Hsieh M L, Chu S H, Lai M K, Chuang C K
Dept. of Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi. 1994 Jun;17(2):158-61.
Lymphocele following renal transplantation may be associated with ureteral obstruction, venous obstruction, venous thrombosis, infection and pain. Drainage of lymphocele is indicated when these complications arise or if the patient is symptomatic from the size and pressure of the lymphocele. Less invasive methods for the treatment of lymphocele, including simple needle aspiration, external drainage and sclerotherapy, are associated with an unacceptably high incidence of recurrence and complications. Internal drainage is the treatment of choice either via the retroperitoneal transplant incision or transperitoneally through abdominal incision. We now report a case of posttransplanted lymphocele that was successfully drained into the peritoneal cavity using laparoscopy. We believe this is an effective alternative route to provide internal drainage for lymphoceles.
肾移植后淋巴囊肿可能与输尿管梗阻、静脉梗阻、静脉血栓形成、感染及疼痛有关。当出现这些并发症或患者因淋巴囊肿的大小和压力而出现症状时，就需要对淋巴囊肿进行引流。治疗淋巴囊肿的侵入性较小的方法，包括单纯针吸、外部引流和硬化疗法，其复发率和并发症发生率高得令人难以接受。内部引流是首选的治疗方法，可通过腹膜后移植切口或经腹切口经腹腔进行。我们现在报告一例移植后淋巴囊肿病例，该病例通过腹腔镜成功地将淋巴囊肿引流至腹腔。我们认为这是为淋巴囊肿提供内部引流的一种有效替代途径。
