title: [Lymphocele and renal transplantation].
abstract: Lymphoceles are a well-known surgical complication of kidney transplantation. We retrospectively analyzed patients with lymphoceles among our renal transplant recipients. During the last 39 years, we performed 922 renal transplantations. Lymphoceles were diagnosed and treated in 45 (4.9%) patients. We used the following methods: percutaneous drainage with instillation of povidone-iodide in 36 (80%), percutaneous drainage with instillation of tetracycline in one (2.2%), percutaneous aspiration in four (8.9%) and surgical treatment in four (8.9%) patients. In all four (8.9%) patients with relapse, secondary procedure was successful. In total, open surgery was done in five (11.1%) and laparoscopy in four (8.9%) patients. Percutaneous drainage of lymphoceles, with or without the instillation of a sclerosant, is the first-line treatment. Laparoscopic fenestration of lymphoceles has become an alternative to percutaneous drainage, especially in case of post-drainage relapse.
authors.affiliation: Klinicki bolnicki centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska. dean.markic@ri.htnet.hr
authors.forename: Dean
authors.initials: D
authors.lastname: Markić
authors.forename: Maksim
authors.initials: M
authors.lastname: Valencić
authors.forename: Anton
authors.initials: A
authors.lastname: Maricić
authors.forename: Romano
authors.initials: R
authors.lastname: Oguić
authors.forename: Stanislav
authors.initials: S
authors.lastname: Sotosek
authors.forename: Josip
authors.initials: J
authors.lastname: Spanjol
authors.forename: Kristian
authors.initials: K
authors.lastname: Krpina
authors.forename: Juraj
authors.initials: J
authors.lastname: Ahel
authors.forename: Stela
authors.initials: S
authors.lastname: Zivcić-Cosić
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Fuckar
mesh_terms: D004322:Drainage; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects*; D010535:Laparoscopy; D008210:Lymphocele / Q000209:etiology / Q000628:therapy*; D012008:Recurrence