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Start Over Descriptor "Lymphocele" Language spanish; castilian
4 results on '"Lymphocele"'

1. Fenestración videolaparoscópica de un linfocele sintomático posterior a un trasplante renal

Author

Miguel Ángel Martín González

Subjects
LINFOCELE, INSUFICIENCIA RENAL CRONICA, TRASPLANTACIÓN DE RIÑON, LAPARASCOPIA, LYMPHOCELE, KIDNEY TRANSPLANTATION, LAPAROSCOPY, Surgery, RD1-811
Abstract

Este trabajo tiene el objetivo de describir un caso tratado por videolaparoscopia, de un linfocele sintomático posterior a trasplante renal. Se refiere a una mujer de 54 años con insuficiencia renal crónica terminal, secundaria a hipertensión arterial severa, la cual se le realizó en el 2001 un trasplante renal de donante cadáver. Presenta, 3 meses después, molestias en la zona del trasplante, sin síntomas urinarios por la presencia de un catéter ureteral utilizado como férula y en tiempo para ser retirado. Se diagnostica un linfocele sintomático. Posterior al chequeo preoperatorio se efectúa drenaje interno por vía videolaparoscópica sin accidentes ni complicaciones quirúrgicas inmediatas y el retirado del catéter ureteral y el alta a las 24 y 48 h de la operación, respectivamente. Después de 10 meses de evolución no se ha encontrado ninguna complicación. El abordaje videolaparoscópico del linfocele sintomático posterior al trasplante renal constituye la terapéutica de elecciónThis paper is aimed at describing a case of symptomatic lymphocele after kidney transplantation, which was treated with videolaparoscopy. It was a 54 years-old woman with terminal chronic renal failure secondary to several blood hypertension, who was transplanted a kidney from a dead donor in 2001. She presented with some discomfort in the transplant area, without urinary symptoms, owing to a urethral catheter used as rod and due to be withdrawn. The diagnosis was symptomatic lymphocele. After pre-operative checking, internal drainage by videolaparoscopy was performed, with no accidents or immediate surgical complications; the urethral catheter was withdrawn at 24 hours and the patient was discharged at 48 hours. Ten months later, no complication was found. The videolaparoscopic treatment of symptomatic lymphocele after kidney transplantation is the therapy of choice

Published
2003

2. Utilidad de la tomografía computarizada multidetector en la evaluación postoperatoria de cirugías de derivación urinaria

Author

Daniel Rodríguez B, Albeil Pons E, Richard Mast V, Oscar Natoli V, Francesc Vigués J, and Eugenia de Lama S

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, Urinary diversion, Cistectomía, medicine.disease, Urinoma, Surgery, Tumor recurrence, Complicaciones postquirúrgicas, Cystectomy, Lymphocele, Tomografía computarizada multidetector, Anastomotic leaks, Multidetector computed tomography, Derivación urinaria, medicine, Radiology, Nuclear Medicine and imaging, business, Nuclear medicine, Derivacion urinaria
Abstract

Urinary diversion surgeries are procedures that are becoming more frequent, as their indications are not only neoplastic, being useful also in managing other diseases. Due to this increase, it is not uncommon to observe secondary complications, whether in the early postoperative period (less than 30 days after sur- gery) or later (more than 30 days). Within these are alterations in intestinal motility (paralytic ileus, blockage), anastomotic leaks, fluid collections (lymphocele, urinoma, abscess), fistulas, parastomal herniation, ureteral obstruction, urolithiasis and tumor recurrence. Given the large number of surgical techniques used in the- se procedures, it is important to know the resulting anatomical changes, occasionally difficult to evaluate. Multidetector computed tomography (MDCT) is of great use in the study of these patients, especially with multiplanar reconstruction techniques, adequately representing the affected urinary and extra-urinary structures, and their relationship to adjacent structures, enabling their accurate and quick identification. Keywords: Cystectomy, Multidetector computed tomography, Postoperative complications, Urinary diversion. Resumen: Las cirugias de derivacion urinaria son procedimientos que cada vez son mas frecuentes, ya que sus indicaciones no son solo neoplasicas, siendo tambien utiles en el manejo de otras patologias. Debido a este incremento, no es infrecuente observar complicaciones secundarias, ya sean en el postoperatorio temprano (menos de 30 dias despues de la cirugia) o tardio (mas de 30 dias). Dentro de estas tenemos alteraciones de la motilidad intestinal (ileo paralitico, obstruccion), fugas anastomoticas, colecciones liquidas (linfocele, urinoma, absceso), fistulas, herniacion paraestomal, estenosis ureterales, litiasis y recurrencia tumoral. Dada la gran cantidad de tecnicas quirurgicas usadas en estos procedimientos, es importante conocer los cambios anatomicos resultantes, ocasionalmente de dificil valoracion. La tomografia computarizada multidetector (TCMD) tiene gran utilidad en el estudio de estos pacientes, especialmente mediante las tecnicas de reconstruccion multiplanar, representando adecuadamente las estructuras urinarias y extraurinarias afectadas, y sus relaciones con estructuras adyacentes, permitiendo identificarlas acertada y rapidamente. Palabras Clave: Cistectomia, Complicaciones postquirurgicas, Derivacion urinaria, Tomografia computarizada multidetector.

