Lymphocele surgical treatment in pediatric kidney transplantation
Main Article Content
Keywords
Peritoneal diseases, Laparoscopy, Lymphocele, Kidney transplantation, Pediatrics
Abstract
Background: In a retrospective study, we evaluated; frequency, clinical presentation and treatment of lymphocele in pediatric patients with kidney transplant.
Methods: Between January 2004 and January 2009, we had 242 kidney transplantations, 197 from living donors and 45 from cadaveric donors. The technique was the usual, and the implants of the ureteres were by the technique Ricard modified. The treatment of lymphocele was by percutaneous punction and laparoscopic intraperitoneal drainage.
Results: We diagnosed lymphocele in seven patients (2.9 % with an IC95 %: 0.6-5.2 %) one female and six males. All patients went trough percutaneous drainage. Six patients presented lymphocele recurrence at 48 to 72 hours after the drainage. Surgical laparoscopic intraperitoneal drainage was performed with success.
Conclusions: Our frequency of lymphocele is the same reported in other studies (6-18 %). The treatment by laparoscopic intraperitoneal window seems to be the most appropriate in pediatric patients.
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