Spinos Theodoros, Kanna Elisavet, Lamprinou Zoi, Yerolemidou Irene, Skondras Ioannis
Urology, University Hospital of Patras, Patras, GRC.
Pediatric Surgery, Panagiotis and Aglaia Kyriakou Children's Hospital, Athens, GRC.
Cureus. 2024 Dec 26;16(12):e76427. doi: 10.7759/cureus.76427. eCollection 2024 Dec.
Lymphatic malformation is a rare vascular anomaly caused by abnormal lymphatic system development during embryogenesis. Intra-abdominal lymphatic malformations are uncommon in children, and surgical excision is considered the gold standard for treatment. However, few reports of minimally invasive laparoscopic approaches have been documented. This case report presents a six-month-old infant with a large intra-abdominal cystic lymphangioma, diagnosed prenatally and treated laparoscopically. The lesion was excised en bloc using low-impact laparoscopy, with an uneventful intraoperative and postoperative course. This case highlights the feasibility and safety of laparoscopic excision in young patients, even for large masses. Further studies are needed to establish the role of minimally invasive surgery in pediatric patients with large intra-abdominal lymphatic malformations.
淋巴管畸形是一种罕见的血管异常，由胚胎发育过程中淋巴管系统异常发育引起。儿童腹腔内淋巴管畸形并不常见，手术切除被认为是治疗的金标准。然而，关于微创腹腔镜手术方法的报道很少。本病例报告介绍了一名6个月大的婴儿，患有巨大腹腔内囊性淋巴管瘤，产前诊断并接受了腹腔镜手术治疗。采用低冲击腹腔镜手术将病变整块切除，术中和术后过程顺利。该病例突出了腹腔镜切除在年轻患者中的可行性和安全性，即使是对于大肿块也是如此。需要进一步研究以确定微创手术在患有巨大腹腔内淋巴管畸形的儿科患者中的作用。
