腹膜后巨大海绵状淋巴管瘤的手术治疗一例并文献复习

目的探讨对腹膜后巨大海绵状淋巴管瘤手术治疗方法的认识,提高治疗水平。方法回顾性分析1例成人腹膜后巨大海绵状淋巴管瘤的手术治疗过程,并结合文献复习讨论。结果腹膜后巨大海绵状淋巴管瘤完整切除,手术顺利,术后恢复好,未发生任何手术并发症。结论手术切除腹膜后巨大海绵状淋巴管瘤,需熟悉局部解剖关系,妥善保护周围组织,结扎离断与肿物相连的筋膜、淋巴管和血管组织,完整切除肿瘤,术后充分引流。     

A case of retroperitoneal cystic lymphangioma]

A case of retroperitoneal cystic lymphangioma in a 62-yr-old woman presented as symptom-free abdominal swelling. The intraoperative diagnosis was confirmed histologically. Radical management consisted of stripping of the cyst from its adjacent structures. The postoperative course was uneventful.     

A case of retroperitoneal lymphangioma successfully treated by pancreatoduodenectomy

A rare case of retroperitoneal lymphangioma in 44-year-old male complaining of high fever and right hypochondralgia is reported. Retroperitoneal malignant tumor was suspected preoperatively, and pancreatoduodenectomy was performed because the tumor infiltrated to duodenum and head of the pancreas. Histopathological examination revealed that the tumor was lymphangioma infiltrating to the duodenum. There are two types of lymphangioma, solitary lymphatic cyst and true proliferating lymphangioma and in this case, the tumor is diagnosed as true proliferating lymphangioma which is cavernous and infiltrating.     

Benign retroperitoneal cystic teratoma with postoperative chylous ascites--a case report

A case of benign retroperitoneal cystic teratoma in a 62-year-old female is reported. The patient was admitted to our hospital for the purpose of extensive examination of a left abdominal mass. Radiological examinations including CT scanning revealed a large retroperitoneal mass arising in the left upper quadrant superior to the left kidney, containing cystic areas. The mass was removed by the thoracoabdominal approach under the diagnosis of cystic teratoma or liposarcoma. The margin of the mass was well demarcated and completely separated from other adjacent structures. Histological examination confirmed the diagnosis of benign cystic teratoma. From the 6th postoperative day, the discharge from a drainage tube, placed in the left retroperitoneal space, increased gradually and the discharge fluid became lipemic. The amount of daily discharge had a peak of approximately 400 ml on the 15th postoperative day. Total parenteral hyperalimentation was started on the 17th postoperative day under a diagnosis of chylous ascites. The amount of the discharge decreased and the drainage tube was removed on the 21st postoperative day.     

A case of retroperitoneal chylous cyst developed after cholecystectomy and choledochotomy

A 43-year-old woman complaining of upper abdominal pain was referred to our clinic. Well movable mass was detected in the right hypochondria region by palpation. Three years before, she underwent cholecystectomy and choledochotomy for cholelithiasis. After that she had been aware of painless mass in the right hypochondria region, but because of no symptom she regarded it as operative scar and had no treatment. Abdominal CT, ultrasonography, upper GI series and barium enema revealed a retroperitoneal cyst compressing the 3rd portion of the duodenum upward and the vena cava backward. Laparotomy showed an unilocular chylous cyst, 5 cm in diameter in the retroperitoneal cavity. Histologically, the cyst was cystic lymphangioma. Etiologically, the previous operation of cholecystocholedocholithiasis was supposed to be a trigger of the development of the chylous cyst.     

腹膜后巨大囊性淋巴管瘤1例

病例:女,28岁,因左侧腰背部酸痛3月余入院。病程中无放射痛,无发热、乏力、纳差等。体检无血压升高、无贫血、黄疸,腹平软,未及明显肿块,无压痛,无肾区叩击痛;各项实验室指标包括血常规、肝肾功能、血糖、肿瘤标志物均正     

Laparoscopic excision of a retroperitoneal cystic lymphangioma: an insidious case

Cystic lymphangioma is a rare, benign malformation of the lymphatic system. In this paper, we describe a rare case of a retroperitoneal cystic lymphangioma in a 25-year-old woman.     

原发性腹膜后巨大淋巴管瘤1例报告并文献复习

目的：提高原发性腹膜后淋巴管瘤的诊治水平。方法：报道1例原发性腹膜后淋巴管瘤患者的诊治过程,术前诊断腹膜后囊肿,行单孔腹腔镜双侧腹膜后囊肿切除术。结果：术后病理（腹膜后囊肿）检材由扩张的淋巴管组成,囊壁由内皮细胞、平滑肌及纤维组织组成,符合腹膜后淋巴管瘤。术后随访6个月未见复发。结论：原发性腹膜后淋巴瘤是一种良性病变,临床罕见,确诊需结合术后病理和影像学表现,手术切除是最佳治疗方式。     

A rare case of a giant cavernous lymphangioma of the chest wall and axilla in an adult patient

INTRODUCTIONLymphangiomas are benign lesions that are most commonly encountered in the neck of small infants, but are quite uncommon in the adult population. Their removal can be quite difficult, when they reach enormous dimensions or they develop in critical locations. Complete resection is curative, but incomplete resections entail the risk of relapse. Lymphangiomas of the chest wall are quite rare.PRESENTATION OF CASEWe report a case of a 35-year old man with a giant cavernous lymphangioma of the right lateral chest wall extending into the axilla, which was removed en bloc.DISCUSSIONThese tumors of lymphatic origin tend to grow, as is the case in our patient, but they also tend to recur if not resected completely. Clinical examination and chest CT scan may provide a clue to the diagnosis.CONCLUSIONLymphangiomas of the thoracic wall are extremely rare lesions and wide resection is recommended due to the high recurrence rate of these benign lesions.     

腹膜后淋巴管结扎加静脉分流治疗乳糜外瘘六例

目的 探讨乳糜返流导致乳糜外瘘的诊断与治疗。方法 6例患者均采用直接淋巴管造影、核素淋巴显像诊断，其中2例直接淋巴管造影后CT辅助诊断。5例采用腹膜后淋巴管结扎加静脉分流治疗，1例仅腹膜后淋巴管结扎。结果 本组6例患者，术后随访6个月－6年，5例乳白色小疱消失，乳糜外瘘愈合；1例乳糜外瘘未愈，阴囊仍有乳糜液流出。结论 腹膜后淋巴管结扎加分流术治疗下肢及外生殖器乳糜外瘘取得较好效果，但有不能完全阻断返流的病例，故对此术式需进一步改进。     

Laparoscopic resection of a retroperitoneal cystic lymphangioma

The success of laparoscopic cholecystectomy has expanded the scope of laparoscopic procedures and resection of retroperitoneal organs and selected cystic intraadominal masses have been performed by minimally invasive surgical techniques. We report the case of a 45-year-old that presented a retroperitoneal cystic lymphangioma that was successfully excised by a laparoscopic approach. Laparoscopic surgical techniques should be considered for treatment of selected cystic lesions of intrabdominal or retroperitoneal origin.