Case reports in transplantation · 2022
A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney Transplantation.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Sekito Takanori, Araki Motoo, Wada Koichiro, Yoshinaga Kasumi, Maruyama Yuki, Sadahira Takuya, Katayama Satoshi, Iwata Takehiro, Nishimura Shingo, Sako Tomoko, Edamura Kohei, Kobayashi Yasuyuki, Watanabe Toyohiko
Аннотация
Laparoscopic fenestration of a postrenal transplant lymphocele is associated with a risk of renal hilar vessel and ureteral injury. Consequently, determination of the incision line is difficult. We describe a case of a 73-year-old man with postrenal transplant lymphocele who underwent a laparoscopic fenestration. We report a surgical video containing a new technique of laparoscopic fenestration using a fluorescent ureteral catheter in combination with a flexible ureteroscope. The combination of a fluorescent ureteral catheter and flexible ureteroscope during surgery enabled us to determine the incision line safely and accurately. Intraoperative real-time visualization of the lymphocele and ureter using a fluorescent ureteral catheter and a flexible ureteroscope is safer than conventional methods for laparoscopic fenestration. To the best of our knowledge, this is the first report of this novel technique.