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Related Experiment Videos

Post transplant lymphocele: a single centre experience.

Naveen K Atray1, Frank Moore, Fahim Zaman

  • 1Division of Nephrology, Regional Transplant Center of Willis Knighton and Louisiana State University Health Sciences Center, Shreveport, 71130, USA. Natray@lsuhsc.edu

Clinical Transplantation
|June 26, 2004
PubMed
Summary

Post-transplant lymphocele occurs in 26% of renal transplant patients, with higher BMI a risk factor. Surgical marsupialization, especially laparoscopic, offers the lowest recurrence rates and reduced complications.

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Area of Science:

  • Nephrology
  • Transplant Surgery
  • Urology

Background:

  • Post-renal transplant lymphocele is a common complication with undefined optimal treatment.
  • Variability in incidence and treatment approaches necessitates further investigation.

Purpose of the Study:

  • To determine the incidence of post-transplant lymphocele at our center.
  • To identify demographic and surgical factors influencing lymphocele formation.
  • To compare treatment modalities and their recurrence rates.

Main Methods:

  • Retrospective review of 138 consecutive renal transplant recipients (1996-2001).
  • Data collection included demographic characteristics, comorbidities, lymphocele occurrence, and treatment.
  • Statistical analysis to identify significant factors and compare treatment outcomes.

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Main Results:

  • 36 (26%) patients developed lymphoceles.
  • Increased body mass index (BMI) showed a significant relationship with lymphocele occurrence (P > 0.01).
  • Recurrence rates: drainage alone (33%), sclerotherapy (25%), laparoscopic marsupialization (12%), open marsupialization (12%).
  • Laparoscopic surgery demonstrated lower morbidity, shorter hospital stay, and reduced infection rates compared to open surgery.

Conclusions:

  • Increased BMI is a risk factor for post-transplant lymphocele.
  • Surgical marsupialization, particularly laparoscopic, is the most effective treatment with the lowest recurrence rates.
  • Laparoscopic marsupialization offers advantages in terms of morbidity and recovery compared to open surgery.