Laparoscopic treatment of symptomatic lymphoceles after kidney transplantation
| Autor: | U. Baccarani, Giovanni Terrosu, Annibale Donini, Andrea Risaliti, A Pasqualucci, V Corno, Fabrizio Bresadola, N Cautero, Carla Cedolini |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Lymphocele Suction Endosonography Postoperative Complications Recurrence Monitoring Intraoperative Internal medicine medicine Humans Retroperitoneal Space Ultrasonography Doppler Color Laparoscopy Kidney transplantation Retrospective Studies medicine.diagnostic_test business.industry Incidence (epidemiology) Middle Aged Hepatology medicine.disease Kidney Transplantation Surgery Transplantation Treatment Outcome Female Radiology Complication business Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 14:293-295 |
| ISSN: | 1432-2218 0930-2794 |
| Popis: | The incidence of lymphocele after kidney transplantation ranges from 0.6% to 18%. This study examines the use of laparoscopic ultrasound for the location of lymphoceles during laparoscopic drainage.Between July 1993 and October 1998, we performed 147 kidney transplants. A symptomatic lymphocele was observed in 19 patients (12.9%). All of these patients underwent peritoneal laparoscopic fenestration of the lymphocele. The graft, kidney hilum, ureter, iliac vessels, and lymphoceles were identified by laparoscopic ultrasound.All but one patient were discharged within 24 h. One recurrence (5.2%), which was successfully treated by laparoscopy, was observed at a mean follow-up of 15.5 months. We had one complication (5.2 %)-a left hydrocele that occurred 2 days after drainage of a lymphocele located in the left iliac fossa.Laparoscopic peritoneal drainage of posttransplant lymphoceles shares the well known advantages of laparoscopy. Furthermore, laparoscopic ultrasound is a useful tool that allows the recognition of anatomical structures and decreases the risk of iatrogenic lesions. |
| Databáze: | OpenAIRE |
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