EVALUATION OF PATIENTS WITH LYMPOCELE AFTER RENAL TRANSPLANTATION


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Sapmaz A., Kozan R. , Kilic M. O. , Dalgıç A. , Sozen H.

REVISTA DE NEFROLOGIA DIALISIS Y TRASPLANTE, vol.40, pp.194-199, 2020 (Journal Indexed in SCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 40
  • Publication Date: 2020
  • Title of Journal : REVISTA DE NEFROLOGIA DIALISIS Y TRASPLANTE
  • Page Numbers: pp.194-199
  • Keywords: diagnosis, lymphocele, renal transplantation, treatment, KIDNEY-TRANSPLANTATION, LYMPHOCELE FORMATION, RISK-FACTORS

Abstract

Introduction: The lymphocele is a common complication following renal transplantation and may cause significant clinical problems especially when reachs to big volumes. The aim of this study is to present the clinical characteristics, diagnostic approaches, and therapeutic strategies of lymphocele formations in a group of Turkish patients. Methods: A total of 244 renal transplantations were included in this retrospective study. Data of patients who were diagnosed with lymphocele during the postoperative period were analyzed. Results: Ten (2.4%) patients have been diagnosed with lymphocele. There were six males and 4 females, with a mean age of 46 years. The median onset was 19 days posttransplantation. The median size of the lymphoceles was 53 mm. All lymphoceles were localizated between the lower pole of the transplanted kidney and urine bladder. On presentation, one patient had hydronephrosis and three patients had elevated serum creatinine while the remaining six ones were asymptomatic. Five patients were successfully treated by percutaneous aspiration whereas two patients required surgery. Three patients' lymphoceles dissolved spontaneously. Conclusion: Preventive strategies including preserving the lymphatics of the recipient, careful organ retrieval and 'back table' work are of great importance to reduce the incidence of lymphocele. Early decision of radiological or surgical intervention should be considered in patients with symptomatic lymphoceles in order to prevent further complications.