PMID: 22555044May 5, 2012Paper

Laparoscopic treatment of lymphoceles after renal transplantation

International Braz J Urol : Official Journal of the Brazilian Society of Urology
Marcelo Lopes de LimaCarlos Arturo Levi D'Ancona

Abstract

Lymphocele formation following renal transplantation is a frequent complication and may affect as many as 49% of patients. Operative treatment of symptomatic post transplant lymphocele (PTL) consists of wide drainage of the fluid collection into the abdominal cavity by excising its wall, connecting the lymphocele cavity to the intraperitoneal space. Laparoscopic fenestration seems to be the best treatment as it combines satisfying success rates with a minimally invasive approach. The aim of the study was to review a single center experience on the laparoscopic treatment of symptomatic PTL and detail relevant aspects of the surgical technique. The data of 25 patients who underwent laparoscopic surgical treatment for a symptomatic lymphocele following kidney transplantation were retrospectively reviewed. Demographic data and surgical results were assessed. Detailed surgical technique is provided. Between 1996 and 2008, 991 patients received a kidney transplant at our institution. Twenty-five patients (2.52%) developed a symptomatic lymphocele and laparoscopic drainage was performed. The indications for surgical drainage were graft dysfunction (84%), local symptoms (16%) or both (32%). The mean time until surgical therapy was 14.2...Continue Reading

References

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Citations

Aug 19, 2014·Current Urology Reports·Hak J Lee, Christopher J Kane
Nov 7, 2014·Case Reports in Transplantation·Marco FranchinGabriele Piffaretti
Sep 29, 2015·Clinical Kidney Journal·Andrea RanghinoLuigi Biancone
Mar 16, 2017·Transplant International : Official Journal of the European Society for Organ Transplantation·André L MihaljevicArianeb Mehrabi
Jan 7, 2017·World Journal of Transplantation·Badri Man Shrestha
Oct 16, 2015·Zeitschrift Für Naturforschung. C, a Journal of Biosciences·Rizan RahmaniMartin Schroeder
Sep 6, 2020·Journal of Clinical Medicine·Lukas J LehnerMichael Duerr

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