Article

[Lymphocele and renal transplantation].

Klinicki bolnicki centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska.
Acta medica Croatica: c̆asopis Hravatske akademije medicinskih znanosti 01/2011; 65(4):305-9. pp.305-9
Source: PubMed

ABSTRACT Lymphoceles are a well-known surgical complication of kidney transplantation. We retrospectively analyzed patients with lymphoceles among our renal transplant recipients. During the last 39 years, we performed 922 renal transplantations. Lymphoceles were diagnosed and treated in 45 (4.9%) patients. We used the following methods: percutaneous drainage with instillation of povidone-iodide in 36 (80%), percutaneous drainage with instillation of tetracycline in one (2.2%), percutaneous aspiration in four (8.9%) and surgical treatment in four (8.9%) patients. In all four (8.9%) patients with relapse, secondary procedure was successful. In total, open surgery was done in five (11.1%) and laparoscopy in four (8.9%) patients. Percutaneous drainage of lymphoceles, with or without the instillation of a sclerosant, is the first-line treatment. Laparoscopic fenestration of lymphoceles has become an alternative to percutaneous drainage, especially in case of post-drainage relapse.

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Keywords

922 renal transplantations
 
first-line treatment
 
following methods
 
instillation
 
kidney transplantation
 
last 39 years
 
Lymphoceles
 
open surgery
 
percutaneous aspiration
 
Percutaneous drainage
 
post-drainage relapse
 
renal transplant recipients
 
secondary procedure
 
surgical treatment
 
well-known surgical complication