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Updated: Jul 10, 2026
06:31
Murine Bilateral Renal Lymphadenectomy
Published on: December 30, 2025
Lymphocele after kidney transplantation
Z Zietek1, T Sulikowski, K Tejchman
1Department of the General Surgery and Transplantology, Pomerenian Medical Academy, Szczecin, Poland. zzietek@poczta.onet.pl
Transplantation Proceedings
|November 21, 2007
Summary
Lymphocele is a common complication after kidney transplants. Ultrasound-guided drainage is recommended as a first-line treatment, with laparoscopy for persistent cases.
Area of Science:
- Nephrology
- Transplant Surgery
- Urology
Background:
- Lymphocele is a frequent complication following kidney transplantation.
- It affects patients with end-stage renal disease (ESRD).
Purpose of the Study:
- To evaluate the incidence and clinical presentation of lymphocele post-kidney transplant.
- To compare the efficacy of different treatment modalities for lymphocele.
Main Methods:
- A cohort of 118 end-stage renal disease patients undergoing kidney transplantation was studied.
- Treatment outcomes for percutaneous aspiration, ultrasound-guided drainage, laparoscopic marsupialization, and surgical intervention were analyzed.
Main Results:
- 12% of patients developed lymphocele symptoms within 34 weeks.
- Risk factors included diabetic nephropathy, congenital urinary tract malformations, inflammatory diseases, radiotherapy, and graft removal.
- Recurrence rates varied: 100% for aspiration, 50% for drainage, 75% for marsupialization, and favorable for surgical intervention.
Conclusions:
- Ultrasound-guided percutaneous drainage (>50% success) is recommended as the initial treatment.
- This minimally invasive approach allows for subsequent interventions if needed.
- Laparoscopy (>80% success) is a safe and feasible option for cases refractory to percutaneous drainage.
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