ISSN:
1432-2218
Keywords:
Key words: Kidney transplantation — laparoscopic color Doppler ultrasound probe — Laparoscopic internal drainage — Laparoscopic surgery — Lymph collection — Lymphocele
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Background: 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. Methods: 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. Results: 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. Conclusions: 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.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/s004640000062
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