Markić Dean, Valencić Maksim, Maricić Anton, Oguić Romano, Sotosek Stanislav, Spanjol Josip, Krpina Kristian, Ahel Juraj, Zivcić-Cosić Stela, Fuckar Zeljko
Klinicki bolnicki centar Rijeka, Klinika za urologiju, Rijeka, Hrvatska.
Acta Med Croatica. 2011;65(4):305-9.
Lymphoceles are a well-known surgical complication of kidney transplantation. We retrospectively analyzed patients with lymphoceles among our renal transplant recipients. During the last 39 years, we performed 922 renal transplantations. Lymphoceles were diagnosed and treated in 45 (4.9%) patients. We used the following methods: percutaneous drainage with instillation of povidone-iodide in 36 (80%), percutaneous drainage with instillation of tetracycline in one (2.2%), percutaneous aspiration in four (8.9%) and surgical treatment in four (8.9%) patients. In all four (8.9%) patients with relapse, secondary procedure was successful. In total, open surgery was done in five (11.1%) and laparoscopy in four (8.9%) patients. Percutaneous drainage of lymphoceles, with or without the instillation of a sclerosant, is the first-line treatment. Laparoscopic fenestration of lymphoceles has become an alternative to percutaneous drainage, especially in case of post-drainage relapse.
淋巴囊肿是肾移植术后一种众所周知的外科并发症。我们对肾移植受者中出现淋巴囊肿的患者进行了回顾性分析。在过去39年里，我们共进行了922例肾移植手术。45例（4.9%）患者被诊断并治疗了淋巴囊肿。我们采用了以下方法：36例（80%）患者采用经皮引流并注入聚维酮碘，1例（2.2%）患者采用经皮引流并注入四环素，4例（8.9%）患者采用经皮抽吸，4例（8.9%）患者采用手术治疗。在所有4例（8.9%）复发患者中，二次手术均成功。总共5例（11.1%）患者接受了开放手术，4例（8.9%）患者接受了腹腔镜手术。无论是否注入硬化剂，经皮引流淋巴囊肿都是一线治疗方法。腹腔镜下淋巴囊肿开窗术已成为经皮引流的替代方法，尤其是在引流后复发的情况下。
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