Published
2014

3. Linfocele gigante tras trasplante renal: A propósito de un caso y revisión de la literatura

Author

López García, Daniel, Janeiro Pais, José Manuel, González Dacal, Juan, Zarraonandía Andraca, Antón, Casas Agudo, Pastor, Martínez Breijo, Sara, Álvarez Castelo, Luis, Ruibal Moldes, Manuel, Chantada Abal, Venancio, and González Martín, Marcelino

Subjects
Trasplante renal, Lymphocele, Renal transplantation, Linfocele
Abstract

Objetivos: Comunicar el caso y la iconografía de un linfocele postrasplante renal y revisar la literatura sobre diagnóstico y tratamiento de esta complicación quirúrgica Métodos: Mujer de 69 años sometida a trasplante renal, que se presenta con edema en miembro inferior derecho y deterioro de función renal. Se demostró con ecografía y TAC una colección líquida, compatible con linfocele tras estudio bioquímico del líquido obtenido por punción percutánea. Resultados: Se somete a la paciente a una marsupialización del linfocele por vía laparoscópica, con buenos resultados quirúrgicos. Conclusiones: El linfocele es una entidad frecuente tras el trasplante renal, precisando tratamiento según las manifestaciones clínicas. Existen fundamentalmente dos alternativas terapéuticas, dependiendo del tamaño: escleroterapia y marsupialización quirúgica. Salvo casos muy seleccionados, el abordaje laparoscópico se considera actualmente, por su seguridad y eficacia, de primera elección cuando se indica tratamiento quirúrgico. Objectives: To report the case and iconography of a lymphocele after renal transplantation and to review the literature about the diagnosis and the treatment of this surgical complication. Methods: 69 year-old woman status post renal transplantation who presents right lower extremity edema and worsening renal function. A liquid collection was demonstrated by ultrasound and computerized tomography, compatible with lymphocele after biochemical study of the liquid obtained by percutaneous puncture. Results: The patient underwent laparoscopic intraperitoneal drainage of the lymphocele, with good surgical outcome. Conclusion: Lymphocele is a common pathology after a renal transplantation which needs to be treated depending on its clinical manifestations. There mainly are two the rapeutic alternatives depending on the size of the lymphocele: sclerotherapy and surgical intraperitoneal drainage. Apart from very selected cases, laparoscopic approach is currently considered, because of its security and effectiveness, the first choice when a surgical treatment is prescribed.

Published
2009

4. [Lymphocele surgical treatment in pediatric kidney transplantation].

Author

Aurelus PJ, Ortiz RC, Rendón-Macías ME, Ortega-Rodríguez MC, De la Cruz-Yañiz H, Yamamoto-Nagano A, and Torres-Díaz JS

Subjects
Adolescent, Child, Child, Preschool, Female, Follow-Up Studies, Humans, Lymphocele etiology, Male, Retrospective Studies, Treatment Outcome, Drainage methods, Kidney Transplantation, Laparoscopy, Lymphocele surgery, Postoperative Complications surgery
Abstract

Background: In a retrospective study, we evaluated; frequency, clinical presentation and treatment of lymphocele in pediatric patients with kidney transplant., Methods: Between January 2004 and January 2009, we had 242 kidney transplantations, 197 from living donors and 45 from cadaveric donors. The technique was the usual, and the implants of the ureteres were by the technique Ricard modified. The treatment of lymphocele was by percutaneous punction and laparoscopic intraperitoneal drainage., Results: We diagnosed lymphocele in seven patients (2.9 % with an IC95 %: 0.6- 5.2 %) one female and six males. All patients went trough percutaneous drainage. Six patients presented lymphocele recurrence at 48 to 72 hours after the drainage. Surgical laparoscopic intraperitoneal drainage was performed with success., Conclusions: Our frequency of lymphocele is the same reported in other studies (6-18 %). The treatment by laparoscopic intraperitoneal window seems to be the most appropriate in pediatric patients.

Published
2016

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