title: Endoscope-assisted excision of macrocystic lymphangioma in neck via anterior chest approach in infants and children.
abstract: OBJECTIVE
  Macrocystic lymphangioma of the neck is traditionally removed via an overlying incision near the mass. The resultant scar can be aesthetically displeasing, and endoscope-assistant surgery is still rarely used in pediatric subjects. So we report the endoscope-assisted excision of the macrocystic lymphangioma via anterior chest, and explore its feasibility, validity and security.
  
  
  METHODS
  From June 2005 to December 2008, 6 infants and children with macrocystic lymphangioma accepted endoscope-assisted excision via anterior chest approach.
  
  
  RESULTS
  All procedures were successfully performed using the endoscope-assisted approach. There were no conversions of the operations or postoperative complications. All patients and their parents were satisfied with the cosmetic results.
  
  
  CONCLUSIONS
  Endoscope-assisted excision of the macrocystic lymphangioma via anterior chest approach in children can be applied effectively, safely and feasibly, allowing adequate exposure for dissection, and resulting in a good cosmetic result, and it would be considered as a new surgical approach for these patients.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, the Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou 510120, PR China.
authors.forename: Ping
authors.initials: P
authors.lastname: Han
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Huang
authors.forename: Qian
authors.initials: Q
authors.lastname: Cai
authors.forename: Wei
authors.initials: W
authors.lastname: Sun
authors.forename: Faya
authors.initials: F
authors.lastname: Liang
authors.forename: Mingming
authors.initials: M
authors.lastname: Guo
authors.forename: Xiaoyu
authors.initials: X
authors.lastname: Jiang
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000209:etiology / Q000473:pathology / Q000517:prevention & control; D015331:Cohort Studies; D005240:Feasibility Studies; D005260:Female; D006258:Head and Neck Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D018191:Lymphangioma, Cystic / Q000473:pathology / Q000601:surgery*; D015203:Reproducibility of Results; D035441:Thoracic Wall / Q000601:surgery*; D016896:Treatment Outcome; D020535:Video-Assisted Surgery