A case of laparoscopic fenestration surgery for pelvic lymphocele occurringafter laparoscopic radical prostatectomy

摘要

A 76-year-old Japanese man visited a nearby medical clinic complaining of abdominaldistention. He had undergone extraperitoneal laparoscopic prostatectomy at our institution5 months before the onset of abdominal distention. An imaging study revealed a largecystic lesion, and biochemical examination of a sample obtained via cyst puncture led to adiagnosis of lymphocele. As the lymphocele was resistant to puncture, drainage, andsclerotherapy with minomycin, laparoscopic fenestration was performed. Although thepatient developed an adhesive ileus postoperatively, the cyst has not recurred.Fenestration surgery is a feasible option for lymphocele refractory to variousconservative therapies.