Treatment of lymphocele following renal transplantation by laparoscopic surgery.
We describe a new technique for internal drainage of lymphocele following renal transplantation performed by laparoscopy. After induction of the pneumoperitoneum, using the cautery hook, a wide opening in the lymphocele peritoneal wall has been performed allowing the lymph flow to enter the peritoneal cavity. A portion of the omentum has been pushed inside the lymphocele cavity and fixed to the parietal peritoneum in order to avoid closure of the peritoneal window. A postoperative CT scan control has shown the complete disappearance of the fluid collection. Internal drainage of lymphocele performed by laparoscopy allows a radical treatment with minimal trauma for the patient and has therefore potential advantages over the other current procedures.
Ancona
E
E
Institute of Semeiotica Chirurgica, University of Padua, Italy.
Rigotti
P
P
Zaninotto
G
G
Comandella
M G
MG
Morpurgo
E
E
Costantini
M
M
D000328:Adult; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D010535:Laparoscopy; D008210:Lymphocele / Q000209:etiology / Q000628:therapy*