Zhou Zongguang, Zhou Jin, Wu Zhong, Peng Bing
Hepatogastroenterology. 2014 Mar-Apr;61(130):285-90.
BACKGROUND/AIMS: Spleen lymphangiomas are rare congenital malformations of the lymphatics. There is a paucity of data in the literature on the evaluation and laparoscopic treatment for adult spleen lymphangiomas. The aim of this study is to further elucidate the feature of this tumor and laparoscopic management of spleen lymphangiomas.
From September 2006 to February 2011, data was collected retrospectively for all patients who underwent laparoscopic splenectomy in our institution with a diagnosis of spleen lymphangiomas. The perioperative details were recorded as well as follow-up.
Seven adult patients underwent successfully LS for spleen lymphangiomas. Mean age was 47.9 years and five patients (71.4%) were women. Patients' symptoms included abdominal pain (28.6%), palpable abdominal mass with nausea (14.3%). Four patients (57.1%) were asymptomatic at diagnosis. The preoperative diagnosis depended on ultrasonography, computed tomography and final needle aspiration. No patient had multiple splenic lesions before. Mean operative time was 112 min. Mean estimated blood loss was 78.6 ml. Pathological examinations confirmed the preoperative diagnosis. No preoperative and postoperative complications have occurred. There were no recurrences at a median follow-up of 31 months.
Laparoscopic splenectomy is a preferred treatment for patients with suspected cystic lymphangioma. It should be preferred to total splenectomy.
背景/目的：脾淋巴管瘤是一种罕见的先天性淋巴管畸形。关于成人脾淋巴管瘤的评估和腹腔镜治疗，文献中的数据较少。本研究的目的是进一步阐明这种肿瘤的特征以及脾淋巴管瘤的腹腔镜治疗方法。
2006年9月至2011年2月，对我院所有诊断为脾淋巴管瘤并接受腹腔镜脾切除术的患者进行回顾性数据收集。记录围手术期细节及随访情况。
7例成年患者成功接受了腹腔镜脾切除术治疗脾淋巴管瘤。平均年龄为47.9岁，5例（71.4%）为女性。患者症状包括腹痛（28.6%）、可触及腹部肿块伴恶心（14.3%）。4例（57.1%）患者诊断时无症状。术前诊断依赖于超声、计算机断层扫描及最终的细针穿刺。此前无患者有多发脾病变。平均手术时间为112分钟。平均估计失血量为78.6毫升。病理检查证实术前诊断。未发生术前及术后并发症。中位随访31个月无复发。
腹腔镜脾切除术是疑似囊性淋巴管瘤患者的首选治疗方法。应优先于全脾切除术。
