Did Volume of Lymphocele After Kidney Transplantation Determine the Choice of Treatment Modality?

Occurrence of a lymphocele following renal transplantation

“…Consistent with the results from other centres, (12) three of these patients had larger sized lymphoceles (> 6 cm in diameter). We opted to perform open drainage in three patients under surgical intervention, as two of them had a history of previous abdominal surgery and one patient's collection was close to the hilum.…”

Management of Lymphocele Formation Following Kidney Transplantation: A Single Centre Experience

“…Some authors suggest that sclerosing agents can have toxic effects on graft functions and may even cause graft loss while some consider them generally safe and highly successful. 10,11 Surgical procedures include marsupialisation, or external drainage via open or laparoscopic technique. The recommended surgical intervention for lymphoceles is laparoscopic marsupialisation, as it is less invasive, and has shorter operative time and hospital stay, as well as better cosmesis.…”

Surgical Complications of Live Related Renal Transplantation

“…The smaller lymphoceles are more common but they are usually asymptomatic. 28 However, large sized lymphoceles present as a bulge at the site of graft. Very large lymphoceles can cause graft dysfunction by compressing on the ureter and causing hydronephrosis.…”

“…29 The diagnosis is usually confirmed by ultrasound. 28 The treatment can be divided into expectant, puncture and drainage or surgery.…”