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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Main Authors: Takanori Sekito, Motoo Araki, Koichiro Wada, Kasumi Yoshinaga, Yuki Maruyama, Takuya Sadahira, Satoshi Katayama, Takehiro Iwata, Shingo Nishimura, Tomoko Sako, Kohei Edamura, Yasuyuki Kobayashi, Toyohiko Watanabe
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Transplantation
Online Access:http://dx.doi.org/10.1155/2022/9948425
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author Takanori Sekito
Motoo Araki
Koichiro Wada
Kasumi Yoshinaga
Yuki Maruyama
Takuya Sadahira
Satoshi Katayama
Takehiro Iwata
Shingo Nishimura
Tomoko Sako
Kohei Edamura
Yasuyuki Kobayashi
Toyohiko Watanabe
author_facet Takanori Sekito
Motoo Araki
Koichiro Wada
Kasumi Yoshinaga
Yuki Maruyama
Takuya Sadahira
Satoshi Katayama
Takehiro Iwata
Shingo Nishimura
Tomoko Sako
Kohei Edamura
Yasuyuki Kobayashi
Toyohiko Watanabe
author_sort Takanori Sekito
collection DOAJ
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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institution Kabale University
issn 2090-6951
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Case Reports in Transplantation
spelling doaj-art-4f9a578f7d534f3fa572e1c999732d232025-02-03T07:23:56ZengWileyCase Reports in Transplantation2090-69512022-01-01202210.1155/2022/9948425A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney TransplantationTakanori Sekito0Motoo Araki1Koichiro Wada2Kasumi Yoshinaga3Yuki Maruyama4Takuya Sadahira5Satoshi Katayama6Takehiro Iwata7Shingo Nishimura8Tomoko Sako9Kohei Edamura10Yasuyuki Kobayashi11Toyohiko Watanabe12Department of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyDepartment of UrologyLaparoscopic 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.http://dx.doi.org/10.1155/2022/9948425
spellingShingle Takanori Sekito
Motoo Araki
Koichiro Wada
Kasumi Yoshinaga
Yuki Maruyama
Takuya Sadahira
Satoshi Katayama
Takehiro Iwata
Shingo Nishimura
Tomoko Sako
Kohei Edamura
Yasuyuki Kobayashi
Toyohiko Watanabe
A Novel Technique Using Fluorescent Ureteral Catheter and Flexible Ureteroscope for Safe Laparoscopic Fenestration of Lymphocele after Kidney Transplantation
Case Reports in 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
url http://dx.doi.org/10.1155/2022/9948425
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