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Management of lymphoceles after kidney transplantation

1998; Springer Science+Business Media; Volume: 11; Issue: 4 Linguagem: Inglês

10.1111/j.1432-2277.1998.tb00970.x

1432-2277

G. Bischof, Susanne Rockenschaub, Gabriela Berlakovich, F Längle, Ferdinand Mühlbacher, R. Függer, Rudolf Steininger,

Gastrointestinal disorders and treatments

Transplant InternationalVolume 11, Issue 4 p. 277-280 Free Access Management of lymphoceles after kidney transplantation Georg Bischof, Georg Bischof Departments of General Surgery, University Clinic of Surgery Wahringer Gurtel 18–20, A-1090 Vienna, AustriaSearch for more papers by this authorSusanne Rockenschaub, Susanne Rockenschaub Department of Transplant Surgery, University Clinic of Surgery, Währinger Gürtel 18–20, A-1090 Vienna, AustriaSearch for more papers by this authorGabriela Berlakovich, Gabriela Berlakovich Department of Transplant Surgery, University Clinic of Surgery, Währinger Gürtel 18–20, A-1090 Vienna, AustriaSearch for more papers by this authorFritz Längle, Fritz Längle Departments of General Surgery, University Clinic of Surgery Wahringer Gurtel 18–20, A-1090 Vienna, AustriaSearch for more papers by this authorFerdinand Mühlbacher, Ferdinand Mühlbacher Department of Transplant Surgery, University Clinic of Surgery, Währinger Gürtel 18–20, A-1090 Vienna, AustriaSearch for more papers by this authorReinhold Függer, Reinhold Függer Departments of General Surgery, University Clinic of Surgery Wahringer Gurtel 18–20, A-1090 Vienna, AustriaSearch for more papers by this authorRudolf Steininger, Rudolf Steininger Department of Transplant Surgery, University Clinic of Surgery, Währinger Gürtel 18–20, A-1090 Vienna, AustriaSearch for more papers by this author Georg Bischof, Georg Bischof Departments of General Surgery, University Clinic of Surgery Wahringer Gurtel 18–20, A-1090 Vienna, AustriaSearch for more papers by this authorSusanne Rockenschaub, Susanne Rockenschaub Department of Transplant Surgery, University Clinic of Surgery, Währinger Gürtel 18–20, A-1090 Vienna, AustriaSearch for more papers by this authorGabriela Berlakovich, Gabriela Berlakovich Department of Transplant Surgery, University Clinic of Surgery, Währinger Gürtel 18–20, A-1090 Vienna, AustriaSearch for more papers by this authorFritz Längle, Fritz Längle Departments of General Surgery, University Clinic of Surgery Wahringer Gurtel 18–20, A-1090 Vienna, AustriaSearch for more papers by this authorFerdinand Mühlbacher, Ferdinand Mühlbacher Department of Transplant Surgery, University Clinic of Surgery, Währinger Gürtel 18–20, A-1090 Vienna, AustriaSearch for more papers by this authorReinhold Függer, Reinhold Függer Departments of General Surgery, University Clinic of Surgery Wahringer Gurtel 18–20, A-1090 Vienna, AustriaSearch for more papers by this authorRudolf Steininger, Rudolf Steininger Department of Transplant Surgery, University Clinic of Surgery, Währinger Gürtel 18–20, A-1090 Vienna, AustriaSearch for more papers by this author First published: 28 June 2008 https://doi.org/10.1111/j.1432-2277.1998.tb00970.xCitations: 42AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Abstract Post-transplant lymphoceles (LC) may lead to impaired graft function. Treatment modalities include fine-needle aspiration, percutaneous drainage, and surgical internal drainage. Recently, laparoscopic fenestration has been performed with good results, but experience is still limited. Between January 1991 and August 1996, 919 kidney transplantations were performed in 876 patients at our department. There were 745 first, 133 second, 30 third, 9 fourth, and 2 fifth operations. Sixty-three symptomatic LCs were detected in 62 patients (6.8 %) after 39 ± 31 days. In 44 % of the cases, graft function was impaired; in 29 % hydronephrosis was documented and in 6 % infection of the LC. Forty-five of the 62 patients with LC (73 %) had histologically proven rejection. Thirty-five of the 63 LCs were drained percutaneously, 20 LCs were internally drained by open surgery, and 8 LCs were drained by laparoscopy. In 14 of the 47 patients (30%) with primary percutaneous drainage, LC recurred; infection occurred in 17%. Twelve of these patients underwent surgery. One surgical redrainage was necessary after open fenestration. No conversion or complication was noted in the laparoscopy group. We conclude that surgery for post-transplant lymphoceles is safe and effective. We favor the laparoscopic technique in selected patients. Citing Literature Volume11, Issue4July 1998Pages 277-280 ReferencesRelatedInformation