LAPAROSCOPICAL MARSUPIALIZATION OF SYMPTOMATIC POSTTRANSPLANT LYMPHOCELES

Post-transplant lymphoceles after kidney transplantations occur with a n incidence between 2 and 15%. In the last two years we observed four patients with symptomatic lymphoceles. After an infection or urinoma h ad been ruled out all cases were operated on laparascopically. All goa ls of open surgery in lymphoceles were achieved by this minimally inva sive technique within an operating time between 40 and 70 min. No comp lications or recurrences occurred during a mean follow-up period of 17 .8 months. Symptomatic post-transplant lymphocele is a rare event and represents an ideal indication for laparoscopic marsupialization.