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Online ISSN 1827-1847
Fracchia E. 1, Mortola P. 1, Baldino G. 1, Bagarolo C. 2, Cappato S. 2, Gori A. 1
1 Vascular Surgery Complex Structure, E.O. Galliera Hospitals, Genoa, Italy
2 Hepatobiliary and Pancreatic Surgery Simple Structure, E.O. Galliera Hospitals, Genoa, Italy
Retroperitoneal lymphocele is a rare complication of aortic reconstructive surgery using a synthetic graft. Thirteen cases have been reported in literature, of which 2 were treated using a laparoscopic technique. The authors report a case of retroperitoneal lymphocele treated with a transperitoneal laparoscopic technique. The problems regarding diagnosis and the treatment of the lesion are examined: a correct diagnosis, drainage of the collection, fenestration of the lymphocele and ligation of the leaking lymphatic vessels are the underlying factors for therapeutic success. This method ensures excellent long-term results because laparoscopic drainage is easy to perform, safe and effective, with low morbidity and discharge of the patient within 24-48 hours after surgery. Intraoperative laparoscopic ultrasonography is performed to localise the lymphocele. In addition, the use of laparoscopic ultrasonography allows the lymphatic collection, the ureter and graft to be identified, which helps to target surgery.