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

Pregledni rad

LYMPHOCELE AND RENAL TRANSPLANTATION

DEAN MARKIĆ ; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
MAKSIM VALENČIĆ ; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
ANTON MARIČIĆ ; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
ROMANO OGUIĆ ; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
STANISLAV SOTOŠEK ; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
JOSIP ŠPANJOL ; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
KRISTIAN KRPINA ; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
JURAJ AHEL ; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska
STELA ŽIVČIĆ-ĆOSIĆ ; Zavod za nefrologiju i dijalizu,Rijeka, Hrvatska
ŽELJKO FUČKAR ; Klinički bolnički centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska

Puni tekst: hrvatski pdf 681 Kb

str. 305-309

preuzimanja: 862

citiraj

Sažetak

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.

Ključne riječi

kidney transplantation; lymphocele; ultrasonography; laparoscopy

Hrčak ID:

89608

URI

https://hrcak.srce.hr/89608

Datum izdavanja:

1.3.2011.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.834 *