Abstract | BACKGROUND: One common complication after kidney transplantation is a lymphocele. The aim of our work was an analysis of incidence of lymphocele and the effectiveness of minimal invasive methods in the management of this complication. MATERIALS AND METHODS: RESULTS: Twenty-one patients (13%) developed symptoms of lymphocele after transplantation procedure within an average time of 34 weeks. The clinical symptoms included a decrease in 24-hour urine collection, an increase in plasma creatinine concentration, abdominal discomfort, lymphorrhea with a surgical wound dehiscence, voiding problems of urgency or vesical tenesmus, febrile states, or symptoms of deep vein thrombosis. The following methods were applied with variable efficacy: aspiration with recurrence 75%; percutaneous drainage with 55%, effectiveness; laparoscopic fenestration with 72% satisfactory outcomes (1 patient presented an excessive bleeding after the procedure), and classic surgery with favorable results. CONCLUSION: Percutaneous drainage guided by ultrasonic imaging should be recommended as the first attempt to cure a lymphocele. Laparoscopy is a feasible, safe technique that should be used after unsuccessful percutaneous drainage. A larger series of patients is required to confirm the superiority of minimal invasive methods to the classical approach.
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Authors | I Iwan-Zietek, Z Zietek, T Sulikowski, M Nowacki, L Zair, M Romanowski, M Zukowski, D Rość, M Ostrowski |
Journal | Transplantation proceedings
(Transplant Proc)
Vol. 41
Issue 8
Pg. 3073-6
(Oct 2009)
ISSN: 1873-2623 [Electronic] United States |
PMID | 19857680
(Publication Type: Journal Article)
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Topics |
- Cadaver
- Female
- Humans
- Incidence
- Kidney Transplantation
(adverse effects)
- Laparoscopy
(methods)
- Living Donors
- Lymphocele
(epidemiology, surgery)
- Male
- Minimally Invasive Surgical Procedures
(methods)
- Postoperative Complications
(surgery)
- Time Factors
- Tissue Donors
- Treatment Failure
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