Cystic lymphangioma of the greater omentum treated by laparoscopic resection

Namikawa, Tsutomu; Shimizu, Shigeto; Yokota, Keiichiro; Tanioka, Nobuhisa; Munekage, Masaya; Uemura, Sunao; Maeda, Hiromichi; Kitagawa, Hiroyuki; Kobayashi, Mariko; Hanazaki, Kazuhiro

doi:10.1007/s12328-021-01404-8

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…Finally, we observed that, compared with ML patients, more OL patients underwent laparoscopic surgery without any definite influencing factors. This finding suggests that, consistent with previous studies, almost all OL patients were eligible for laparoscopic surgery [ 10 , 15 , 29 ]. Previously reported laparoscopic surgeries for abdominal lymphatic malformations include two surgical approaches.…”

Section: Discussionsupporting

confidence: 89%

“…Considering that ML cysts are often inseparable from the mesentery and intestinal wall, surgical treatment may include ML excision with segmental bowel resection, so a multidisciplinary approach, including medications, sclerotherapy and surgical treatment, is increasingly recommended for the treatment of ML to achieve better results [ 6 – 8 ]. In contrast, OL cysts are less likely to adhere to neighboring viscera and are mainly found in the greater omentum [ 9 , 10 ]. The recommended treatment for OL is complete surgical resection.…”

Section: Introductionmentioning

confidence: 99%

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Mesenteric and omental lymphatic malformations in children: seven-year surgical experience from two centers in China

Yan,

Fu,

Liu

et al. 2024

BMC Pediatr

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Purpose To compare the clinical characteristics, surgical management and prognosis of mesenteric lymphatic malformations (ML) and omental lymphatic malformations (OL) in children. Methods This retrospective study included 148 ML patients and 53 OL patients who underwent surgical treatment at two centers between January 2016 and December 2022. Details about the patients’ clinical characteristics, cyst characteristics, preoperative complications, surgical methods, and prognosis were retrieved and compared. Results No significant differences in sex ratio, prenatal diagnosis, or age of diagnosis were noted between ML and OL patients. Vomiting was more common in ML patients than in OL patients (46.6% vs. 22.6%, P = 0.002), but OL patients were more likely to be misdiagnosed (35.8% vs. 18.9%, P = 0.012). The size of the cysts in OL patients was significantly larger than that in ML patients (14.0 [4.0–30.0] vs. 10.0 [2.0–50.0] cm, P<0.001), and cysts with turbid fluid were more common in OL patients (38.0% vs. 20.6%, P<0.001). More OL patients than ML patients had preoperative hemorrhage or infection of cysts (41.5% vs. 31.8%, P<0.016). Cyst excision was performed in 137 (92.6%) ML patients and 51 (96.2%) OL patients, and the incidence of postoperative complications was lower (12.6% vs. 4.2%, P = 0.165) among OL patients. The main postoperative complications included adhesive ileus and recurrence of cysts. Additionally, more OL patients than ML patients were treated with laparoscopic surgery (69.8% vs. 39.2%, P<0.001). Conclusions There were differences in clinical characteristics, cyst characteristics and preoperative complications between ML and OL patients. Cyst excision was the most common surgical method that was used to treat both ML and OL patients, and laparoscopic surgery could be a feasible surgical approach for treating OL patients with a good prognosis. Trial registration Retrospectively registered.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Mesenteric and omental lymphatic malformations in children: seven-year surgical experience from two centers in China

Yan,

Fu,

Liu

et al. 2024

BMC Pediatr

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“…The last point we have observed is that, compared with ML patients, more OL patients underwent laparoscopic surgery without any de nite in uencing factor. This would imply that, consistent with previous studies, almost all OL patients were eligible for laparoscopic surgery [10,15,29]. Previously reported laparoscopic surgery for abdominal lymphatic malformations included two surgical approaches.…”

