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2005, Number 1

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Cir Gen 2005; 27 (1)

Video-laparoscopic fenestration of a symptomatic lymphocele after renal transplant

Martín GMA, Soliva DR, Savío LAM, Vilorio HPL
Full text How to cite this article

Language: Spanish
References: 8
Page: 69-71
PDF size: 324.98 Kb.


Key words:

Lymphocele, renal transplantation, video-laparoscopy.

ABSTRACT

Objective:To describe the case of a symptomatic lymphocele after a renal transplant, treated by means of a video-laparoscopic approach.
Setting:Third level health care hospital.
Design:Report of a clinical case.
Case description:Woman of 54 years of age with end-stage chronic renal failure secondary to severe arterial hypertension, who had received a renal transplant in 2001 from a cadaveric donor. Three months later, she referred slight pain in the transplant region, without associated urinary symptoms. A symptomatic lymphocele is suspected clinically and echographically. Internal drainage was performed by means of fenestration to the peritoneum using a video-laparoscopic approach, without accidents nor immediate surgical complications. She was discharged after 48 hours. After 10 months of evolution, no complication has occurred nor recurrence of the lymphocele.
Conclusion:Video-laparoscopic drainage of a symptomatic lymphocele after a renal transplant constitutes a valid and feasible therapeutic option in our milieu.


REFERENCES

  1. Ducpree HJ, Fornara P, Lewejohann JC, Hoyer J, Bruch HP, Schiedeck TH. Laparoscopic treatment of lymphoceles in patients after renal transplantation. Clin Transplant 2001; 15: 375-9.

  2. Stencl J, Bujdak P, Miklosi M, Breza J, Reznicek J. Laparoskopika fenestracia lymfokely po transplantacii oblicky. Rozhl Chir 2001; 80: 311-4.

  3. Ostrowski M, Lubikowski J, Kowalczyk M, Power J. Laparoscopic lymphocele drainage after renal transplantation. Ann Transplant 2000; 5: 25-7.

  4. Cadrobbi R, Zaninotto G, Rigotti P, Baldan N, Sarzo G, Ancona E. Laparoscopic treatment of lymphocele after kidney transplantation. Surg Endosc 1999; 13: 985-90.

  5. Lin CC, Chen WH, Wu CF. Minilaparotomy for internal drainage of a symptomatic lymphocele after renal transplantation. Chang Gung Med J 2001; 24: 526-9.

  6. Hsu TH, Gill IS, Grune MT, Andersen R, Eckhoff D, Goldfarb DA, et al. Laparoscopic lymphocelectomy: a multi-institutional analysis. J Urol 2000; 163: 1096-8; discussion 1098-9.

  7. Risaliti A, Corno V, Donini A, Cautero N, Baccarani U, Pasquaiucci A, et al. Laparoscopic treatment of symptomatic lymphoceles after kidney transplantation. Surg Endosc 2000; 14: 293-5.

  8. Oyen O, Siwach V, Line PD, Pfeffer P, Lien B, Bentdal O, et al. Improvement of post-transplant lymphocele treatment in the laparoscopic era. Transpl Int 2002; 15: 406-10.




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Cir Gen. 2005;27