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成功腹腔镜切除婴幼儿肠系膜和网膜囊肿:3 例病例报告并文献复习。

Successful laparoscopic removal of mesenteric and omental cysts in toddlers: 3 cases with a literature review.

机构信息

Ufuk University, Faculty of Medicine, Department of Pediatric Surgery, Ankara, Turkey.

出版信息

J Pediatr Surg. 2012 Aug;47(8):e5-8. doi: 10.1016/j.jpedsurg.2012.03.080.

Abstract

Mesenteric and omental cysts are rare benign intraabdominal anomalies with uncertain etiologies. Surgical removal is the preferred treatment owing to complications related to cyst enlargement. A 1-year-old boy with an intrauterine diagnosis of a cystic mass adjacent to his stomach and liver, a 3-year-old girl, and a 3-year-old boy with an incidental diagnosis of intraabdominal cysts were scheduled for laparoscopic surgery. The mass of the 1-year-old boy was a multiloculated cyst originating from the lesser omentum, the incidental mass in the girl was a multiseptated cyst located in the jejunoileal mesentery, and the incidental mass of the 3-year-old boy was a uniloculated cyst originating from the ileal mesentery. All the cysts were excised either laparoscopically or in a laparoscopy-assisted manner. The laparoscopic or laparoscopy-assisted excision of the mesenteric and omental cysts seems to be a feasible, safe, and cost-effective surgical procedure with shorter operative times, even in toddlers.

摘要

肠系膜和网膜囊肿是罕见的良性腹腔内异常,其病因尚不确定。由于囊肿增大相关的并发症,手术切除是首选的治疗方法。一名 1 岁男婴在宫内被诊断为胃部和肝脏附近的囊性肿块,一名 3 岁女孩和一名 3 岁男孩因偶然发现的腹腔内囊肿而接受腹腔镜手术。1 岁男婴的肿块是一个起源于小网膜的多房性囊肿,3 岁女孩的偶然肿块是一个位于空回肠肠系膜的多分隔囊肿,3 岁男孩的偶然肿块是一个起源于回肠系膜的单房性囊肿。所有的囊肿均通过腹腔镜或腹腔镜辅助切除。即使是在幼儿中,腹腔镜或腹腔镜辅助切除肠系膜和网膜囊肿似乎也是一种可行、安全且具有成本效益的手术方法,其手术时间更短。

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