肾移植后淋巴囊肿的预防。
Prevention of lymphoceles following renal transplantation.
作者信息
Howard R J, Simmons R L, Najarian J S
出版信息
Ann Surg. 1976 Aug;184(2):166-8. doi: 10.1097/00000658-197608000-00005.
Abstract
Lymphoceles occur follow 1.2 to 18.1% of renal transplants. Of 543 kidney transplants performed at the University of Minnesota, lymphoceles occured in three (an incidence of 0.6%). These three patients are described. We believe lymphoceles can be prevented by ligation of all lymphatic channels around the iliac artery and vein as these structures are dissected. Also the lymphatics of the donor kidney should be ligated before division. Lymphoceles are best treated by drainage into the peritoneal cavity after excision of as much of the cyst wall as possible.
摘要
肾移植后淋巴管囊肿的发生率为1.2%至18.1%。在明尼苏达大学进行的543例肾移植中，有3例发生了淋巴管囊肿（发生率为0.6%）。现将这3例患者的情况予以描述。我们认为，在解剖髂动脉和静脉周围的所有淋巴管时将其结扎，可预防淋巴管囊肿的发生。此外，在离断供肾之前应结扎其淋巴管。淋巴管囊肿最好在尽可能切除囊肿壁后引流至腹腔。
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