Schneider Gregoire, Ourfali Said, Rouviere Olivier, Pagnoux Gaele, Colombel Marc
Urologic Surgery and Transplantation Department Hôpital Edouard Herriot Hospices Civils de Lyon Lyon France.
Université Lyon 1 Faculté de Médecine Lyon Est Université de Lyon Lyon France.
IJU Case Rep. 2020 Oct 7;4(1):5-9. doi: 10.1002/iju5.12212. eCollection 2021 Jan.
Pelvic lymphocele is the most common complication of pelvic lymph node dissection after radical prostatectomy. Management of symptomatic pelvic lymphocele begins with percutaneous drainage, followed by sclerotherapy or surgical marsupialization and more recently, lymphatic embolization. In this article, we show the feasibility and results of two lymphatic embolization after prostatectomy with lymph node dissection.
We decided to perform lymphatic embolization in two patients with persistent symptomatic pelvic lymphocele, after percutaneous drainage. This was done through inguinal lymph node puncture using Lipiodol and -butyl cyanoacrylate glue injection. Drainage removal was done on the day after the procedure and clinical recovery was maintained at follow-up visits, 3 and 4 months later, in both patients. Computed tomography at 6 and 10 weeks after embolization showed the disappearance of the lymphocele.
Our two case reports support the promising results of lymphatic embolization in this pathology.
盆腔淋巴囊肿是根治性前列腺切除术后盆腔淋巴结清扫最常见的并发症。有症状的盆腔淋巴囊肿的治疗首先是经皮引流，随后是硬化治疗或手术造袋术，最近还有淋巴栓塞术。在本文中，我们展示了前列腺切除术后淋巴结清扫后进行两次淋巴栓塞术的可行性和结果。
在两名持续性有症状的盆腔淋巴囊肿患者经皮引流后，我们决定对其进行淋巴栓塞术。这是通过腹股沟淋巴结穿刺，使用碘油和氰基丙烯酸正丁酯胶水注射完成的。术后第二天拔除引流管，两名患者在术后3个月和4个月的随访中临床恢复情况良好。栓塞术后6周和10周的计算机断层扫描显示淋巴囊肿消失。
我们的两个病例报告支持了淋巴栓塞术在这种病症中取得的有前景的结果。
