Laparoscopic Management of RCL in children in a 4 year old g
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Abstract

AIM: Retroperitoneal cystic lymphangiomas (RCLs) are rare vascular malformations which account for approximately 1% of all lymphangiomas in infancy. Surgical treatment of RCLs may be particularly challenging, due to their possible connection with vital structures. Laparoscopic excision has been recently described for RCLs also in pediatric patients, with only 14 published cases. METHODS: Authors provide a detailed systematic review of the pediatric literature according to PRISMA guidelines, focusing on laparoscopic treatment of RCLs in children. An additional case of a large RCL in a 4-year-old girl is also presented.

RESULTS: The PubMed search yielded six relevant studies, covering a total of 14 children with RCLs; analysis was extended to our additional patient. The mean age at surgery was 6.6 years. Laparoscopic aspiration of the cysts before their removal was the common approach, used in 9 patients (64.3%). Conversion to open surgery was necessary in 3 cases (21.4%). Recurrence of the disease was reported only in one patient (7%). No mortality was reported.

CONCLUSIONS: According to the limited available experience, accurate preoperative assessment and adequate training and skills make the laparoscopic resection of retroperitoneal lymphangioma a safe and feasible procedure, including within a pediatric context....

http://jemis.rivisteclueb.it/laparoscopic-management-of-retroperitoneal-cystic-lymphangiomas-in-children-a-systematic-review-and-an-additional-case-report/
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