A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney Transplantation

Autor: Sekito, Takanori, Araki, Motoo, Wada, Koichiro, Yoshinaga, Kasumi, Maruyama, Yuki, Sadahira, Takuya, Katayama, Satoshi, Iwata, Takehiro, Nishimura, Shingo, Sako, Tomoko, Edamura, Kohei, Kobayashi, Yasuyuki, Watanabe, Toyohiko
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Case Reports in Transplantation.
ISSN: 2090-6943
DOI: 10.1155/2022/9948425
Popis: Laparoscopic fenestration of a postrenal transplant lymphocele is associated with a risk of renal hilar vessel and ureteral injury. Consequently, determination of the incision line is difficult. We describe a case of a 73-year-old man with postrenal transplant lymphocele who underwent a laparoscopic fenestration. We report a surgical video containing a new technique of laparoscopic fenestration using a fluorescent ureteral catheter in combination with a flexible ureteroscope. The combination of a fluorescent ureteral catheter and flexible ureteroscope during surgery enabled us to determine the incision line safely and accurately. Intraoperative real-time visualization of the lymphocele and ureter using a fluorescent ureteral catheter and a flexible ureteroscope is safer than conventional methods for laparoscopic fenestration. To the best of our knowledge, this is the first report of this novel technique.
Databáze: OpenAIRE
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