomy: single center experience after 164 cases. World J Urol. 2008;26(6):549-554. doi:10.1007\/s00345-008-0296-6","DOI":"10.1007\/s00345-008-0296-6"},{"key":"ref24","doi-asserted-by":"publisher","unstructured":"24. Caumartin Y, Pouliot F, Sabbagh R, Dujardin T. Chylous ascites as a complication of laparoscopic donor nephrectomy. Transpl Int. 2005;18(12):1378-1381. doi:10.1111\/j.1432-2277.2005.00219.x","DOI":"10.1111\/j.1432-2277.2005.00219.x"},{"key":"ref25","doi-asserted-by":"publisher","unstructured":"25. Crome G, Akoh J. Management of chylous ascites following hand assisted laparoscopic donor nephrectomy: case report. Australasian Med J. 2017;10.(10). doi:10.21767\/AMJ.2017.3126","DOI":"10.21767\/AMJ.2017.3126"},{"key":"ref26","unstructured":"26. Gagliano M, Veroux P, Corona D, et al. Chylous ascites following laparoscopic living donor nephrectomy. Case report. Ann Ital Chir. 2011;82(6):499-503."},{"key":"ref27","doi-asserted-by":"publisher","unstructured":"27. Geary B, Wade B, Wollmann W, El-Galley R. Laparoscopic repair of chylous ascites. J Urol. 2004;171(3):1231-1232. doi:10.1097\/01.ju.0000110104.68489.70","DOI":"10.1097\/01.ju.0000110104.68489.70"},{"key":"ref28","doi-asserted-by":"publisher","unstructured":"28. Guglielmo N, Melandro F, Nudo F, et al. Chylous leakage after a laparoscopic live-donor nephrectomy: case report and literature review. Exp Clin Transplant. 2016;14(3):338-340. doi:10.6002\/ect.2014.0123","DOI":"10.6002\/ect.2014.0123"},{"key":"ref29","doi-asserted-by":"publisher","unstructured":"29. Hiffa A, Schulte K, Saeed M, Gani I. Massive chylous ascites after living donor nephrectomy successfully treated with lymphatic embolization. J Investig Med High Impact Case Rep. 2022;10:23247096211065631. doi:10.1177\/23247096211065631","DOI":"10.1177\/23247096211065631"},{"key":"ref30","doi-asserted-by":"publisher","unstructured":"30. Kim BS, Yoo ES, Kim TH, Kwon TG. Chylous ascites as a complication of laparoscopic nephrectomy. J Urol. 2010;184(2):570-574. doi:10.1016\/j.juro.2010.03.128","DOI":"10.1016\/j.juro.2010.03.128"},{"key":"ref31","doi-asserted-by":"publisher","unstructured":"31. Kocak B, Koffron AJ, Baker TB, et al. Proposed classification of complications after live donor nephrectomy. Urology. 2006;67(5):927-931. doi:10.1016\/j.urology.2005.11.023","DOI":"10.1016\/j.urology.2005.11.023"},{"key":"ref32","doi-asserted-by":"publisher","unstructured":"32. Leventhal JR, Kocak B, Salvalaggio PR, et al. Laparoscopic donor nephrectomy 1997 to 2003: lessons learned with 500 cases at a single institution. Surgery. 2004;136(4):881-890. doi:10.1016\/j.surg.2004.06.025","DOI":"10.1016\/j.surg.2004.06.025"},{"key":"ref33","doi-asserted-by":"publisher","unstructured":"33. Molina WR, Desai MM, Gill IS. Laparoscopic management of chylous ascites after donor nephrectomy. J Urol. 2003;170(5):1938. doi:10.1097\/01.ju.0000091660.15018.66","DOI":"10.1097\/01.ju.0000091660.15018.66"},{"key":"ref34","doi-asserted-by":"publisher","unstructured":"34. Ramani AP, Gill IS, Steinberg AP, et al. Impact of intraoperative heparin on laparoscopic donor nephrectomy. J Urol. 2005;174(1):226-228. doi:10.1097\/01.ju.0000162048.15746.52","DOI":"10.1097\/01.ju.0000162048.15746.52"},{"key":"ref35","unstructured":"35. Del Rosario Rodr\u00edguez V, Halawa Gonz\u00e1lez OB, Fumero Arteaga S, et al. Chylous ascites as a complication of laparoscopic living donor nephrectomy: a case report. Int J Urol Nephrol. 2015;3(3):78-81."