Post transplant lymphocele: a single centre experience

:  The occurrence of post renal transplant lymphocele is variable and the best approach to treatment is not well defined. The purpose of this study was to find out the incidence of post transplant lymphocele at our centre, identify demographic or surgical factors that may have influenced lymphocele...

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Veröffentlicht in:Clinical transplantation 2004-01, Vol.18 (s12), p.46-49
Hauptverfasser: Atray, Naveen K, Moore, Frank, Zaman, Fahim, Caldito, Gloria, Abreo, Kenneth, Maley, Warren, Zibari, G B
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container_end_page 49
container_issue s12
container_start_page 46
container_title Clinical transplantation
container_volume 18
creator Atray, Naveen K
Moore, Frank
Zaman, Fahim
Caldito, Gloria
Abreo, Kenneth
Maley, Warren
Zibari, G B
description :  The occurrence of post renal transplant lymphocele is variable and the best approach to treatment is not well defined. The purpose of this study was to find out the incidence of post transplant lymphocele at our centre, identify demographic or surgical factors that may have influenced lymphocele formation, and distinguish the best approach to treatment. The charts of 138 consecutive renal transplant recipients from 1996 to 2001 were retrospectively reviewed. The demographic characteristics, comorbid illnesses, occurrence of lymphocele and its treatment modality were recorded. A total of 36 (26%) patients developed lymphoceles. There was a significant relationship between an increased body mass index (BMI) and lymphocele occurrence (P > 0.01). The recurrence rate with drainage alone was 33%, which decreased to 25% with sclerotherapy. In comparison, both laparoscopic and open surgical marsupialization had a much lower but similar recurrence rate of 12%. The laparoscopic method had less morbidity, a shortened hospital stay, and less infection than open surgery.
doi_str_mv 10.1111/j.1399-0012.2004.00217.x
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The purpose of this study was to find out the incidence of post transplant lymphocele at our centre, identify demographic or surgical factors that may have influenced lymphocele formation, and distinguish the best approach to treatment. The charts of 138 consecutive renal transplant recipients from 1996 to 2001 were retrospectively reviewed. The demographic characteristics, comorbid illnesses, occurrence of lymphocele and its treatment modality were recorded. A total of 36 (26%) patients developed lymphoceles. There was a significant relationship between an increased body mass index (BMI) and lymphocele occurrence (P &gt; 0.01). The recurrence rate with drainage alone was 33%, which decreased to 25% with sclerotherapy. In comparison, both laparoscopic and open surgical marsupialization had a much lower but similar recurrence rate of 12%. 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source MEDLINE; Wiley Online Library All Journals
subjects Adult
Body Mass Index
body mass index - laparoscopy - lymphocele - renal transplant - sclerotherapy
Drainage
Female
Humans
Incidence
Kidney Transplantation - adverse effects
Length of Stay
Lymphocele - epidemiology
Lymphocele - etiology
Lymphocele - therapy
Male
Middle Aged
Retrospective Studies
Sclerotherapy
title Post transplant lymphocele: a single centre experience
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