LAPAROSCOPIC PERITONEAL FENESTRATION AND INTERNAL DRAINAGE OF LYMPHOCELES AFTER RENAL-TRANSPLANTATION

The development of a postoperative lymphocele after renal transplantat ion is a well-described complication that occurs with relative frequen cy, Management options have previously included simple aspiration, per cutaneous imaging-guided drainage with catheter placement, and operati ve marsupialization of the cyst into the peritoneal cavity. Because th ese collections are often multiloculated, catheter drainage may be of limited value, and the recurrence rate is unacceptably high. The opera tive approach is the most definitive method and is still considered th e treatment of choice, This paper describes a laparoscopic approach to peritoneal fenestration and internal drainage of lymphoceles after re nal transplant surgery and recommends that this technique be considere d the primary mode of therapy for this complication.