Complicated Lymphoceles After Kidney Transplantation

Zagdoun, E.; Ficheux, Maxence; Lobbedez, Thierry; Châtelet, Valérie; Thuillier-Lecouf, A.; Bensadoun, H.; Ryckelynck, Jean-Philippe; Ligny, Bruno Hurault de

doi:10.1016/j.transproceed.2010.09.127

Cited by 30 publications

(24 citation statements)

References 19 publications

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“…An age cutoff was set at 11 yr of age to differentiate children before and after puberty. Children's BMI was calculated as weight/length (kg/m 2 ), and BMI percentile for age and gender was calculated using CDC BMI‐for‐age growth charts . Children with a BMI equal or greater than 95% were defined obese and included in the analysis.…”

Section: Methodsmentioning

confidence: 99%

Lymphocele after pediatric kidney transplantation: Incidence and risk factors

Giuliani

Gamba

Kiblawi

et al. 2014

Pediatric Transplantation

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Lymphocele is a well-known postoperative complication after kidney transplantation. The aim of this study was to analyze time trend incidence, risk factors, and outcome of post-transplant lymphocele in a large pediatric cohort. This is a retrospective single institution review of 241 pediatric kidney transplants performed from 2000 to 2013. Etiology of end-stage renal disease, recipient age and gender, transplant year, BMI percentile for age, type of dialysis, living/non-living related donor, acute rejection, and multiple transplantations were analyzed in association with lymphocele formation. Fourteen of 241 (5.81%) children developed a postoperative lymphocele. There has been a reduction in the incidence of lymphocele after 2006 (3.22% vs. 8.55%, p < 0.05). Significant risk factors for lymphocele were older age (≥11 yr), transplant before 2006, male gender, BMI percentile for age ≥95%, and multiple transplantations (p < 0.05). The one-yr graft survival was significantly reduced in the group with lymphocele compared with control (81.2% vs. 92.51%, p < 0.04). This is the first pediatric report showing the following risk factors associated with post-transplant lymphocele: age ≥11 yr, male gender, BMI for age ≥95%, and multiple transplantations. A lymphocele can contribute to graft loss in the first-year post-transplant.

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Section: Methodsmentioning

confidence: 99%

Lymphocele after pediatric kidney transplantation: Incidence and risk factors

Giuliani

Gamba

Kiblawi

et al. 2014

Pediatric Transplantation

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“…Dissection around the external iliac vessels is necessary to perform vascular anastomoses. However, extensive dissection is a risk factor for lymphocele formation [4]. Limited dissection and careful ligation of iliac lymphatic vessels decrease the incidence rate of lymphoceles [5].…”

Section: Discussionmentioning

confidence: 99%

Massive Ascites in a Renal Transplant Patient after Laparoscopic Fenestration of a Lymphocele

Kawaguchi

Nohara

Shima

et al. 2016

Case Reports in Transplantation

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Retroperitoneal lymphocele is a common complication of renal transplantation. Here, we report the case of a 67-year-old woman with massive ascites after fenestration surgery for a lymphocele that developed following renal transplantation. She had been on continuous ambulatory peritoneal dialysis for 9 years. Living donor renal transplantation was performed and an intrapelvic lymphocele subsequently developed. The lymphocele did not resolve after aspiration therapy; therefore, laparoscopic fenestration was performed. Although the lymphocele disappeared, massive ascites appeared in its stead. Half a year later, the ascites was surgically punctured, which then gradually resolved and disappeared 6 weeks later. Aspiration therapy should be considered in patients on long-term peritoneal dialysis, although laparoscopic fenestration is safe and effective.

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“…When symptomatic, it causes urinary retention, venous thrombosis, compression of iliac vessels, and hence edema of the lower extremities. [1][2][3][4][5][6] Conventional diagnosis based on CT or ultrasound may be confirmed by fine-needle aspiration with biochemical analysis. Lymphocele could be easily diagnosed by lymphoscintigraphy.…”

Section: Figurementioning

confidence: 99%

Postoperative Lymphocele Demonstrated by Lymphoscintigraphy SPECT/CT

Han¹,

Cheng²,

Yen³

et al. 2012

Clinical Nuclear Medicine

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Lymphoscintigraphy is a useful and safe tool for the diagnostic evaluation of a swollen extremity as well as sentinel lymph node biopsy in malignancies. Here, we report a 34-year-old woman who developed progressive abdominal distention and bilateral lower limb edema 3 months after simultaneous pancreas and renal transplantation. Color Doppler-duplex ultrasound revealed patent deep veins of bilateral lower extremities without evidence of thrombosis. Lymphoscintigraphy demonstrated a large area of tracer accumulation at left lower quadrant of abdomen, suggestive of a postoperative lymphocele. SPECT/CT successfully localized the lesion near the renal graft.

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Complicated Lymphoceles After Kidney Transplantation

Cited by 30 publications

References 19 publications

Lymphocele after pediatric kidney transplantation: Incidence and risk factors

Lymphocele after pediatric kidney transplantation: Incidence and risk factors

Massive Ascites in a Renal Transplant Patient after Laparoscopic Fenestration of a Lymphocele

Postoperative Lymphocele Demonstrated by Lymphoscintigraphy SPECT/CT

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