Iselin C E, Morel P, Bolle J F, Graber P
Clinique d'urologie, Hôpital cantonal universitaire, Genève.
Helv Chir Acta. 1994 Dec;60(6):1007-10.
Our video shows the laparoscopic drainage of a big lymphocele responsible of kidney graft obstructive failure. Apart from the laparoscopic access, the technique is similar to open surgery. An ellipsoid peritoneal window (approximately 6 x 3 cm) is created with scissors and electrocautery. The lymphocele is entered and completely drained. A few adhesions are divided. To keep the window open, we secured its anterior margin with clips. Postoperative period was uneventful, with immediate improvement of the kidney graft function. After 4 months, there was no lymphocele seen on computerized tomography.
我们的视频展示了对导致肾移植梗阻性衰竭的巨大淋巴囊肿进行腹腔镜引流的过程。除了腹腔镜入路外，该技术与开放手术相似。用剪刀和电灼器创建一个椭圆形的腹膜窗口（约6×3厘米）。进入淋巴囊肿并将其完全引流。分离了一些粘连。为保持窗口开放，我们用夹子固定其前缘。术后过程顺利，肾移植功能立即得到改善。4个月后，计算机断层扫描未发现淋巴囊肿。
