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Year : 2001  |  Volume : 18  |  Issue : 1  |  Page : 36-41

Lymphoceles following renal transplantation: Comparison of open surgical and laparoscopic deroofing

Department of Urology and Renal Transplantation, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India

Correspondence Address:
Anant Kumar
Department of Urology and Renal Transplantation, SGPGIMS, Rai Bareilly Road, Lucknow (U.P.) - 226 014
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Source of Support: None, Conflict of Interest: None

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Lymphocele following renal transplantation is a well recognized complication. Due to their critical location in the pelvis lymphoceles can become symptomatic. Herein we describe our experience of managing lymphoceles following renal transplantation with special emphasis on laparoscopic deroofing. From 1989 to 1999, 11 symptomatic lymphoceles were diagnosed in 680 renal transplant recipients. 6 patients underwent laparoscopic deroofing, 4 open internal marsupializations and 1 external drainage for infected lymphocele. Mean follow-up was 26.25 months and 10.33 months in open internal drainage and laparoscopic group respectively. Mean operative time in patients undergoing open surgical deroofing was 70.25 minutes [Table 2]. Average hospital stay was 7.5 days (5 to 10 days). There was no intraoperative complication. Mean operative time in laparoscopic group was 100 (60-120) minutes. In 5 patients (83.33%) laparoscopic deroofing could be carried out successfully. Complication occurred in I patient (16.66%). Average hospital stay was 2.66 (1-6) days. No recurrence of Lymphocele has been noted in the follow-up. We conclude that laparoscopic deroofing of post-transplant lymphocele is a safe procedure associated with minimal morbidity, better cosmesis and rapid convalescence. It should be the procedure of choice for all but infected lymphoceles.

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