Waldhausen J H, Holterman M J, Tapper D
Division of Pediatric Surgery, Children's Hospital and Medical Center, 4800 Sand Point Way NE, P.O. Box 5371/CH78, 98105, Seattle, WA, USA.
Pediatr Surg Int. 1996 Apr;11(4):283-5. doi: 10.1007/BF00178441. Epub 2013 Sep 21.
Retroperitoneal lymphangiomas are rare, benign cystic structures that are best evaluated with computed tomography and ultrasound. Preoperative diagnosis is often difficult, in part because there is little to distinguish them from other cystic masses and because the lesion is often not considered on the differential diagnosis. Surgery may be required as both a diagnostic and therapeutic measure. The cysts may be asymptomatic for years and then present because of compression of surrounding structures or pain. The treatment is as complete surgical excision as is possible. Bowel cleansing should be done preoperatively. The long-term results are excellent when total excision or near-total excision with marsupialization is accomplished.
腹膜后淋巴管瘤是罕见的良性囊性结构，最好通过计算机断层扫描和超声进行评估。术前诊断往往很困难，部分原因是它们与其他囊性肿块几乎没有区别，而且在鉴别诊断中通常不会考虑到这种病变。手术可能既作为诊断措施也作为治疗措施。囊肿可能多年无症状，然后因压迫周围结构或疼痛而出现症状。治疗方法是尽可能进行完整的手术切除。术前应进行肠道清洁。当完成全切除或近乎全切除并进行袋形缝合时，长期效果极佳。
