ACCIDENTAL DIVISION OF THE TRANSPLANTED URETER DURING LAPAROSCOPIC DRAINAGE OF LYMPHOCELE

We report on the accidental division of the ureter of a transplanted k idney during laparoscopic marsupialization of a symptomatic lymphocele into the peritoneal cavity. Identification of the lymphocele was diff icult because of a thick layer of overlying periperitoneal fibrolipoma tous tissue. The complication was identified intraoperatively and sten ted reanastomosis of the divided ureter was performed. Postoperative c ourse was uneventful. To avoid accidental injury to the transplanted u reter during laparoscopic drainage of lymphocele, we recommend that a ureteral catheter be inserted.