Memmo L, Belhaj A, Mehdi A
Department of General Surgery, Etterbeek-Ixelles Hospital, Brussels.
Acta Chir Belg. 2013 Jan-Feb;113(1):43-6. doi: 10.1080/00015458.2013.11680884.
Mesenteric cysts (MC) are rare intra-abdominal tumors. The incidence has been estimated to be 1/100000 in the adult population and 1/20000 in children, with a male: female ratio of 1:1. The first successful laparoscopic resection of a MC was reported by MACKENZIE et al. in 1993. The malignant transformation appears in 3% of cases. In our study, we presented the feasibility and results of laparoscopic resection.
We report two cases of mesenteric cysts removed by a laparoscopic procedure.
Laparoscopic approach in the two cases was successful. No conversion was observed. No complication occurred. The histopathological studies revealed no malignancy. After 18 months of follow-up the 2 patients remained free of disease.
In selected cases, safe and complete resection of MC could be achieved by laparoscopic approach. Complete surgical resection of MC is the treatment of choice when the cyst becomes symptomatic or when complications occur.
肠系膜囊肿(MC)是罕见的腹腔内肿瘤。据估计,成人发病率为1/100000,儿童发病率为1/20000,男女比例为1:1。1993年,麦肯齐等人首次报道了成功的腹腔镜下肠系膜囊肿切除术。3%的病例会发生恶变。在我们的研究中,我们展示了腹腔镜切除术的可行性和结果。
我们报告了两例通过腹腔镜手术切除肠系膜囊肿的病例。
两例患者的腹腔镜手术均成功。未观察到中转开腹。未发生并发症。组织病理学研究未发现恶性病变。随访18个月后,两名患者均无疾病复发。
在特定病例中,腹腔镜手术可安全、完整地切除肠系膜囊肿。当囊肿出现症状或发生并发症时,完整的手术切除是首选治疗方法。