Abstract
Chylous ascites is an infrequent postoperative complication of retroperitoneal surgery caused by unrecognized disruption of major retroperitoneal lymphatics and is associated with serious mechanical, nutritional, and immunologic consequences due to the constant loss of protein and lymphocytes. Recently, the robotic‐assisted approach to surgical staging for gynecologic malignancy is increased, which allows for enabling the performance of complex procedures. As our experience, in patients with robotic‐assisted lymphadenectomy for endometrial cancer, chylous ascites can be also developed despite the meticulous dissection. In our opinion, it is recommended to remove large amount of ascites through paracentesis as much as possible at a time and we should be observed at least 8 weeks before surgical intervention while maintaining nutritional supports.
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