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 language | English |
|---|---|
| Pages (from-to) | 23-27 |
| Number of pages | 5 |
| Journal | Acta Urologica Japonica |
| Volume | 54 |
| Issue number | 1 |
| Publication status | Published - 2008 Jan |
| Externally published | Yes |
Fingerprint
Keywords
- Drainage
- Extraperitoneal laparoscopic radical prostatectomy
- Lymphocele
- Sclerotherapy
ASJC Scopus subject areas
- Urology
Cite this
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 journal › Article
}
TY - JOUR
T1 - Giant lymphocele arising after extraperitoneal laparoscopic radical prostatectomy
AU - Mikami, Hiroshi
AU - Ito, Keiichi
AU - Yoshii, Hidehiko
AU - Kosaka, Takeo
AU - Miyajima, Akira
AU - Kaji, Tatsumi
AU - Asano, Tomohiko
AU - Hayakawa, Masamichi
PY - 2008/1
Y1 - 2008/1
N2 - 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.
AB - 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.
KW - Drainage
KW - Extraperitoneal laparoscopic radical prostatectomy
KW - Lymphocele
KW - Sclerotherapy
UR - http://www.scopus.com/inward/record.url?scp=39449085244&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=39449085244&partnerID=8YFLogxK
M3 - Article
C2 - 18260356
AN - SCOPUS:39449085244
VL - 54
SP - 23
EP - 27
JO - Acta Urologica Japonica
JF - Acta Urologica Japonica
SN - 0018-1994
IS - 1
ER -