Therapy of Lymphocele Following Kidney Transplantation

Česká verzia

Authors: J. Pacovsky; M. Broďák; P. Navrátil
Authors place of work: Urologická klinika FN a LF UK v Hradci Králové, doc. MUDr. Richard Fiala, CSc., FEBU
Published in the journal: Rozhl. Chir., 2008, roč. 87, č. 11, s. 596-600.
Category: Monothematic special - Original

Summary

About 20% of post-transplant lymphoceles are symptomatic and require treatment. Correct treatment indication and accurate treatment approach could ensure the transplanted kidney from lymphocele complications. There is wide scale of treatment modalities from noninvasive to surgical procedures. The most frequently used miniinvasive procedure is sclerotisation. The first choice surgical method is a laparoscopic drainage of the lymphocele into the peritoneal cavity. Correctly treated lymphocele does not impair graft function even in long-term follow-up.

Key words:
complication – kidney transplantation – lymphocele – treatment

Zdroje

1. Adani, G. L., Baccarani, U., Bresadola, V. A., et al. Graft loss due to percutaneous sclerotherapy of a lymphocele using acetic acid after renal transplantation. Cardiovasc. Intervent. Radiol., 2005; 26: 836–838.

2. Carrera, C., Burgos, F. J., Rodrigues, R., et al. Sclerotherapy of post-renal transplantation lymphocele with percutaneous instillation of amidotrizoate. Actas Urol. Esp., 1996; 20: 389–394.

3. Esterl, R. M., Halff, G. A. The use of methylene blue in the identification of lymphoceles after renal transplantation. Urology, 1995; 45: 1088–1089.

4. Fuller, T. F., Kang, S. M., Hirose, R., et al. Management of lymphoceles after renal transplantation: laparoscopic versus open drainage. J. Urol., 200; 169: 2022.

5. Hamza, A., Fisher, K., Koch, E., et al. Diagnostic and therapy of lymphoceles after kidney transplantation. Transplant. Proc., 2006; 38: 701–706.

6. Huilgol, A. K., Sundar, S., Karunadagaran, S., et al. Lymphoceles and their management in renal transplantation. Transplant. Proc., 2003; 35: 32.

7. Kuzuhara, K., Inoue, S., Dobashi, Y., et al. Ethanol ablation of lymphocele after renal transplantation: a minimally invasive approach. Transplant. Proc., 199; 29: 147–150.

8. Lin, J. J., Sorbi, D., Uy, J. P., et al. Doxycycline sclerotherapy of lymphocele after renal transplantation and its inhibiton gelatonase activity. Transplant. Proc., 1993; 25: 3320–3324.

9. Martinez Jabaloyas, J. M., Morera Martinez, J., Pontones Moreno, J. L., et al. Lymphocele as a complication of renal transplantation. Actas Urol. Esp., 1994; 18: 106–110.

10. Nghiem, D. D., Beckman, I. Intraperitoneal catheter drainage of lymphocele: an outpatient procedure. Transpl. Int., 2005; 18: 721.

11. Reyes-Acevedo, R., Bezaury-Rivas, P., Alberu, J., et al. Post-transplant perirenal collections: clinical significance. Transplant. Proc., 1996; 28: 3449–3450.

12. Risalti, A., Corno, V., Donini, A., et al. Laparoscopic treatment of symptomatic lymphoceles after kidney transplantation. Surg. Endosc., 2000; 14: 293.

13. Seeling, M. H., Klingler, P. J., Oldenburg, W. A. Treatment of a postoperative cervical chylous lymphocele by percutaneous sclerosing with povidone-iodine. J. Vasc. Surg., 1999; 27: 1148.

14. Schurawitzki, H., Karnel, F., Mostbeck, G., et al. Radilogic therapy of symptomatic lymphoceles following kidney transplantation. Rofo Fortschr. Geb. Rontgenstr. Neuen Bildgeb. Verfahr., 1999; 152: 71–75.

15. Smith, G. P., Beitz, G., Eng, M. P., et al. Long-term outcome of cadaveric renal transplant after treatment of symptomatic lymphocele. J. Urol., 2006; 173: 1069–1072.

16. Spigos, D., Capek, V. Utrasonically guided percutaneous aspiration of lymphoceles following renal transplantation: a diagnostic and therapeutic method. J. Clin. Ultrasound., 1976; 4: 45–46.

17. Tasar, M., Gulec, B., Saglam, M., et al. Posttransplant symptomatic lymphocele treatment with percutaneous drainage and ethanol sclerosis: Long-term follow-up. J. Cloníc. Imaging, 2004; 29: 109.

18. Teiche, P. E., Pauer, W., Schmid, N. Use of talcum in sclerotherapy of pelvic lymphoceles. Tech. Urol., 1999; 5: 52–53.

19. Ulibarri, J. I., Sanz, Y., Fuentes, C., et al. Reduction of lymphorragia from ruptured thoracic duct by somatostatin. Lancet, 1990; 336: 25.

20. van Sonnenberg, E., Wittich, G. R., Casola, G., et al. Lymphoceles: Imaging chracteristics and percutaneous management. Radiology, 1986; 161: 593.