School of Biological Sciences, University of Liverpool, Liverpool L69 7ZB, UK.
J Pediatr Surg. 2011 Feb;46(2):e15-7. doi: 10.1016/j.jpedsurg.2010.09.100.
Abdominal lymphatic malformations may be challenging to eradicate. Retroperitoneal lesions may more difficult to resect than mesenteric ones; however, the latter may predispose to intestinal volvulus, leading to calls for their prompt excision. Such lesions identified perinatally may pose particular challenges: in one case, respiratory failure caused by abdominal distension required emergency drainage followed by later laparoscopic excision; laparoscopy has also been used promptly to diagnose and resect neonatal mesenteric lymphatic malformations with their inherent volvulus risk. We illustrate that even if neonatal laparoscopy identifies a retroperitoneal rather than mesenteric lymphatic malformation, curative endosurgical excision remains feasible.
腹部淋巴管畸形可能难以根除。腹膜后病变比肠系膜病变更难切除；然而，后者可能容易导致肠扭转，因此需要及时切除。围产期发现的这些病变可能会带来特殊的挑战：在一个病例中，由于腹胀引起的呼吸衰竭需要紧急引流，然后再进行腹腔镜切除；腹腔镜也被迅速用于诊断和切除新生儿肠系膜淋巴管畸形及其固有的扭转风险。我们表明，即使新生儿腹腔镜检查发现的是腹膜后而不是肠系膜淋巴管畸形，根治性内镜切除仍然是可行的。
