婴幼儿经前胸入路内镜辅助下切除颈部大囊型淋巴管瘤
Endoscope-assisted excision of macrocystic lymphangioma in neck via anterior chest approach in infants and children.
作者信息
Han Ping, Huang Xiaoming, Cai Qian, Sun Wei, Liang Faya, Guo Mingming, Jiang Xiaoyu
机构信息
Department of Otolaryngology, Head and Neck Surgery, the Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou 510120, PR China.
出版信息
Int J Pediatr Otorhinolaryngol. 2011 Oct;75(10):1275-9. doi: 10.1016/j.ijporl.2011.07.009. Epub 2011 Jul 29.
OBJECTIVES
Macrocystic lymphangioma of the neck is traditionally removed via an overlying incision near the mass. The resultant scar can be aesthetically displeasing, and endoscope-assistant surgery is still rarely used in pediatric subjects. So we report the endoscope-assisted excision of the macrocystic lymphangioma via anterior chest, and explore its feasibility, validity and security.
METHODS
From June 2005 to December 2008, 6 infants and children with macrocystic lymphangioma accepted endoscope-assisted excision via anterior chest approach.
RESULTS
All procedures were successfully performed using the endoscope-assisted approach. There were no conversions of the operations or postoperative complications. All patients and their parents were satisfied with the cosmetic results.
CONCLUSIONS
Endoscope-assisted excision of the macrocystic lymphangioma via anterior chest approach in children can be applied effectively, safely and feasibly, allowing adequate exposure for dissection, and resulting in a good cosmetic result, and it would be considered as a new surgical approach for these patients.
目的
颈部大囊型淋巴管瘤传统上是通过肿物上方的切口进行切除。由此产生的瘢痕在美观上可能不尽人意，并且内镜辅助手术在儿科患者中仍很少使用。因此，我们报告经前胸进行内镜辅助切除大囊型淋巴管瘤，并探讨其可行性、有效性和安全性。
方法
2005年6月至2008年12月，6例患有大囊型淋巴管瘤的婴幼儿接受了经前胸入路的内镜辅助切除术。
结果
所有手术均通过内镜辅助方法成功完成。没有手术中转或术后并发症。所有患者及其家长对美容效果均满意。
结论
儿童经前胸入路内镜辅助切除大囊型淋巴管瘤可有效、安全且可行地应用，能提供充分的暴露以便进行解剖，并且美容效果良好，可被视为这些患者的一种新的手术方法。
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