Giant lymphocele arising after extraperitoneal laparoscopic radical prostatectomy

Hiroshi Mikami, Keiichi Ito, Hidehiko Yoshii, Takeo Kosaka, Akira Miyajima, Tatsumi Kaji, Tomohiko Asano, Masamichi Hayakawa

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

A 68-year-old male visited our division with an elevation of PSA level. He underwent a needle biopsy of the prostate, and the histopathological diagnosis was poorly differentiated adenocarcinoma (Gleason score 4 + 3). The cancer was clinically diagnosed as T2aN0M0, and he underwent extraperitoneal laparoscopic radical prostatectomy and bilateral pelvic lymphadenectomy. Cystography 14 days after the operation still showed leakage at the vesico-urethral anastomosis and a dumbbell shaped bladder. A few days later, prominence of lower abdomen and a slight swelling of right leg presented with a high fever. Computed tomography revealed a giant lymphocele in the retroperitoneal space. We percutaneously punctured the lymphocele by using ultrasonography, inserted a pigtail catheter, and drained 1,000 ml of lymphatic fluid. After the puncture, sclerotherapy with minocycline was performed four times. Twenty days after the puncture, the lymphocele cavity was found to have shrunken and the pigtail catheter was removed. The lymphocele was diminished and did not recur thereafter.

Original languageEnglish
Pages (from-to)23-27
Number of pages5
JournalActa Urologica Japonica
Volume54
Issue number1
Publication statusPublished - 2008 Jan
Externally publishedYes

Fingerprint

Lymphocele
Prostatectomy
Punctures
Catheters
Retroperitoneal Space
Minocycline
Sclerotherapy
Neoplasm Grading
Needle Biopsy
Lymph Node Excision
Abdomen
Prostate
Ultrasonography
Leg
Urinary Bladder
Adenocarcinoma
Fever
Tomography
Neoplasms

Keywords

  • Drainage
  • Extraperitoneal laparoscopic radical prostatectomy
  • Lymphocele
  • Sclerotherapy

ASJC Scopus subject areas

  • Urology

Cite this

Mikami, H., Ito, K., Yoshii, H., Kosaka, T., Miyajima, A., Kaji, T., ... Hayakawa, M. (2008). Giant lymphocele arising after extraperitoneal laparoscopic radical prostatectomy. Acta Urologica Japonica, 54(1), 23-27.

Giant lymphocele arising after extraperitoneal laparoscopic radical prostatectomy. / Mikami, Hiroshi; Ito, Keiichi; Yoshii, Hidehiko; Kosaka, Takeo; Miyajima, Akira; Kaji, Tatsumi; Asano, Tomohiko; Hayakawa, Masamichi.

In: Acta Urologica Japonica, Vol. 54, No. 1, 01.2008, p. 23-27.

Research output: Contribution to journalArticle

Mikami, H, Ito, K, Yoshii, H, Kosaka, T, Miyajima, A, Kaji, T, Asano, T & Hayakawa, M 2008, 'Giant lymphocele arising after extraperitoneal laparoscopic radical prostatectomy', Acta Urologica Japonica, vol. 54, no. 1, pp. 23-27.
Mikami H, Ito K, Yoshii H, Kosaka T, Miyajima A, Kaji T et al. Giant lymphocele arising after extraperitoneal laparoscopic radical prostatectomy. Acta Urologica Japonica. 2008 Jan;54(1):23-27.
Mikami, Hiroshi ; Ito, Keiichi ; Yoshii, Hidehiko ; Kosaka, Takeo ; Miyajima, Akira ; Kaji, Tatsumi ; Asano, Tomohiko ; Hayakawa, Masamichi. / Giant lymphocele arising after extraperitoneal laparoscopic radical prostatectomy. In: Acta Urologica Japonica. 2008 ; Vol. 54, No. 1. pp. 23-27.
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