title: Laparoscopic fenestration of a lymphocele following combined pancreas-kidney transplantation.
abstract: The development of a lymphocele is an uncommon but well-known complication following a kidney transplantation. In case of recurrence after puncture and aspiration, a laparoscopic procedure seems to be the treatment of choice. For the preoperative workup ultrasound is essential; CT scan is to be favored if available. A large fenestration is easy to perform laparoscopically and thus the lymphocele is drained into the abdominal cavity. Because of the immunosuppressive treatment, adhesions hindering a laparoscopic approach are unusual. The conclusion is that surgeons trained in laparoscopic techniques have an important role in these infrequent abdominal problems.
authors.affiliation: Eberhard-Karls-Universitat Tübingen, Klinikum Schnarrenberg, Germany.
authors.forename: K H
authors.initials: KH
authors.lastname: Manncke
authors.forename: F
authors.initials: F
authors.lastname: Stöblen
authors.forename: U T
authors.initials: UT
authors.lastname: Hopt
authors.forename: G
authors.initials: G
authors.lastname: Buess
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D010535:Laparoscopy / Q000379:methods*; D008210:Lymphocele / Q000175:diagnosis / Q000601:surgery*; D016035:Pancreas Transplantation; D011183:Postoperative Complications