Predictors of symptomatic lymphocele after kidney transplantation
Publication year
2019Source
International Urology and Nephrology, 51, 12, (2019), pp. 2161-2167ISSN
Publication type
Article / Letter to editor

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Organization
Surgery
Urology
Nephrology
Journal title
International Urology and Nephrology
Volume
vol. 51
Issue
iss. 12
Page start
p. 2161
Page end
p. 2167
Subject
Radboudumc 11: Renal disorders RIHS: Radboud Institute for Health SciencesAbstract
PURPOSE: The development of a symptomatic lymphocele (SL) is a frequent postoperative surgical complication after kidney transplantation. It may lead to pain and discomfort and cause transplant malfunction or even secondary graft loss. A large cohort of renal recipients was investigated to identify the possible risk factors for SL. METHODS: All renal transplant patients of a single centre were retrospectively analysed for SL between January 2010 and December 2017. The SL group was compared to a control group from the same cohort. RESULTS: 45 out of 1003 transplanted patients developed an SL (incidence 4.5%), on average 50 days after kidney transplantation. SLs developed more in older patients, in those with a PD catheter and in ADKDP as primary diagnosis. Surgical predictors for SLs were venous anastomosis on the external iliac vein, concomitant PD catheter removal, perfusion defects, shorter operating time, splint > 7 days, double J stenting, discharge with drain, low initial drain production and ureteral obstruction. Opening of the peritoneum, re-operation for postoperative bleeding and previous nephrectomy seem protective for developing SL. CONCLUSION: We found multiple heterogeneous predictors for SL with a common denominator related to surgical management of the retroperitoneal space, peritoneum and the ureter. Future prospective studies are necessary to evaluate the influence of these variables on the development of SL.
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- Academic publications [227613]
- Electronic publications [107286]
- Faculty of Medical Sciences [86193]
- Open Access publications [76413]
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