Consensus on definition and severity grading of lymphatic complications after kidney transplantation.

Details

Serval ID
serval:BIB_69ED827CB285
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Consensus on definition and severity grading of lymphatic complications after kidney transplantation.
Journal
The British journal of surgery
Author(s)
Mehrabi A., Kulu Y., Sabagh M., Khajeh E., Mohammadi S., Ghamarnejad O., Golriz M., Morath C., Bechstein W.O., Berlakovich G.A., Demartines N., Duran M., Fischer L., Gürke L., Klempnauer J., Königsrainer A., Lang H., Neumann U.P., Pascher A., Paul A., Pisarski P., Pratschke J., Schneeberger S., Settmacher U., Viebahn R., Wirth M., Wullich B., Zeier M., Büchler M.W.
ISSN
1365-2168 (Electronic)
ISSN-L
0007-1323
Publication state
Published
Issued date
06/2020
Peer-reviewed
Oui
Volume
107
Number
7
Pages
801-811
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
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.
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.
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.
A clear definition and severity grading for lymphatic complications after kidney transplantation was agreed. The proposed definitions should allow better comparisons between studies.
Keywords
Humans, Kidney Transplantation/adverse effects, Lymphatic Diseases/diagnosis, Lymphatic Diseases/etiology, Lymphatic Diseases/pathology, Severity of Illness Index, Terminology as Topic
Pubmed
Web of science
Open Access
Yes
Create date
01/04/2020 17:22
Last modification date
19/01/2021 17:27
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