},{"key":"ref36","doi-asserted-by":"publisher","unstructured":"36. \u015eahin S, \u00d6zdemir O, Evren I, Karada\u011f S, Tu\u011fcu V, Ta\u015f\u00e7\u0131 A. Chylous ascites after laparoscopic donor nephrectomy: first case report in Turkey. N J Urol. 2021;16(2):190-194. doi:10.33719\/yud.2021;16-2-745541","DOI":"10.33719\/yud.2021;16-2-745541"},{"key":"ref37","doi-asserted-by":"publisher","unstructured":"37. Seo SI, Kim JC, Hwangbo K, Park YH, Hwang TK. Comparison of hand-assisted laparoscopic and open donor nephrectomy: a single-center experience from South Korea. J Endourol. 2005;19(1):58-62. doi:10.1089\/end.2005.19.58","DOI":"10.1089\/end.2005.19.58"},{"key":"ref38","doi-asserted-by":"publisher","unstructured":"38. Seth A, Sharma A, Kenwar DB, Singh S. Chylous ascites: complication of laparoscopic donor nephrectomy. case report and review of literature. Transplantation. 2019;103(4):e74-e78. doi:10.1097\/TP.0000000000002514","DOI":"10.1097\/TP.0000000000002514"},{"key":"ref39","doi-asserted-by":"publisher","unstructured":"39. Shafizadeh SF, Daily PP, Baliga P, et al. Chylous ascites secondary to laparoscopic donor nephrectomy. Urology. 2002;60(2):345. doi:10.1016\/s0090-4295(02)01743-0","DOI":"10.1016\/S0090-4295(02)01743-0"},{"key":"ref40","doi-asserted-by":"publisher","unstructured":"40. Sharma A, Heer M, Subramanaym Malladi SV, Minz M. Chylous ascites after laparoscopic donor nephrectomy. J Endourol. 2005;19(7):839-840. doi:10.1089\/end.2005.19.839","DOI":"10.1089\/end.2005.19.839"},{"key":"ref41","doi-asserted-by":"publisher","unstructured":"41. Sharma S, Rizvi SJ, Modi PR. Medical management of chyloretroperitoneum following retroperitoneoscopic donor nephrectomy. Indian J Nephrol. 2014;24(2):129-130. doi:10.4103\/0971-4065.127916","DOI":"10.4103\/0971-4065.127916"},{"key":"ref42","doi-asserted-by":"publisher","unstructured":"42. Sinha A, Mamode N. Laparoscopic management of chylous ascites following laparoscopic donor nephrectomy. BMJ Case Rep. 2010;2010:bcr0820092141. doi:10.1136\/bcr.08.2009.2141","DOI":"10.1136\/bcr.08.2009.2141"},{"key":"ref43","doi-asserted-by":"publisher","unstructured":"43. Veracierto F, Sanchez N, Mosna L, Vegas DH, Salgado R. Management of chylous ascites after laparoscopic nephrectomy for living kidney donor: a case report and literature review. Transplant Proc. 2021;53(4):1251-1256. doi:10.1016\/j.transproceed.2020.10.024","DOI":"10.1016\/j.transproceed.2020.10.024"},{"key":"ref44","doi-asserted-by":"publisher","unstructured":"44. Wadstrom J. Hand-assisted retroperitoneoscopic live donor nephrectomy: experience from the first 75 consecutive cases. Transplantation. 2005;80(8):1060-1066. doi:10.1097\/01.tp.0000176477.81591.6f","DOI":"10.1097\/01.tp.0000176477.81591.6f"},{"key":"ref45","doi-asserted-by":"publisher","unstructured":"45. Wu CT, Chiang YJ, Liu KL, Chu SH. Laparoscopic donor nephrectomy: new combination of hand-assisted and standard approaches. Transplant Proc. 2004;36(7):1909-1911. doi:10.1016\/j.transproceed.2004.08.096","DOI":"10.1016\/j.transproceed.2004.08.096"},{"key":"ref46","doi-asserted-by":"publisher","unstructured":"46. Aalami OO, Allen DB, Organ CH, Jr. Chylous ascites: a collective review. Surgery. 2000;128(5):761-778. doi:10.1067\/msy.2000.109502","DOI":"10.1067\/msy.2000.109502"}],"container-title":["Experimental and Clinical Transplantation"],"original-title":[],"deposited":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T07:43:25Z","timestamp":1686815005000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.ectrx.org\/detail\/archive\/2023\/21\/5\/0\/397\/0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":47,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,5]]}},"URL":"https:\/\/doi.org\/10.6002\/ect.2023.0041","relation":{},"ISSN":["1304-0855","2146-8427"],"issn-type":[{"value":"1304-0855","type":"print"},{"value":"2146-8427","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5]]}}}