Minimally Invasive Methods for the Treatment of Lymphocele After Kidney Transplantation

Laparoscopic Fenestration of Posttransplant Lymphoceles: A Report of Three Cases

“…Based on extensive experience, successful outcome rates and the short operating time of laparoscopic surgery are critical advantages in favor of the laparoscopic procedure over open surgery. In 2009, Iwan-Zietek et al [20] ,embraced an outline which distinctly showed data that advocated for the preference of surgical, especially laparoscopic, management of posttransplant lymphoceles. The authors reported that percutaneous drainage should be attempted first to cure a lymphocele, but reported that; laparoscopic fenestration is a safe and practicable technique that should be used after unsuccessful and inefficient percutaneous drainage [20].…”

“…In 2009, Iwan-Zietek et al [20] ,embraced an outline which distinctly showed data that advocated for the preference of surgical, especially laparoscopic, management of posttransplant lymphoceles. The authors reported that percutaneous drainage should be attempted first to cure a lymphocele, but reported that; laparoscopic fenestration is a safe and practicable technique that should be used after unsuccessful and inefficient percutaneous drainage [20]. The three cases in this report show the definite benefit of surgical treatment because there were no recurrences.…”

Surgical Complications of Live Related Renal Transplantation

“…The average incidence of lymphocele in the literature ranges from 0.6 to 16%. [25][26][27] The cause of lymphocele is inadequate ligation/inadvertent use of cautry during dissection of iliac vessels and/or during donor nephrectomy. The smaller lymphoceles are more common but they are usually asymptomatic.…”

“…29 In our study 17 (4.8%) patients had lymphoceles which is comparable to the most of the series published. [25][26][27] The reported incidence of post operative wound infection is 5% after renal transplantation according to (Europian) Guidelines on renal transplantation 2012. Risk factors for wound infection include diabetes, haematoma, urinary fistula, obesity, rejection, overimmunosuppression and old age.…”

Surgical Complications of Renal Transplantation

“…The average incidence of lymphocele in the literature ranges from 0.6 to 16% (Adani, Baccarani et al 2007;ZargarShoshtari, Soleimani et al 2008;Iwan-Zietek, Zietek et al 2009). The etiology has been attributed to inadequate ligation of the delicate lymph vessels overlying the iliac vessels or present in the hilum.…”