title: Retroperitoneal laparoscopic management of a lymphocele after abdominal aortic surgery: a case report.
abstract: A retroperitoneal lymphocele is a rare complication of abdominal aortic surgery. We present a case of 77-year-old man who developed a retroperitoneal lymphocele 14 days after undergoing graft replacement for an abdominal aortic aneurysm. Paracentesis showed a white and turbid fluid that was determined to be chyle. Conservative therapy, including percutaneous drainage, fasting, and total parenteral nutrition, was unsuccessful. Retroperitoneal laparoscopic ligation of the leaking lymphatics was performed on postoperative day 33. The postoperative course was satisfactory. The laparoscopic approach to retroperitoneal lymphocele treatment after abdominal aortic repair is a safe and minimally invasive therapeutic method.
authors.affiliation: Second Department of Surgery, Faculty of Medical Sciences, University of Fukui, Japan. uchinami@fmsrsa.fukui-med.ac.jp
authors.forename: Masaru
authors.initials: M
authors.lastname: Uchinami
authors.forename: Koichi
authors.initials: K
authors.lastname: Morioka
authors.forename: Koji
authors.initials: K
authors.lastname: Doi
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Nakamura
authors.forename: Makoto
authors.initials: M
authors.lastname: Yoshida
authors.forename: Kuniyoshi
authors.initials: K
authors.lastname: Tanaka
mesh_terms: D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008210:Lymphocele / Q000209:etiology* / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*