[Lymphocele after kidney transplantation: drainage by laparoscopy].
Our video shows the laparoscopic drainage of a big lymphocele responsible of kidney graft obstructive failure. Apart from the laparoscopic access, the technique is similar to open surgery. An ellipsoid peritoneal window (approximately 6 x 3 cm) is created with scissors and electrocautery. The lymphocele is entered and completely drained. A few adhesions are divided. To keep the window open, we secured its anterior margin with clips. Postoperative period was uneventful, with immediate improvement of the kidney graft function. After 4 months, there was no lymphocele seen on computerized tomography.
Iselin
C E
CE
Clinique d'urologie, Hôpital cantonal universitaire, Genève.
Morel
P
P
Bolle
J F
JF
Graber
P
P
D004322:Drainage / Q000295:instrumentation*; D006801:Humans; D016030:Kidney Transplantation; D020706:Laparoscopes; D008210:Lymphocele / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D014057:Tomography, X-Ray Computed
Lymphocèle après greffe rénale: drainage par laparoscopie.