كوتر كردن لنفاتيك هاي گيرنده و تاثير آن روي شيوع لنفوسل پس از پيوند كليه

Cauterization of Recipient Lymphatic Vessels and its Effect on Lymphocele Formation After Renal Transplantation

This study tries to compare the effect of ligation and cautrization of the iliac lymphatic vessels of the recipient on the incidence of lymphocele formation after live heterotopic kidney transplantation in 578 cases. from 1992-1999 in 341 cases (study group) the lymphatics were cut after cauterization and in 237 cases (control group) the lymphatics were not cut or after cutting, the ligation has done with non absorbable sutures. In the study group in 43 months follow up, the lymphoceles that needed invasive procedures were not observed and in the control group one symptomatic lymphocele was recognized. In comparison of the two groups no significant difference was seen (P=0.47). It seems at least in living kidney donor transplantation ligating of the recipient lymphatic vessels has no advantage over cauterization.