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Lymphatic malformations in children: retrospective review of surgical and interventional management

PURPOSE: Lymphatic malformations (LMs) are classified as macrocystic, microcystic or mixed. Treatment depends on their characteristics: surgery, sclerotherapy, both combined, systemic treatment or observation. This study aims to analyze the surgical and interventional management of LMs in children o...

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Autores principales: Poget, Marion, Fresa, Marco, El Ezzi, Oumama, Saliou, Guillaume, Doan, Marie-Thérèse, de Buys Roessingh, Anthony
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9722885/
https://www.ncbi.nlm.nih.gov/pubmed/36469112
http://dx.doi.org/10.1007/s00383-022-05320-x
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author Poget, Marion
Fresa, Marco
El Ezzi, Oumama
Saliou, Guillaume
Doan, Marie-Thérèse
de Buys Roessingh, Anthony
author_facet Poget, Marion
Fresa, Marco
El Ezzi, Oumama
Saliou, Guillaume
Doan, Marie-Thérèse
de Buys Roessingh, Anthony
author_sort Poget, Marion
collection PubMed
description PURPOSE: Lymphatic malformations (LMs) are classified as macrocystic, microcystic or mixed. Treatment depends on their characteristics: surgery, sclerotherapy, both combined, systemic treatment or observation. This study aims to analyze the surgical and interventional management of LMs in children over the last two decades in our university hospital. METHODS: Management of children born with LMs between 2000 and 2019 was reviewed. Parameters collected were: malformation characteristics, type of treatment, symptoms, imaging, timing of diagnosis and first treatment, number of interventions, recovery rate, complications and length of stay. RESULTS: Files of 48 children were reviewed: 27 with macrocystic and 21 with microcystic LMs. There was no statistically significant difference in type of treatment except for combined treatment, more performed in microcystic LMs (p = 0.04). Symptoms, imaging, timing of diagnosis and first treatment, number of interventions and complications were not statistically significant. Overall, the number of surgeries was lower than sclerotherapies (p = 0.04). Recovery rate after surgery was higher in macrocystic LMs (p = 0.01). Complications and length of stay were not statistically significant. CONCLUSION: A good rate of recovery was observed when surgery was performed, with no significant increase in complications and length of stay. A prospective study will be determinant to create a decisional algorithm for children with LMs.
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spelling pubmed-97228852022-12-07 Lymphatic malformations in children: retrospective review of surgical and interventional management Poget, Marion Fresa, Marco El Ezzi, Oumama Saliou, Guillaume Doan, Marie-Thérèse de Buys Roessingh, Anthony Pediatr Surg Int Original Article PURPOSE: Lymphatic malformations (LMs) are classified as macrocystic, microcystic or mixed. Treatment depends on their characteristics: surgery, sclerotherapy, both combined, systemic treatment or observation. This study aims to analyze the surgical and interventional management of LMs in children over the last two decades in our university hospital. METHODS: Management of children born with LMs between 2000 and 2019 was reviewed. Parameters collected were: malformation characteristics, type of treatment, symptoms, imaging, timing of diagnosis and first treatment, number of interventions, recovery rate, complications and length of stay. RESULTS: Files of 48 children were reviewed: 27 with macrocystic and 21 with microcystic LMs. There was no statistically significant difference in type of treatment except for combined treatment, more performed in microcystic LMs (p = 0.04). Symptoms, imaging, timing of diagnosis and first treatment, number of interventions and complications were not statistically significant. Overall, the number of surgeries was lower than sclerotherapies (p = 0.04). Recovery rate after surgery was higher in macrocystic LMs (p = 0.01). Complications and length of stay were not statistically significant. CONCLUSION: A good rate of recovery was observed when surgery was performed, with no significant increase in complications and length of stay. A prospective study will be determinant to create a decisional algorithm for children with LMs. Springer Berlin Heidelberg 2022-12-05 2023 /pmc/articles/PMC9722885/ /pubmed/36469112 http://dx.doi.org/10.1007/s00383-022-05320-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Poget, Marion
Fresa, Marco
El Ezzi, Oumama
Saliou, Guillaume
Doan, Marie-Thérèse
de Buys Roessingh, Anthony
Lymphatic malformations in children: retrospective review of surgical and interventional management
title Lymphatic malformations in children: retrospective review of surgical and interventional management
title_full Lymphatic malformations in children: retrospective review of surgical and interventional management
title_fullStr Lymphatic malformations in children: retrospective review of surgical and interventional management
title_full_unstemmed Lymphatic malformations in children: retrospective review of surgical and interventional management
title_short Lymphatic malformations in children: retrospective review of surgical and interventional management
title_sort lymphatic malformations in children: retrospective review of surgical and interventional management
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9722885/
https://www.ncbi.nlm.nih.gov/pubmed/36469112
http://dx.doi.org/10.1007/s00383-022-05320-x
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