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Laparoscopic interventions in children with retroperitonial lymphatic malformations
- Authors: Sokolov Y.Y.1, Donskoy D.V.1, Efremenkov A.M.1, Antonov D.V.2, Bibikova E.E.3, Omarova Z.R.4, Kovbasyuk D.A.5, Kruchinin K.S.4
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Affiliations:
- Russian Medical Academy of Continuing Professional Education
- Academician E. A. Wagner Perms State Medical University
- St. Vladimir Children’s Clinical Hospital
- N. I. Pirogov Russian National Medical University
- Z. A. Bashlyaevа State Children’s Hospital
- Issue: Vol 26, No 3 (2022)
- Pages: 150-155
- Section: ORIGINAL STUDY
- URL: https://jps-nmp.ru/jour/article/view/493
- DOI: https://doi.org/10.55308/1560-9510-2022-26-3-150-155
- ID: 493
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Abstract
Introduction. Lymphatic malformations (LM) is the developmental anomaly of lymphatic vessels which is formed at the stage of early embryogenesis. Intraabdominal and retroperitoneal LM are very rare and account for 4 % of all observed LM.
Purpose. To clarify the effectiveness of minimally invasive surgical interventions in children with abdominal LM.
Material and methods. Over a ten-year period, 15 children with retroperitoneal lymphangiomas , aged from 1 to 17, were operated on in our clinics. To clarify diagnosis, a comprehensive examination was performed: ultrasound, spiral computed tomography, magnetic resonance imaging of the abdominal cavity. Laparoscopic access was applied in all 15 cases for surgical intervention.
Results. In all cases, lymphatic malformations were diagnosed before surgery which was later confirmed at laparoscopy. Malformations were excised laparoscopically. In 2 patients, lymphangiomatous tissue was partially left at the site of the greatest fusion with renal and iliac vessels due to a high risk of their damage.
Conclusion. Endovideosurgical technologies in children with retroperitoneal LM may be used at any child’s age and at any size of retroperitoneal cystic formation since emptying the cystic cavity creates the necessary working space in the abdominal cavity. Such an approach minimizes surgical trauma, shortens surgical time and facilitates the postoperative period.
About the authors
Yu. Yu. Sokolov
Russian Medical Academy of Continuing Professional Education
Author for correspondence.
Email: Sokolov-surg@yandex.ru
ORCID iD: 0000-0001-5172-5958
Yuri Yu. Sokolov, Doctor of Medical Sciences, Professor, Head of the Department
Department of Pediatric Surgery named after Academician S. Ya. Doletsky
125993
Moscow
Russian FederationD. V. Donskoy
Russian Medical Academy of Continuing Professional Education
Email: fake@neicon.ru
125993
Moscow
Russian FederationA. M. Efremenkov
Russian Medical Academy of Continuing Professional Education
Email: fake@neicon.ru
125993
Moscow
Russian FederationD. V. Antonov
Academician E. A. Wagner Perms State Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0002-8465-6714
614066
Perm
Russian FederationE. E. Bibikova
St. Vladimir Children’s Clinical Hospital
Email: fake@neicon.ru
ORCID iD: 0000-0002-1051-7690
107014
Moscow
Russian FederationZh. R. Omarova
N. I. Pirogov Russian National Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0001-9035-0511
125373
Moscow
Russian FederationD. A. Kovbasyuk
Z. A. Bashlyaevа State Children’s Hospital
Email: fake@neicon.ru
125373
Moscow
Russian FederationK. S. Kruchinin
N. I. Pirogov Russian National Medical University
Email: fake@neicon.ru
ORCID iD: 0000-0002-4397-9402
125373
Moscow
Russian FederationReferences
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