Treatment of lymphocele in renal transplant recipients by laparoscopic fenestration after transcutaneous staining.
Lymphocele is a rare cause of impairment of graft function after renal transplantation. Treatment ranges from external drainage to laparoscopic internal marsupialization. A therapeutic approach to the treatment of symptomatic lymphocele is described, which employs external drainage, if necessary followed by methylene blue staining and laparoscopic internal drainage, should conservative treatment fail. Five patients developed post-transplant lymphocele of varying size and were treated according to this protocol. Identification of the blue lymphocele at laparoscopy was straightforward and complete marsupialization was performed. After a mean follow-up of 8.4 months all patients are free from symptoms and have well functioning grafts.
Schilling
M
M
Department of Thoracic and Vascular Surgery, University of Ulm, Germany.
Abendroth
D
D
Kunz
R
R
D000465:Algorithms; D004322:Drainage; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D010535:Laparoscopy / Q000379:methods*; D008210:Lymphocele / Q000209:etiology / Q000601:surgery*; D008297:Male; D008751:Methylene Blue; D013194:Staining and Labeling; D018084:Ultrasonography, Interventional
D008751:Methylene Blue