Kostro J Z, Zadrożny D, Dębska-Ślizień A, Hellmann A, Wiśniewski P, Marek I, Ławiński M, Śledziński Z
Department of General, Endocrine and Transplant Surgery, Medical University of Gdańsk, Gdańsk, Poland.
Department of General, Endocrine and Transplant Surgery, Medical University of Gdańsk, Gdańsk, Poland.
Transplant Proc. 2015 Mar;47(2):384-7. doi: 10.1016/j.transproceed.2014.12.024.
Lymphoceles are one of the common complications of kidney transplantations. While small, asymptomatic lypmhoceles do not require intervention, however, larger, high-pressure cases can lead to graft dysfunction and are thus an indication for decompression. The aim of this study is to present the drainage using a Tenckhoff catheter as effective treatment for recurrence of symptomatic lymphoceles based on both a single center's experience as well as existing literature.
In our database, two patients were operated with a Tenckhoff catheter for the recurrence of symptomatic lymphocele. A review of MEDLINE in search of cases with lymphoceles treated with Tenckhoff catheterization yielded only five articles published between 1990 and 2014. The reports covered 15 cases in which 11 patients were treated for a primary lymphocele whereas 4 were treated for a recurring lymphocele.
There was no evidence of lymphocele recurrence or infections after Tenckhoff catheterization in either the material review or our database.
Intraperitoneal drainage with a Tenckhoff catheter seems to be an effective and safe method for treating recurrent, symptomatic lymphoceles after renal transplantation.
淋巴管囊肿是肾移植常见的并发症之一。小的、无症状的淋巴管囊肿无需干预，然而，较大的、高压性的病例可导致移植肾功能障碍，因此是减压的指征。本研究的目的是基于单中心经验及现有文献，介绍使用Tenckhoff导管引流作为有症状淋巴管囊肿复发的有效治疗方法。
在我们的数据库中，有2例患者因有症状淋巴管囊肿复发接受了Tenckhoff导管手术。检索MEDLINE中关于用Tenckhoff导管治疗淋巴管囊肿的病例，仅得到1990年至2014年间发表的5篇文章。这些报告涵盖了15例病例，其中11例患者因原发性淋巴管囊肿接受治疗，4例因复发性淋巴管囊肿接受治疗。
在材料回顾及我们的数据库中，Tenckhoff导管置入术后均无淋巴管囊肿复发或感染的证据。
Tenckhoff导管腹腔引流似乎是治疗肾移植术后复发性、有症状淋巴管囊肿的一种有效且安全的方法。
