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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 65 No. 4, 2011.

Review article

LYMPHOCELE AND RENAL TRANSPLANTATION

DEAN MARKIĆ ; Rijeka University Hospital Center, Department of Urology, Rijeka Croatia
MAKSIM VALENČIĆ ; Rijeka University Hospital Center, Department of Urology, Rijeka Croatia
ANTON MARIČIĆ ; Rijeka University Hospital Center, Department of Urology, Rijeka Croatia
ROMANO OGUIĆ ; Rijeka University Hospital Center, Department of Urology, Rijeka Croatia
STANISLAV SOTOŠEK ; Rijeka University Hospital Center, Department of Urology, Rijeka Croatia
JOSIP ŠPANJOL ; Rijeka University Hospital Center, Department of Urology, Rijeka Croatia
KRISTIAN KRPINA ; Rijeka University Hospital Center, Department of Urology, Rijeka Croatia
JURAJ AHEL ; Rijeka University Hospital Center, Department of Urology, Rijeka Croatia
STELA ŽIVČIĆ-ĆOSIĆ ; Department of Nephrology and Dialysis, Rijeka, Croatia
ŽELJKO FUČKAR ; Rijeka University Hospital Center, Department of Urology, Rijeka Croatia

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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.

Keywords

kidney transplantation; lymphocele; ultrasonography; laparoscopy

Hrčak ID:

89608

URI

https://hrcak.srce.hr/89608

Publication date:

1.3.2011.

Article data in other languages: croatian

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