Ben Mouelli Sami, Fontaine Eric, Thomas Laurent, Quenneville Vincent, Beurton Daniel
Service d'Urologie, Hôpital Ambroise Paré, Boulogne, France.
Prog Urol. 2004 Apr;14(2):230-1.
Lymphocele is a rare symptomatic complication of iliopelvic lymph node dissection during radical prostatectomy. The authors report a case of pelvic lymphocele with perirenal extension diagnosed 6 months after the operation and successfully treated by laparoscopic marsupialisation. The possibility of lymphocele must be considered in any patient presenting with abdominopelvic symptoms after iliopelvic lymph node dissection, even several months after the operation. The treatment of choice is laparoscopic marsupialisation, in the absence of infection.
淋巴囊肿是根治性前列腺切除术中髂盆腔淋巴结清扫术罕见的有症状并发症。作者报告了1例盆腔淋巴囊肿伴肾周扩展的病例，该病例在术后6个月确诊，并通过腹腔镜开窗引流术成功治疗。对于任何在髂盆腔淋巴结清扫术后出现腹盆腔症状的患者，即使是在术后数月，都必须考虑淋巴囊肿的可能性。在没有感染的情况下，首选的治疗方法是腹腔镜开窗引流术。
