The Clinical Case of the Surgical Treatment of Cystic Lymphangioma of the Complex Anatomical Localization in Child Aged of 1 Year 7 Months

Poddubnyy, I. V.; Ryabov, А. B.; Трунов, В О; Kozlov, M. Yu.; Topilin, O.G.; Manukyan, S. R.; Mordvin, P. A.; Tverdov, I. V.

doi:10.18821/1560-9510-2018-22-3-155-157

Russian Journal of Pediatric Surgery

2018

DOI: 10.18821/1560-9510-2018-22-3-155-157

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The Clinical Case of the Surgical Treatment of Cystic Lymphangioma of the Complex Anatomical Localization in Child Aged of 1 Year 7 Months

I. V. Poddubnyy

А. B. Ryabov²,

В О Трунов

et al.

Abstract: Lymphangiomas are non-specific formations developing from the lymphatic vessels, occupying an intermediate position between the tumor and the developmental malformation. The most frequent localization of the pathology is the face and neck area (75%) and the axillary region (20%), less than 1% of cases are located in the mediastinum. According to the literature data, the only radical treatment is surgical, but there is a high prevalence rate of relapses (25%). This article is devoted to the analysis of the clin… Show more

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Experience in the treatment of lymphatic malformations in children

Zykova,

Nurmeev,

Mirolubov

et al. 2024

Kazan Med J

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Background. In the treatment of lymphatic malformations, the problem of radical removal and a high risk of recurrence remains. Aim. Improving the efficiency of treatment of children with lymphatic malformations by introducing new surgical methods and optimizing sclerotherapy. Material and methods. The results of treatment of 150 patients with lymphangiomas and an experimental study of the effects of sclerosing drugs on the lining of lymphangioma are presented. The study included 67 (44.7%) girls and 83 (55.3%) boys. The patients were divided into three groups. The first group (72 children) consisted of patients with radical removal of lymphangioma. The second group included 70 patients with partial resection of lymphangioma and sclerosis of residual cavities. The third group (8 children) consisted of patients operated on by video endoscopic method. A histological study of micropreparations of lymphangioma after sclerosis with ethanol and sodium tetradecyl sulfate with an exposure of 5 minutes was carried out. Statistical analysis was carried out using the StatTech v. 2.2.0 using methods of parametric and non-parametric analysis. Results were considered statistically significant at p 0.05. Results. In the first group of patients, 9 (11.1%) relapses occurred, in the second 12 (12.3%), in the third group 0 relapses. Treatment combined with sclerotherapy did not lead to a significant increase in the recurrence rate (p=0.541). Types of lymphatic malformations and their location did not significantly affect the risk of recurrence (p=0.232 and p=0.552, respectively). Sclerosis of the lymphangioma lining with 70% ethanol and a liquid form of sodium tetradecyl sulfate caused total desquamation of the endothelium. Sclerosing with the foam form of sodium tetradecyl sulfate led to total desquamation of the endothelium during a 3-minute exposure. Conclusion. The introduction of minimally invasive methods of treatment and the improvement of sclerosis will make the results of treatment of children with lymphangiomas better.

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Experience in the treatment of lymphatic malformations in children

Zykova,

Nurmeev,

Mirolubov

et al. 2024

Kazan Med J

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Potentials for Video-Endoscopic Removal of Lymphangiomas of the Soft Tissues in Newborns

Nurmeev

Zikova²,

Mirolubov

et al. 2020

Russian Journal of Pediatric Surgery

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Introduction. Lymphangiomas (lymphatic malformations) are benign vascular formations that develop from the lymphatic vessels and locate at the intermediate position between tumor and malformation [1,2,3]. The lack of unified algorithm in the treatment of lymphangiomas and a variety of operative and conservative techniques used with a high percentage of relapses leave the problem of treating lymphangiomas open. Material and methods. This article demonstrates outcomes of surgical treatment of lymphangiomas in soft tissues in newborns after they were treated with a technique developed and patented by the authors (Patent No 2711257 dated 15.01.2020*). The technique for treating lymphangiomas with video endoscopic component allows to simultaneously and radically remove tumors in children (including newborns) with minimally invasive approach. 10 surgical interventions were performed with the discussed technique. Results. In all cases the result was a complete radical simultaneous removal of soft tissue lymphangiomas under video control. The proposed curative technique is considered to be the most reasonable one due to its radical nature and good cosmetic effect when removing superficially located lymphangiomas. Discussion. A persistent high risk of recurrences dictates a search for the improvement of existing techniques and for the optimal combination of various tactics in treating lymphangiomas. In these group of patients, an important strategy is to have a personalized approach in each case. In our experience, a surgical intervention is the only technique for treating lymphangiomas of superficial location. This technique leads to simultaneous and radical removal of pathological formations within healthy tissues. Conclusions. Mostly important advantages of the discussed technique for treating lymphangiomas are: 1) A proper visualization of the formation and its complete removal what reduces the risk of relapses and lymphorrhea in the postoperative period. 2) Minimal tissue damage which leads to more rapid rehabilitation, less intensity of postoperative pain as well to less anesthesia support and less recovery period after surgery. 3) Better cosmetic effects.

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Children with lymphatic malformations and their treatment using video-endoscopic equipment

Nurmeev

Зыкова²,

Миролюбов

et al. 2020

Ross. vestn. perinatol. pediatr.

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Л имфатические мальформации (лимфангиомы) представляют собой доброкачественные сосудистые образования, возникающие вследствие врожденной аномалии развития (порока) лимфатических сосудов. Ряд исследователей отводят лимфангиомам промежуточное положение между опухолью и пороком развития [1-3]. Патогенез лимфангиом связан с нарушением формирования сосудов в эмбриональном периоде. Согласно классификации Международного общества по изучению сосудистых мальформа-© Коллектив авторов, 2020 Адрес для корреспонденции: Нурмеев Ильдар Наилевич-д.м.н., проф. кафедры детской хирургии Казанского государственного медицинского университета, сосудистый хирург Детской республиканской клинической больницы,

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The Clinical Case of the Surgical Treatment of Cystic Lymphangioma of the Complex Anatomical Localization in Child Aged of 1 Year 7 Months

Cited by 3 publications

References 5 publications

Experience in the treatment of lymphatic malformations in children

Experience in the treatment of lymphatic malformations in children

Potentials for Video-Endoscopic Removal of Lymphangiomas of the Soft Tissues in Newborns

Children with lymphatic malformations and their treatment using video-endoscopic equipment

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