The Use of Tenckhoff Catheters for Draining of Symptomatic Lymphoceles: A Review of Literature and Our Experience

Functional significance and risk factors for lymphocele formation after renal transplantation

“…In our experience, laparoscopic internal drainage of lymphoceles was effective treatment consistent with other reports . We also used Tenckhoff catheter for recurrent cases as reported by others . The surgical techniques used to reduce the risk of lymphoceles are surgical drains, prophylactic peritoneal fenestration, harmonic dissection during the preparation of recipient's blood vessels and surgical ligation of hilar lymphatics on the back table.…”

“…8,31,32 We also used Tenckhoff catheter for recurrent cases as reported by others. 33,34 The surgical techniques used to reduce the risk of lymphoceles are surgical drains, 10 prophylactic peritoneal fenestration, 35 harmonic dissection during the preparation of recipient's blood vessels 2 and surgical ligation of hilar lymphatics on the back table. Although we routinely drain all transplant wounds, we did not find any difference in volume of drain output nor the number of in situ days between the lymphocele and no-lymphocele groups.…”

Tratamiento laparoscópico de linfocele en un paciente trasplantado de riñón

“…El linfocele es una complicación que se llega a presentar con una frecuencia de hasta 50%; sin embargo, únicamente de 0.6 a 14.6% de los casos requieren tratamiento con una media de 5.88%, 1,2 la mayoría de las veces su origen proviene del receptor, aunque existen algunos factores de riesgo quirúrgicos y no quirúrgicos que están asociados a su aparición como son presencia de únicamente una arteria disección cruenta de las arterias iliacas, procuración laparoscópica de donante vivo, episodio de rechazo agudo, diabetes, obesidad, función retardada del injerto, y uso de fármacos inhibidores de mTor como sirolimus, entra otras. [3][4][5] Rev Mex Traspl. 2023; 12 (2): 110-111 www.medigraphic.com/trasplantes www.medigraphic.org.mx El diagnóstico de linfocele se basó generalmente en imágenes de ultrasonido.…”