Extraperitoneal laparoscopic resection for retroperitoneal lymphatic cysts: initial experience

Wang, Yichun; Chen, Chen; Zhang, Chuanjie; Qin, Chao; Song, Ninghong

doi:10.1186/s12894-017-0288-1

Cited by 6 publications

(3 citation statements)

References 16 publications

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“…No patient suffered complications such as renal pedicle or renal pelvis injury, and no recurrences were reported. Thus, laparoscopic resection of retroperitoneal lymphatic cysts may be an effective option [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Chyloma: A Case Report and Literature Review

Alabdulaaly,

AlAkeel,

Alfriedy

et al. 2024

Cureus

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Retroperitoneal chyloma is a rare entity that presents with non-specific symptoms. Although benign, it can cause complications due to the mass effect. In this case report, we present the case of a 24-year-old woman who presented with a complaint of left-sided colicky abdominal pain and mild dysuria for one year. On physical examination, there was only mild abdominal tenderness. Computed tomography (CT) revealed a thick-walled cystic retroperitoneal mass with a small amount of fat in the superior part and a displaced left hydronephrotic kidney. Magnetic resonance imaging (MRI) confirmed the findings and also revealed a fat-fluid level in the cyst. A laparotomy was performed, and the cystic mass, containing milky fluid, was excised. Histopathology showed a pseudocyst with chronic inflammation and a xanthomatous reaction, with no evidence of infection or malignancy. The patient recovered without complications and has not had a recurrence so far. Retroperitoneal chyloma is difficult to diagnose preoperatively. A definitive diagnosis is usually made only after surgery and a histopathological examination. The treatment of choice is a complete excision. Other approaches, such as marsupialization or drainage, will likely result in a recurrence. However, surgery in the retroperitoneal space is associated with a risk of injury to major vessels or organs. In conclusion, retroperitoneal chyloma is a rare entity that is best treated by complete excision. For small lesions, a wait-and-watch approach may be advisable.

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Section: Discussionmentioning

confidence: 99%

Retroperitoneal Chyloma: A Case Report and Literature Review

Alabdulaaly,

AlAkeel,

Alfriedy

et al. 2024

Cureus

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“…This balloon was developed for benign ovarian cysts [19] . Another method was mentioned is an extraperitoneal approach, it prevents blood loss and leads to a quicker recovery, this was described in a retrospective analysis of eight patient over with hydronephrosis due to lymphatic cysts, upon which all patients underwent successful operations, with no reported recurrence [20] .…”

Section: Discussionmentioning

confidence: 99%

Novel presentation of idiopathic benign retroperitoneal cyst: A case report

Doiphode¹,

Tripathi²,

Singh³

et al. 2023

Int. J. Surg. Sci.

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Benign cystic lesions of the retroperitoneum and mesenterium are rarely encountered clinically 1, 2 . Up to 40% of such cysts are found incidentally during abdominal surgery for unrelated disorders 1 . Most patients display some chronic symptoms that necessitate therapeutic intervention. CT scan might help in confirming the diagnosis and surgery is the mainstay treatment. This report describes a case of a giant retroperitoneal cyst successfully excised in an adult female.

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“…Retroperitoneal cysts can be classified into different categories based on their origins, which may include traumatic, infectious, degenerative, and neoplastic. Common types of retroperitoneal cysts encompass ovarian cysts, [ 5 , 6 ] lymphocysts, [ 7 ] intestinal cysts, [ 8 ] cystic teratoma, mesothelioma, [ 9 ] and degenerative neurofibroma. The first reported case of a pregnancy combined with a retroperitoneal cyst was in 1965, and it was considered one of the most unusual clinical manifestations during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Full-term pregnancy with retroperitoneal giant mucinous cyst: A case report and literature review

Wen,

Zhao,

Tang

et al. 2024

Medicine

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Rationale: Retroperitoneal benign cysts during pregnancy are extremely rare and often remain asymptomatic until they attain a very large size. Diagnosis typically relies on a pathological tissue biopsy. The decision to pursue 1-step or 2-step surgical treatment should be tailored to each individual case rather than generalized. Patient concerns: This case report presents the unique scenario of a pregnant woman with a confirmed pregnancy complicated by a large retroperitoneal cyst. The patient had a retroperitoneal cyst during her initial pregnancy, which went undetected during the first cesarean section. However, it was identified during her second pregnancy by which time it had grown to 13.0 cm × 15.0 cm × 25.0 cm, and extended from the liver margin to right ovarian pelvic infundibulopelvic ligament. Consequently, it was removed smoothly during her second cesarean section. Diagnoses: Postoperative pathology results indicated a massive retroperitoneal mucinous cystadenoma. Interventions: The giant retroperitoneal cyst was smoothly excised during the second cesarean delivery for 1-step surgical treatment. Outcomes: Under the combined spinal and epidural anesthesia, a live female infant was delivered at 38 3/7 gestational weeks and the neonatal weight was 3200g. Under general anesthesia with endotracheal intubation, the giant retroperitoneal cyst was excised smoothly without complications. Lessons: The findings of this case report contribute to the understanding of the diagnostic modalities, surgical approaches and postoperative considerations of giant retroperitoneal cysts associated with pregnancy.

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Extraperitoneal laparoscopic resection for retroperitoneal lymphatic cysts: initial experience

Cited by 6 publications

References 16 publications

Retroperitoneal Chyloma: A Case Report and Literature Review

Retroperitoneal Chyloma: A Case Report and Literature Review

Novel presentation of idiopathic benign retroperitoneal cyst: A case report

Full-term pregnancy with retroperitoneal giant mucinous cyst: A case report and literature review

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