Laparoscopic management of abdominal lymphatic cyst in children

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Ngoc Son Tran, Thanh Liem Nguyen

Abstract

The aim of this study is to investigate the feasibility and effectiveness of laparoscopic surgery (LS) in management of abdominal lymphatic cyst (ALC) in children. Medical records of all patients undergoing LS for ALC at the National Hospital of Pediatrics, Hanoi, Vietnam, from May 2007 to June 2011 were reviewed. For LS, one umbilical port of 10 mm and up to three other 3-5-mm ports were used. Cystic fluid was aspirated prior to removal of the cyst. When intestinal resection was indicated, the mesenteric cyst with the bowel loop was delivered out of the abdomen through a minimally enlarged umbilical incision; resection of the intestinal segment together with the cyst and the bowel anastomosis were both performed extracorporally. Forty-seven patients were identified, with a mean age of 4.3 ± 3.7 years. The most common symptoms were abdominal pain (72.3%) and abdominal distention (34.0%). Four patients presented with acute abdomen due to infection or hemorrhage of the cyst. Mean size of the ALC was 9.5 ± 5.5 cm (range, 3.4-30 cm). In 12 cases the ALC was omental, and in 35 cases it was mesenteric. Laparoscopic cyst excision was performed in 36 cases (76.6%) versus laparoscopy-assisted bowel resection en bloc with the cyst in 8 c...Continue Reading

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Citations

Oct 21, 2014·Case Reports in Pediatrics·Prashant K MinochaRambachan Persad
Mar 23, 2020·The Journal of Dermatology·Hidefumi MimuraSatoru Sasaki
Mar 25, 2020·Japanese Journal of Radiology·Hidefumi MimuraSatoru Sasaki
Mar 24, 2020·Pediatrics International : Official Journal of the Japan Pediatric Society·Hidefumi MimuraSatoru Sasaki

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