Lerut T, Lerut J, Broos P, Gruwez J A, Michielsen P
Eur Urol. 1980;6(2):83-9. doi: 10.1159/000473297.
Lymphocele and lymphatic fistulae are relatively benign complications in renal transplantation. The incidence in our series of 248 renal transplants was 8%. The origin and pathogenesis of lymph collection and augmented lymph flow are discussed. The main importance of this complication lies in its differential diagnosis with urinary fistula and acute rejection episode or deep phlebothrombosis with all its therapeutic implications. Important lymph accumulations should be drained. We prefer as initial treatment a percutaneous closed aspiration which most successfully solves the problem. In case this method should fail, one can choose between external or internal drainage. As in literature, we actually prefer an internal marsupialisation, but completed by an omentoplasty if the leakage originates from the kidney.
淋巴囊肿和淋巴瘘是肾移植中相对良性的并发症。在我们的248例肾移植系列中，其发生率为8%。文中讨论了淋巴液积聚和淋巴流量增加的起源及发病机制。该并发症的主要重要性在于其与尿瘘、急性排斥反应或深部静脉血栓形成的鉴别诊断及其所有治疗意义。重要的淋巴液积聚应予以引流。我们首选经皮闭合抽吸作为初始治疗方法，这种方法最能成功解决问题。如果这种方法失败，可以在外部引流或内部引流之间进行选择。与文献中一样，我们实际上更倾向于内部袋形缝术，但如果漏液起源于肾脏，则需辅以网膜成形术。
