后腹腔镜治疗腹膜后囊性淋巴管瘤2例报告并文献复习

目的提高对腹膜后囊性淋巴管瘤的认识,探讨其诊治方法。方法报告2例经本院收治的腹膜后淋巴管瘤患者的临床资料,回顾性分析其临床特征及影像学表现。2例均为女性,年龄分别为39岁及45岁。患者均无特征性临床表现。超声及CT均表现为边缘光整的囊性肿块。2例患者均在全麻下行腹腔镜腹膜后肿物切除术,并检索Pubmed和CBM数据库,对该疾病相关文献进行复习。结果 2例均成功切除病灶并经病理诊断为腹膜后囊性淋巴管瘤。术后随访5和24个月,未发现肿瘤复发。结论腹膜后囊性淋巴管瘤临床上少见,该病多无特征性临床表现,B超及CT检查对协助术前诊断及手术均有重要指导意义。腹腔镜手术治疗腹膜后囊性淋巴管瘤安全有效。

Retroperitoneoscopic resection of retroperitoneal cystic lymphangioma(report of 2 cases and literature review)

Objective To discuss the diagnosis and management of retroperitoneal cystic lymphangioma.Methods Clinical data of 2 cases of retroperitoneal cystic lymphangioma were reported,and the clinical characteristics and image findings were retrospectively analyzed.Both patients were female,one 39 years old and the other 45.Neither of them presented special clinical manifestations.Ultrasonography and CT scan showed smoothly margined cystic masses.Both patients underwent retroperitoneoscopic resection of the tumor.The related articles were searched in Pubmed and CBM databases and clinical data were reviewed.Results The operations were successful and pathological tests confirmed both cases were retroperitoneal cystic lymphangioma.During the follow-up of 5 to 24 months,no tumor recurrence was found.Conclusions Retroperitoneal cystic lymphangioma is a rare disease with no special clinical manifestations,which can be diagnosed with the help of ultrasonography and CT scan,and removed safely with retroperitoneoscopic surgery.