TY  - JOUR
A1  - Mehrabi, Arianeb
A1  - Kulu, Yakup
A1  - Sabagh, Mohammad Sadegh
A1  - Khajeh, Elias
A1  - Mohammadi, Sara
A1  - Ghamarnejad, Omid
A1  - Golriz, Mohammad
A1  - Morath, Christian
A1  - Bechstein, Wolf Otto
A1  - Berlakovich, Gabriela A.
A1  - Demartines, Nicolas
A1  - Duran, Mansur
A1  - Fischer, Lutz
A1  - Gürke, Lorenz
A1  - Klempnauer, Jürgen
A1  - Königsrainer, Alfred
A1  - Lang, Hauke
A1  - Neumann, Ulf Peter
A1  - Pasche, Andreas
A1  - Paul, Andreas
A1  - Pisarski, Przemyslaw
A1  - Pratschke, Johann
A1  - Schneeberger, Stefan
A1  - Settmacher, Utz
A1  - Viebahn, Richard
A1  - Wirt, Manfred
A1  - Wullich, Bernd
A1  - Zeier, Martin
A1  - Büchler, Markus W.
T1  - Consensus on definition and severity grading of lymphatic complications after kidney transplantation
T2  - British journal of surgery
N2  - Background: The incidence of lymphatic complications after kidney transplantation varies considerably in the literature. This is partly because a universally accepted definition has not been established. This study aimed to propose an acceptable definition and severity grading system for lymphatic complications based on their management strategy.
Methods: Relevant literature published in MEDLINE and Web of Science was searched systematically. A consensus for definition and a severity grading was then sought between 20 high-volume transplant centres.
Results: Lymphorrhoea/lymphocele was defined in 32 of 87 included studies. Sixty-three articles explained how lymphatic complications were managed, but none graded their severity. The proposed definition of lymphorrhoea was leakage of more than 50 ml fluid (not urine, blood or pus) per day from the drain, or the drain site after removal of the drain, for more than 1 week after kidney transplantation. The proposed definition of lymphocele was a fluid collection of any size near to the transplanted kidney, after urinoma, haematoma and abscess have been excluded. Grade A lymphatic complications have a minor and/or non-invasive impact on the clinical management of the patient; grade B complications require non-surgical intervention; and grade C complications require invasive surgical intervention.
Conclusion: A clear definition and severity grading for lymphatic complications after kidney transplantation was agreed. The proposed definitions should allow better comparisons between studies.
Y1  - 2020
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/56229
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-562290
SN  - 1365-2168
VL  - 107
SP  - 801
EP  - 811
PB  - Wiley
CY  - Oxford [u.a.]
ER  -