Document Detail

Laparoscopic management of large retroperitoneal lymphoceles complicating aortic surgery.
MedLine Citation:
PMID:  11961655     Owner:  NLM     Status:  MEDLINE    
Retroperitoneal lymphocele is a rare but debilitating complication of aortic replacement with synthetic graft. The only effective treatment reported to date is surgical reexploration and ligation of leaking lymphatics. This report illustrates the successful management of two patients with large retroperitoneal lymphoceles formed after aortic surgery using laparoscopic techniques. The available literature is reviewed. Laparoscopic fenestration of the lymphocele and laparoscopically assisted ligation of the leaking lymphatics combined with internal drainage resulted in long-term relief of compression symptoms, as observed, respectively, over the 5-year and 3-month follow-up periods. Percutaneous catheter drainage before laparoscopic management was unsuccessful in both cases. In addition, the unique presentation of a large retroperitoneal lymphocele with intestinal obstruction is reported, and currently available treatment options are discussed.
G A Blessios; C K Rokkas; O Neulander; D Panoussopoulos
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2001-10-13
Journal Detail:
Title:  Surgical endoscopy     Volume:  16     ISSN:  1432-2218     ISO Abbreviation:  Surg Endosc     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-04-18     Completed Date:  2002-05-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  218     Citation Subset:  IM    
Department of Surgery, Central Clinic of Athens, 31 Askplepios Street, Athens 10680, Greece.
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MeSH Terms
Aorta, Abdominal / surgery,  transplantation
Aortic Aneurysm / complications,  surgery*
Blood Vessel Prosthesis Implantation / methods*
Laparoscopy / methods*
Lymphocele / etiology*,  surgery*
Postoperative Complications / etiology,  surgery*
Retroperitoneal Space / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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