Laparoscopic fenestration of a lymphocele following combined pancreas-kidney transplantation.
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.
Manncke
K H
KH
Eberhard-Karls-Universitat Tübingen, Klinikum Schnarrenberg, Germany.
Stöblen
F
F
Hopt
U T
UT
Buess
G
G
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