No 2, April, 2003
YU ISSN 0365-4478
Rade R. Babić
Institut za radiologiju Kliničkog centra,
48 18000 Niš,
Srbija i Crna Gora
DIAGNOSTIC AND THERAPY OF
POSTOPERATIVE LIMPHOCOELES AFTER KIDNEY TRANSPLANTATION
Jovan Hadži-Đokić 2,
Drago Milutinović 2 i Milan Đokić 2
Limphocoeles are the most frequent disorders with liquid collection after renal
transplantation. Their occurrences are 5-15%. They are most frequently
associated with urethral obstruction.
The aim of this work was to determine incidence of limphocoeles after kidney
transplantation in comparation with type of donor, postoperative complication
and therapy regiment.
We analyzed 463 recipients (average 36,2-10,3 years). 319 received kidney from
living donor and 144 from cadaver donor at Institute of urology and nephrology,
Clinical Center, Belgrade.
Limphocoeles complicated postoperative recovery in 56 (12,1%) of patients with
no correlation with type of donor. In 56 patient there were asympthomatic
limphocoeles, and in 26 symptomatic. In these patients we doing operative
correction and found recidivism in 8 patients (6 after percutaneous aspiration
and 2 after percutaneous aspiration with installation of povidon iodide).
Big symptomatic limphocoeles can disturb graft in postoperative course.
Echosonography is the best method for detection and percutaneous drainage in
therapy of this disorder. Acta Medica Medianae 2003; 42 (2): 63-67.
Key words: limphocoeles, operative therapy,
diagnostic, kidney transplantation