Laparoscopic treatment of a huge cystic lymphangioma: partial aspiration technique with a spinal needle.
A cystic lymphangioma is a rare intra-abdominal lesion. Treatment is a complete excision of the cyst because of complications and a rare chance of malignancy. In this paper we report on 2 patients with a huge cystic lymphangioma who were treated by laparoscopic surgery successfully. Each of the cysts were 13 and 11 cm in diameter, were diagnosed by ultrasonography and computed tomography scan. After partial aspiration of the cysts, using a spinal needle, we were prone to grasp the cysts without spillage. Traction and dissection were easy without spillage or injury of the mesenteric vessels. The laparoscopic approach can be successfully and safely performed by an experienced surgeon in keeping with oncologic principles.
Ryu
Woo-Sang
WS
Department of Surgery, Korea University College of Medicine, Seoul, Korea.
Kwak
Jung-Myun
JM
Seo
U-Hyoung
UH
Kim
Seon-Hahn
SH
Park
Sung-Soo
SS
Kim
Chong-Suk
CS
Lee
Chang-Hee
CH
Mok
Young-Jae
YJ
D000008:Abdominal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D018191:Lymphangioma, Cystic / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged