Department of Pediatric, Children and Adolescent Surgery Service, Lausanne University Hospital (CHUV), Rue du Bugnon 21, 1011, Lausanne, Switzerland.
Visceral Surgery Department, Neuchâtel Hospital, Rue de la Maladière 45, 2000, Neuchâtel, Switzerland.
Pediatr Surg Int. 2022 Dec 5;39(1):36. doi: 10.1007/s00383-022-05320-x.
Lymphatic malformations (LMs) are classified as macrocystic, microcystic or mixed. Treatment depends on their characteristics: surgery, sclerotherapy, both combined, systemic treatment or observation. This study aims to analyze the surgical and interventional management of LMs in children over the last two decades in our university hospital.
Management of children born with LMs between 2000 and 2019 was reviewed. Parameters collected were: malformation characteristics, type of treatment, symptoms, imaging, timing of diagnosis and first treatment, number of interventions, recovery rate, complications and length of stay.
Files of 48 children were reviewed: 27 with macrocystic and 21 with microcystic LMs. There was no statistically significant difference in type of treatment except for combined treatment, more performed in microcystic LMs (p = 0.04). Symptoms, imaging, timing of diagnosis and first treatment, number of interventions and complications were not statistically significant. Overall, the number of surgeries was lower than sclerotherapies (p = 0.04). Recovery rate after surgery was higher in macrocystic LMs (p = 0.01). Complications and length of stay were not statistically significant.
A good rate of recovery was observed when surgery was performed, with no significant increase in complications and length of stay. A prospective study will be determinant to create a decisional algorithm for children with LMs.
淋巴管畸形（LM）可分为巨囊型、微囊型或混合性。治疗取决于其特征：手术、硬化治疗、联合治疗、系统治疗或观察。本研究旨在分析过去 20 年我院儿童 LM 的手术和介入治疗情况。
回顾了 2000 年至 2019 年间出生的 LM 患儿的管理情况。收集的参数包括：畸形特征、治疗类型、症状、影像学、诊断和首次治疗的时间、干预次数、恢复率、并发症和住院时间。
共回顾了 48 名患儿的病历：27 名巨囊型 LM 患儿和 21 名微囊型 LM 患儿。除联合治疗外（p=0.04），治疗类型无统计学差异。症状、影像学、诊断和首次治疗时间、干预次数和并发症无统计学差异。总体而言，手术次数少于硬化治疗（p=0.04）。巨囊型 LM 手术后的恢复率更高（p=0.01）。并发症和住院时间无统计学差异。
手术治疗效果良好，并发症和住院时间无显著增加。前瞻性研究将有助于为 LM 患儿制定决策算法。
