Management of lymphoceles after kidney transplantation

摘要: Post-transplant lymphoceles (LC) may lead to impaired graft function. Treatment modalities include fine-needle aspiration, percutaneous drainage, and surgical internal drainage. Recently, laparoscopic fenestration has been performed with good results, but experience is still limited. Between January 1991 August 1996, 919 kidney transplantations were in 876 patients at our department. There 745 first, 133 second, 30 third, 9 fourth, 2 fifth operations. Sixty-three symptomatic LCs detected 62 (6.8 %) after 39 ± 31 days. In 44 % of the cases, function was impaired; 29 hydronephrosis documented 6 infection LC. Forty-five LC (73 had histologically proven rejection. Thirty-five 63 drained percutaneously, 20 internally by open surgery, 8 laparoscopy. 14 47 (30 primary recurred; occurred 17 %. Twelve these underwent surgery. One redrainage necessary fenestration. No conversion or complication noted laparoscopy group. We conclude that surgery for post-transplant safe effective. favor technique selected patients.