Abstract
Lymphocele is a pseudocystic formation full of a lymphatic fluid developing close the transplanted kidney. The incidence at the kidney transplantated patients can reach 41 per cent.
There are many risk factors for its development - the kind of operation aproach, the immunosupressive therapy, the acute rejection episode or the other used medicaments. The clinical picture is very variable - from the asymptomatic course to the graft failure.
Ultrasound investigation is the best method to make diagnosis, fine needle aspiration and if necessary computed tomography can be used. The simple ultrasound guided needle aspiration, percutaneous sclerotisation or external percutaneous derivation can be useful for small not complicated lymphoceles treatment.
The surgical methods are derminated for large lymphoceles only. To make the internal lymphatic fluid derivation to the peritoneal cavity is goal of the surgical treatment.
If it´s used, the laparoscopic aproach is prefered.