Accidental division of the transplanted ureter during laparoscopic drainage of lymphocele.
We report on the accidental division of the ureter of a transplanted kidney during laparoscopic marsupialization of a symptomatic lymphocele into the peritoneal cavity. Identification of the lymphocele was difficult because of a thick layer of overlying periperitoneal fibrolipomatous tissue. The complication was identified intraoperatively and stented reanastomosis of the divided ureter was performed. Postoperative course was uneventful. To avoid accidental injury to the transplanted ureter during laparoscopic drainage of lymphocele, we recommend that a ureteral catheter be inserted.
Shokeir
A A
AA
Urology and Nephrology Center, Mansoura University, Egypt.
Eraky
I
I
el-Kappany
H
H
Ghoneim
M A
MA
D004322:Drainage / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications; D016030:Kidney Transplantation / Q000009:adverse effects; D010535:Laparoscopy; D008210:Lymphocele / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013529:Surgical Wound Dehiscence / Q000209:etiology*; D014513:Ureter / Q000637:transplantation*