Natoudi Maria, Tsamis Dimitrios, Zoumpouli Christina, Leandros Emmanouil, Albanopoulos Konstantinos
Endoscopic Department, A Propaideutic Surgical Clinic of University of Athens, Hippokration Hospital of Athens, Athens, Greece.
Asian J Endosc Surg. 2014 Nov;7(4):301-3. doi: 10.1111/ases.12121.
Lymphangiomas are benign tumors that originate from malformations of the lymphatic vessels. They are rarely seen in adults and are extremely rare in the cystic duct. Herein, we report the case of a 48-year-old woman who presented with a cystic lymphangioma that originated in the cystic duct and was excised laparoscopically. Preoperative imaging revealed the cystic and benign nature of the lesion. Laparoscopic abdominal exploration and excision of the 10-cm cystic lymphangioma were performed. Four trocar sites were used, and the excision was achieved using clips and electrocautery. The laparoscopic excision of these benign masses is safe and efficacious in experienced hands. This procedure requires preoperative planning and must be individualized.
淋巴管瘤是起源于淋巴管畸形的良性肿瘤。它们在成人中很少见，在胆囊管中极为罕见。在此，我们报告一例48岁女性患者，其患有起源于胆囊管的囊性淋巴管瘤，并通过腹腔镜手术切除。术前影像学检查显示病变为囊性且良性。进行了腹腔镜腹部探查并切除了10厘米的囊性淋巴管瘤。使用了四个套管针穿刺点，通过钛夹和电灼完成切除。在经验丰富的医生手中，腹腔镜切除这些良性肿块是安全有效的。该手术需要术前规划，且必须个体化。
