Comparative Analysis of Minimally Invasive Therapeutic Strategies for Post-Surgical Pelvic and Retroperitoneal Lymphoceles
Yazarlar (6)
Dr. Öğr. Üyesi Eser Bulut Trabzon Kanuni Training And Research Hospital, Türkiye
Doç. Dr. Ali Küpeli Trabzon Kanuni Training And Research Hospital, Türkiye
Prof. Dr. Hasan Rıza Aydın Trabzon Üniversitesi, Türkiye
Doç. Dr. İsmail TAŞKENT Kastamonu Üniversitesi, Türkiye
Neslihan Merd
Trabzon Kanuni Training And Research Hospital, Türkiye
Dr. Öğr. Üyesi Maksude Esra Kadıoğlu Trabzon Kanuni Training And Research Hospital, Türkiye
Makale Türü Açık Erişim Özgün Makale (SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale)
Dergi Adı Journal of Clinical Medicine (Q1)
Dergi ISSN 2077-0383 Dergi Bilgileri (2026)
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili Türkçe Basım Tarihi 02-2026
Kabul Tarihi Yayınlanma Tarihi 09-02-2026
Cilt / Sayı / Sayfa 15 / 4 / – DOI 10.3390/jcm15041346
Makale Linki https://doi.org/10.3390/jcm15041346
UAK Araştırma Alanları
Üroloji
Özet
Background/Objective Pelvic and retroperitoneal lymphoceles remain a clinically significant complication following pelvic surgery. The optimal minimally invasive management strategy continues to be a matter of debate. The objective of this study is to compare daily catheter drainage and catheter length of stay after percutaneous catheterization in patients with iatrogenic pelvic lymphocele who undergo sclerotherapy alone versus sclerotherapy with intranodal lymphangiography and lymphatic embolization (INL–LE). Methods A total of 47 patients (55 lymphoceles) who developed symptomatic pelvic or retroperitoneal lymphoceles after oncologic pelvic surgery were retrospectively reviewed between September 2020 and April 2023. They were divided into two groups, one treated with sclerotherapy alone (24 lesions) and the other with sclerotherapy combined with INL–LE (31 lesions). The duration of catheter placement, daily drainage volume during sclerotherapy, lymphocele volume, and catheter dwell time subsequent to lymphatic embolization were compared between the two groups. Results Of the 55 lymphoceles, 31 were treated with sclerotherapy plus lymphangiography/embolization (INL–LE group), whereas 24 lymphoceles were treated with sclerotherapy alone. Baseline characteristics were not different between the groups. Although initial drainage was higher in the INL–LE group, third-day drainage volume, the number of sclerotherapy sessions, and catheter dwell time were all significantly lower compared with the sclerotherapy group (all p < 0.001). Lesion size positively correlated with drainage volume and catheter duration, whereas …
Anahtar Kelimeler
intranodal lymphangiography | lymphatic embolization | minimally invasive treatment | pelvic lymphocele | sclerotherapy