Section: Discussionsupporting

confidence: 68%

“…Considering that cysts in ML are often inseparable from the mesentery and intestinal wall, surgical treatment may include ML excision with segmental bowel resection, so a multidisciplinary approach, including medications, sclerotherapy and surgical treatment, is increasingly recommended for ML to achieve a better result [6][7][8]. In contrast, the cysts in OL are less likely to adhere to neighbouring viscera and are mainly in the greater omentum [9,10]. The recommended treatment for OL is complete surgical resection.…”

Section: Introductionmentioning

confidence: 99%

Mesenteric and omental lymphatic malformations in children: seven-year surgical experience from two centers in China

Yan

Fu²,

Liu

et al. 2023

Preprint

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Purpose To compare the clinical characteristics, surgical management and prognosis of mesenteric lymphatic malformations (ML) and omental lymphatic malformations (OL) in children. Methods This retrospective study included 148 ML patients and 53 OL patients who underwent surgical treatment at two centers between January 2016 and December 2022. Details of the patients’ clinical characteristics, cyst characteristics, preoperative complications, surgical methods, and prognosis were retrieved and compared. Results No significant differences between ML and OL patients were noted in sex ratio, prenatal diagnosis, and age of diagnosis. The presence of vomiting was more common in ML patients than in OL patients (46.6% vs. 22.6%, P = 0.002), but OL patients were more likely to be misdiagnosed (35.8% vs. 18.8%, P = 0.012). The size of cysts in OL patients was significantly larger than that in ML patients (14.0 [8.0, 17.3] vs. 10.0 [6.0, 13.0] cm, P＜0.001), and cysts with turbid fluid were more common in OL patients (38.0% vs. 20.6%, P＜0.001). Cyst excision was performed in 137 (92.6%) ML patients and 51 (96.2%) OL patients, and the incidence of postoperative complications was lower (12.6% vs. 4.2%, P = 0.165) among the latter. The main postoperative complications included adhesive ileus and recurrence of cysts. Additionally, laparoscopic surgery was more commonly undergone among OL patients (69.8% vs. 39.2%, P＜0.001). Conclusions Compared with ML patients, OL patients are more prone to misdiagnosis and infection, but the prognosis of surgical treatment is better. Laparoscopic cyst excision may be the preferred treatment for OL patients.

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“…In a study by Namikawa and colleagues, the predictive usefulness of NLR and C-reactive protein-to-albumin ratio (CAR) was explored in 411 individuals with unresectable advanced or recurrent gastric cancer. The results showed a substantial correlation between high NLR and CAR with poor outcomes (62).…”

Section: Gastric Cancermentioning

confidence: 86%

The neutrophil-to-lymphocyte ratio as a new prognostic factor in cancers: a narrative review

Heshmat-Ghahdarijani,

Sarmadi,

Heidari

et al. 2023

Front. Oncol.

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The increasing incidence of cancer globally has highlighted the significance of early diagnosis and improvement of treatment strategies. In the 19th century, a connection was made between inflammation and cancer, with inflammation recognized as a malignancy hallmark. The neutrophil-to-lymphocyte ratio (NLR), calculated from a complete blood count, is a simple and accessible biomarker of inflammation status. NLR has also been proven to be a prognostic factor for various medical conditions, including mortality classification in cardiac patients, infectious diseases, postoperative complications, and inflammatory states. In this narrative review, we aim to assess the prognostic potential of NLR in cancer. We will review recent studies that have evaluated the association between NLR and various malignancies. The results of this review will help to further understand the role of NLR in cancer prognosis and inform future research directions. With the increasing incidence of cancer, it is important to identify reliable and accessible prognostic markers to improve patient outcomes. The study of NLR in cancer may provide valuable insights into the development and progression of cancer and inform clinical decision-making.

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Cystic lymphangioma of the greater omentum treated by laparoscopic resection

Cited by 6 publications

References 12 publications

Mesenteric and omental lymphatic malformations in children: seven-year surgical experience from two centers in China

Mesenteric and omental lymphatic malformations in children: seven-year surgical experience from two centers in China

Mesenteric and omental lymphatic malformations in children: seven-year surgical experience from two centers in China

The neutrophil-to-lymphocyte ratio as a new prognostic factor in cancers: a narrative review

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