A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney Transplantation

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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8844347/
https://www.ncbi.nlm.nih.gov/pubmed/35178269
http://dx.doi.org/10.1155/2022/9948425
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author 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
author_facet 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
author_sort Sekito, Takanori
collection PubMed
description 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.
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spelling pubmed-88443472022-02-16 A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney Transplantation 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 Case Rep Transplant Case Report 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. Hindawi 2022-02-07 /pmc/articles/PMC8844347/ /pubmed/35178269 http://dx.doi.org/10.1155/2022/9948425 Text en Copyright © 2022 Takanori Sekito et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
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
A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney Transplantation
title A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney Transplantation
title_full A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney Transplantation
title_fullStr A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney Transplantation
title_full_unstemmed A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney Transplantation
title_short A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney Transplantation
title_sort novel technique using fluorescent ureteral catheter and flexible ureteroscope for safe laparoscopic fenestration of lymphocele after kidney transplantation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8844347/
https://www.ncbi.nlm.nih.gov/pubmed/35178269
http://dx.doi.org/10.1155/2022/9948425
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