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- Title
Lymphocele after renal transplantation - a single center experience.
- Authors
Baston, C.; Gîngu, C.; Manea, I.; Margaritis, S. S. Guler; Hăineală, B.; Preda, A.; Moldoveanu, O.; Codoiu, C.; Dick, A.; Tacu, D.; Ţincu, C.; Cerempei, V.; Sinescu, I.
- Abstract
Introduction and objectives. Kidney transplantation improves survival and quality of life for the recipients and although not a direct concern of the patient it is the most cost-effective treatment for end-stage renal disease compared to chronic dialysis. Lymphocele is one of the most common complications in kidney transplant recipients and may affect as many as 26% of them. Materials and methods. We evaluated retrospectively the occurrence of lymphocele in a series of 1542 consecutive kidney transplants performed in our center between 1st of July 1997 and 31st of December 2014. Lymphocele were diagnosed by ultrasonography and computed tomography. Results. The incidence of lymphoceles after kidney transplantation in our center was 1.23% (19 cases). The indication for treatment ware local symptoms, graft dysfunction or both. In eight cases percutaneous drainage guided by ultrasonography and sclerotherapy with povidone-iodine was an efficient therapy. In 11 cases open surgery was the therapy of choice and consisted in large fenestration into the peritoneal cavity in six cases or associated with ureterocystoneostomy in five cases. Conclusions. Lymphoceles after kidney transplantation can be treated by ultrasound-guided drainage associated with sclerotherapy with the inconvenience of a longer hospital stay and a recurrence rate up to 40%, or by open or laparoscopic surgical intervention with large fenestration into the peritoneal cavity, associated or not with ureterocystoneostomy. Taking into account that we did not notice any recurrence or complication after open surgery, we consider that open fenestration into the peritoneal cavity is the method of choice for the treatment of lymphoceles after renal transplantation.
- Subjects
KIDNEY transplantation; QUALITY of life; SURVIVAL analysis (Biometry)
- Publication
Romanian Journal of Urology, 2015, Vol 14, Issue 4, p22
- ISSN
1223-0650
- Publication type
Article