Videoasistent resection of the small intestine in children with benign abdominal cysts

Authors

DOI:

https://doi.org/10.11603/2414-4533.2023.2.13843

Keywords:

intraabdominal cysts, lymphatic malformations, enteric duplication cyst, children, laparoscopy

Abstract

The aim of the work: to analyze the features of clinical course, diagnostic and treatment approaches to intraabdominal cysts; to determine the role of minimally invasive surgery in the diagnosis and treatment.

Materials and Methods. We retrospectively analyzed case histories of 5 children diagnosed with “intraabdominal cyst”, who underwent treatment in clinic since January 2015 to December 2020. Mean follow-up period was (17±1.9) months.

Results and Discussion. In the case series, there were 2 (40.0 %) girls and 3 (60.0 %) boys. The average age at admission was (24±7.1) months. Four patients were admitted to the clinic as an emergency, three had a clinical presentation of intestinal obstruction, 1 child complained of black stool. One child had planned admission. Ultrasound was used as initial visualization in all patients, abdominal cysts were detected. Considering the presence of acute surgical pathology and the ambiguity of primary imaging results, children underwent diagnostic laparoscopy. After determining the size of the lesion, video-assisted resection of the intestinal segment with cyst and anastomosis was performed in 4 cases, conversion to open surgery was applied in one case. Histologically, the cystic lesion was a lymphatic malformation (n=2) and a cystic duplication of the intestine (n=3). There were no complications after surgical interventions.

References

Ferrero, L., Guanà, R., Carbonaro, G., Cortese, M., Lonati, L., Teruzzi, E., & Schleef, J. (2017). Cystic intra-abdominal masses in children. Pediatric Reports. 9 (3). DOI: 10.4081/pr.2017.7284. DOI: https://doi.org/10.4081/pr.2017.7284

Son, T.N., & Liem, N.T. (2012). Laparoscopic Management of Abdominal Lymphatic Cyst in Children. Journal of Laparoendoscopic & Advanced Surgical Techniques, 22 (5), 505-507. DOI: 10.1089/lap.2012.0003. DOI: https://doi.org/10.1089/lap.2012.0003

Sharma, S. (2015). Enteric duplication cysts in children: A clinicopathological dilemma. Journal of Clinical and Diagnostic Research, 9 (8), 8-11. DOI: 10.7860/JCDR/2015/12929.6381. DOI: https://doi.org/10.7860/JCDR/2015/12929.6381

Sangüesa Nebot, C., Llorens Salvador, R., Carazo Palacios, E., Picó Aliaga, S., & Ibañez Pradas, V. (2018). Enteric duplication cysts in children: varied presentations, varied imaging findings. Insights into Imaging, 9 (6), 1097-1106. DOI: 10.1007/s13244-018-0660-z. DOI: https://doi.org/10.1007/s13244-018-0660-z

Francavilla, M.L., White, C.L., Oliveri, B., Lee, E.Y., & Restrepo, R. (2017). Intraabdominal lymphatic malformations: Pearls and pitfalls of diagnosis and differential diagnoses in pediatric patients. American Journal of Roentgenology, 208 (3), 637-649. DOI: 10.2214/ajr.16.17008. DOI: https://doi.org/10.2214/AJR.16.17008

Gafar, A., & Batikhe, M. (2018). Surgical management for mesenteric cysts in pediatric patients: a single center experience. International Surgery Journal, 5 (4), 1217-1221. DOI: 10.18203/2349-2902.isj20181027. DOI: https://doi.org/10.18203/2349-2902.isj20181027

Chang, T.S., Ricketts, R., Abramowksy, C.R., Cotter, B.D., Steelman, C.K., Husain, A., & Shehata, B.M. (2011). Mesenteric cystic masses: A series of 21 pediatric cases and review of the literature. Fetal and Pediatric Pathology, 30 (1), 40-44. DOI: 10.3109/15513815.2010.505623. DOI: https://doi.org/10.3109/15513815.2010.505623

Elbaaly, H., Piché, N., Rypens, F., Kleiber, N., Lapierre, C., & Dubois, J. (2021). Intra-abdominal lymphatic malformation management in light of the updated International Society for the Study of Vascular Anomalies classification. Pediatric Radiology, 51 (5), 760-772. DOI: 10.1007/s00247-020-04930-8. DOI: https://doi.org/10.1007/s00247-020-04930-8

Okur, M.H., Arslan, M.S., Arslan, S., Aydogdu, B., Türkçü, G., Goya, C., … Otcu, S. (2014). Gastrointestinal tract duplications in children. European Review for Medical and Pharmacological Sciences, 18 (10), 1507-1512.

Rasool, N., Safdar, C.A., Ahmad, A., & Kanwal, S. (2013). Enteric duplication in children: clinical presentation and outcome. Singapore Medical Journal, 54 (6), 343-346. DOI: 10.11622/smedj.2013129. DOI: https://doi.org/10.11622/smedj.2013129

Chen, J., Wang, J., Gu, Z., Huang, S., Zhu, J., Wu, B., … Sun, C. (2020). Laparoscopic resection of ileocaecal duplication in children (report of 15 cases). Journal of Minimal Access Surgery, 16 (4), 372-375. DOI: 10.4103/jmas.JMAS_120_19. DOI: https://doi.org/10.4103/jmas.JMAS_120_19

Lal, A., Gupta, P., Singhal, M., Sinha, S.K., Lal, S., Rana, S., & Khandelwal, N. (2016). Abdominal lymphatic malformation: Spectrum of imaging findings. The Indian Journal of Radiology & Imaging, 26 (4), 423-428. DOI: 10.4103/0971-3026.195777. DOI: https://doi.org/10.4103/0971-3026.195777

Lima, M., Molinaro, F., Ruggeri, G., Gargano, T., & Randi, B. (2012). Role of mini-invasive surgery in the treatment of enteric duplications in paediatric age: a survey of 15 years. La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics, 34(5), 217-222. DOI: 10.4081/pmc.2012.57. DOI: https://doi.org/10.4081/pmc.2012.57

Liu, Q., Fu, J., Yu, Q., Gong, W., Li, P., & Guo, X. (2022). Laparoscopic surgery of intra-abdominal lymphatic malformation in children. Experimental and Therapeutic Medicine, 24 (3), 581. DOI: 10.3892/etm.2022.11519. DOI: https://doi.org/10.3892/etm.2022.11519

Thakkar, H., Patel, P., Barnacle, A., & Curry, J. (2019). Laparoscopic-assisted management of paediatric intra-abdominal lymphatic malformations. Journal of Pediatric Endoscopic Surgery, 1. DOI: 10.1007/s42804-020-00045-x. DOI: https://doi.org/10.1007/s42804-020-00045-x

Published

2023-07-25

How to Cite

Susak, Y. M., Rudenko, Y. O., Levytskyi, A. F., & Godik, O. S. (2023). Videoasistent resection of the small intestine in children with benign abdominal cysts. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 49–53. https://doi.org/10.11603/2414-4533.2023.2.13843

Issue

Section

EXPERIENCE OF WORK