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Laparoscopic resection of retroperitoneal lymphangioma around the pancreas: a case report and review of the literature
INTRODUCTION: Lymphangiomas are rare, benign tumors. An intra-abdominal location of these lesions is rarer still and there are only a few reports describing laparoscopic resection for retroperitoneal lymphangiomas, especially in tumors that mimic pancreatic tumors. CASE PRESENTATION: We present the...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4675055/ https://www.ncbi.nlm.nih.gov/pubmed/26651336 http://dx.doi.org/10.1186/s13256-015-0760-z |
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author | Sato, Takafumi Matsuo, Yoichi Shiga, Kazuyoshi Saito, Kenta Morimoto, Mamoru Miyai, Hirotaka Takeyama, Hiromitsu |
author_facet | Sato, Takafumi Matsuo, Yoichi Shiga, Kazuyoshi Saito, Kenta Morimoto, Mamoru Miyai, Hirotaka Takeyama, Hiromitsu |
author_sort | Sato, Takafumi |
collection | PubMed |
description | INTRODUCTION: Lymphangiomas are rare, benign tumors. An intra-abdominal location of these lesions is rarer still and there are only a few reports describing laparoscopic resection for retroperitoneal lymphangiomas, especially in tumors that mimic pancreatic tumors. CASE PRESENTATION: We present the case of an asymptomatic 30-year-old Japanese woman in whom a cystic tumor was found incidentally in close approximation to the pancreas. Because the tumor was located in the retroperitoneal space and the body of the pancreas was compressed, we were unable to distinguish a cystic lymphangioma from cystic pancreatic tumors. We started the procedure laparoscopically with five ports. The tumor was in fact separated from the pancreas and was dissected free from the body of the pancreas using scissors and laparoscopic coagulating shears. The left gastric vessels, which were compressed by the tumor, were preserved. As we realized that the tumor was connected to the retroperitoneal lymphatic tissue, we completed the procedure by performing a cystectomy without rupture. The specimen was extracted using a plastic bag. Our patient was discharged on postoperative day 7 without any complications. There is no evidence of recurrence during a >2-year observation period. CONCLUSIONS: In addition to the therapeutic significance in differentiating between a cystic lymphangioma in close approximation to the body of the pancreas and a pancreatic cystic neoplasm, the laparoscopic approach is feasible and effective. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13256-015-0760-z) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4675055 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-46750552015-12-11 Laparoscopic resection of retroperitoneal lymphangioma around the pancreas: a case report and review of the literature Sato, Takafumi Matsuo, Yoichi Shiga, Kazuyoshi Saito, Kenta Morimoto, Mamoru Miyai, Hirotaka Takeyama, Hiromitsu J Med Case Rep Case Report INTRODUCTION: Lymphangiomas are rare, benign tumors. An intra-abdominal location of these lesions is rarer still and there are only a few reports describing laparoscopic resection for retroperitoneal lymphangiomas, especially in tumors that mimic pancreatic tumors. CASE PRESENTATION: We present the case of an asymptomatic 30-year-old Japanese woman in whom a cystic tumor was found incidentally in close approximation to the pancreas. Because the tumor was located in the retroperitoneal space and the body of the pancreas was compressed, we were unable to distinguish a cystic lymphangioma from cystic pancreatic tumors. We started the procedure laparoscopically with five ports. The tumor was in fact separated from the pancreas and was dissected free from the body of the pancreas using scissors and laparoscopic coagulating shears. The left gastric vessels, which were compressed by the tumor, were preserved. As we realized that the tumor was connected to the retroperitoneal lymphatic tissue, we completed the procedure by performing a cystectomy without rupture. The specimen was extracted using a plastic bag. Our patient was discharged on postoperative day 7 without any complications. There is no evidence of recurrence during a >2-year observation period. CONCLUSIONS: In addition to the therapeutic significance in differentiating between a cystic lymphangioma in close approximation to the body of the pancreas and a pancreatic cystic neoplasm, the laparoscopic approach is feasible and effective. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s13256-015-0760-z) contains supplementary material, which is available to authorized users. BioMed Central 2015-12-10 /pmc/articles/PMC4675055/ /pubmed/26651336 http://dx.doi.org/10.1186/s13256-015-0760-z Text en © Sato et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Sato, Takafumi Matsuo, Yoichi Shiga, Kazuyoshi Saito, Kenta Morimoto, Mamoru Miyai, Hirotaka Takeyama, Hiromitsu Laparoscopic resection of retroperitoneal lymphangioma around the pancreas: a case report and review of the literature |
title | Laparoscopic resection of retroperitoneal lymphangioma around the pancreas: a case report and review of the literature |
title_full | Laparoscopic resection of retroperitoneal lymphangioma around the pancreas: a case report and review of the literature |
title_fullStr | Laparoscopic resection of retroperitoneal lymphangioma around the pancreas: a case report and review of the literature |
title_full_unstemmed | Laparoscopic resection of retroperitoneal lymphangioma around the pancreas: a case report and review of the literature |
title_short | Laparoscopic resection of retroperitoneal lymphangioma around the pancreas: a case report and review of the literature |
title_sort | laparoscopic resection of retroperitoneal lymphangioma around the pancreas: a case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4675055/ https://www.ncbi.nlm.nih.gov/pubmed/26651336 http://dx.doi.org/10.1186/s13256-015-0760-z |
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