Atray Naveen K, Moore Frank, Zaman Fahim, Caldito Gloria, Abreo Kenneth, Maley Warren, Zibari G B
Division of Nephrology, Regional Transplant Center of Willis Knighton and Louisiana State University Health Sciences Center, Shreveport, 71130, USA.
Clin Transplant. 2004;18 Suppl 12:46-9. doi: 10.1111/j.1399-0012.2004.00217.x.
The occurrence of post renal transplant lymphocele is variable and the best approach to treatment is not well defined. The purpose of this study was to find out the incidence of post transplant lymphocele at our centre, identify demographic or surgical factors that may have influenced lymphocele formation, and distinguish the best approach to treatment. The charts of 138 consecutive renal transplant recipients from 1996 to 2001 were retrospectively reviewed. The demographic characteristics, comorbid illnesses, occurrence of lymphocele and its treatment modality were recorded. A total of 36 (26%) patients developed lymphoceles. There was a significant relationship between an increased body mass index (BMI) and lymphocele occurrence (P > 0.01). The recurrence rate with drainage alone was 33%, which decreased to 25% with sclerotherapy. In comparison, both laparoscopic and open surgical marsupialization had a much lower but similar recurrence rate of 12%. The laparoscopic method had less morbidity, a shortened hospital stay, and less infection than open surgery.
肾移植后淋巴囊肿的发生率各不相同，最佳治疗方法尚无明确定义。本研究的目的是查明我们中心肾移植后淋巴囊肿的发生率，确定可能影响淋巴囊肿形成的人口统计学或手术因素，并区分最佳治疗方法。对1996年至2001年连续138例肾移植受者的病历进行了回顾性研究。记录了人口统计学特征、合并疾病、淋巴囊肿的发生情况及其治疗方式。共有36例（26%）患者出现淋巴囊肿。体重指数（BMI）升高与淋巴囊肿的发生之间存在显著关系（P>0.01）。单纯引流的复发率为33%，硬化治疗后降至25%。相比之下，腹腔镜和开放手术袋形缝合术的复发率要低得多且相似，均为12%。与开放手术相比，腹腔镜手术的发病率更低、住院时间更短且感染更少。
