title: [Lymphocele surgical treatment in pediatric kidney transplantation].
abstract: BACKGROUND
  In a retrospective study, we evaluated; frequency, clinical presentation and treatment of lymphocele in pediatric patients with kidney transplant.
  
  
  METHODS
  Between January 2004 and January 2009, we had 242 kidney transplantations, 197 from living donors and 45 from cadaveric donors. The technique was the usual, and the implants of the ureteres were by the technique Ricard modified. The treatment of lymphocele was by percutaneous punction and laparoscopic intraperitoneal drainage.
  
  
  RESULTS
  We diagnosed lymphocele in seven patients (2.9 % with an IC95 %: 0.6- 5.2 %) one female and six males. All patients went trough percutaneous drainage. Six patients presented lymphocele recurrence at 48 to 72 hours after the drainage. Surgical laparoscopic intraperitoneal drainage was performed with success.
  
  
  CONCLUSIONS
  Our frequency of lymphocele is the same reported in other studies (6-18 %). The treatment by laparoscopic intraperitoneal window seems to be the most appropriate in pediatric patients.
authors.affiliation: Servicio de Trasplantes, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano Seguro Social, Ciudad de México, México. aurelusjean@yahoo.com.mx.
authors.forename: Pierre Jean
authors.initials: PJ
authors.lastname: Aurelus
authors.forename: Roberto Carlos
authors.initials: RC
authors.lastname: Ortiz
authors.forename: Mario Enrique
authors.initials: ME
authors.lastname: Rendón-Macías
authors.forename: Ma C
authors.initials: MC
authors.lastname: Ortega-Rodríguez
authors.forename: Hermilo
authors.initials: H
authors.lastname: De la Cruz-Yañiz
authors.forename: Alfonso
authors.initials: A
authors.lastname: Yamamoto-Nagano
authors.forename: José Salustiano
authors.initials: JS
authors.lastname: Torres-Díaz
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004322:Drainage / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016030:Kidney Transplantation; D010535:Laparoscopy; D008210:Lymphocele / Q000209:etiology / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Kidney transplantation; Laparoscopy; Lymphocele; Pediatrics; Peritoneal diseases