Endoscopic Resection for Vascular Anomalies in Children: A New Standard.
Endoscopic Resection for Vascular Anomalies in Children: A New Standard.
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DOI：
10.1097/sla.0000000000005832
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发表时间：
2023-10-01
影响因子：
9
通讯作者：
中科院分区：
文献类型：
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报告我们中心针对皮下血管畸形和肌内纤维脂肪血管异常（FAVA）的创新内窥镜手术。从历史上看，开放手术切除一直是首选的治疗方法。微创手术的最新进展导致内镜切除技术成功应用于软组织疾病的外科治疗。接受内窥镜血管异常切除术的患者纳入本次回顾性评价。数据是从 2019 年 9 月至 2022 年 10 月期间从我们的血管异常中心数据库中提取的，包括性别、年龄、症状、诊断、手术部位、既往治疗、手术和随访。目前的研究中有13名女性和15名男性，年龄从1岁到17岁不等。诊断包括微囊性淋巴管畸形 (LM) (n = 8)、Klippel-Trénaunay 综合征 (n = 7)、静脉畸形 (n = 6)、FAVA (n = 6) 和混合囊性 LM (n = 1)。手术部位包括下肢（n = 24）、腹壁（n = 2）、上肢（n = 1）和胸壁（n = 1）。五名患者有肌内病变（FAVA）。内窥镜技术使用2或3个小端口以充气方式。手术包括血栓切除术、根治性切除术和血管异常减灭术。 6 例微囊性 LM 患者通过引流管进行术后博来霉素硬化治疗。 27 名患者取得了技术成功。由于病变位置较深，一名患者转为开腹手术。没有观察到与伤口相关的并发症。内镜手术是治疗皮下血管畸形和肌内FAVA的一种微创、有效、安全的治疗方法。这种方法可以设定一个新标准，最大限度地减少伤口并发症并缩短接受良性软组织病变切除术的患者的恢复时间。
To report an innovative endoscopic surgery for subcutaneous vascular malformations and intramuscular fibro-adipose vascular anomaly (FAVA) at our center. Historically, open surgical resection has been the treatment of choice. Recent advances in minimally invasive surgery have led to the successful application of endoscopic resection techniques for the surgical management of diseases of soft tissue. Patients who underwent endoscopic resection of vascular anomalies were included in this retrospective review. Data were extracted from our Vascular Anomalies Center database between September 2019 and October 2022, including sex, age, symptoms, diagnosis, sites of surgery, previous treatment, surgery, and follow-up. There were 13 females and 15 males in the current study, with ages ranging from 1 to 17 years. The diagnoses included microcystic lymphatic malformation (LM) (n = 8), Klippel-Trénaunay syndrome (n = 7), venous malformation (n = 6), FAVA (n = 6), and mixed cystic LM (n = 1). Surgical sites included the lower extremity (n = 24), abdominal wall (n = 2), upper extremity (n = 1), and thoracic wall (n = 1). Five patients had an intramuscular lesion (FAVA). The endoscopic technique used 2 or 3 small ports in a gas inflation manner. Surgery included thrombectomy, radical resection, and debulking of vascular anomalies. Postoperative sclerotherapy with bleomycin was performed through a drainage tube in 6 patients with microcystic LM. Technical success was obtained in 27 patients. The conversion to open surgery was performed in one patient owing to the deep location of the lesion. No wound-related complication was observed. Endoscopic surgery is a minimally invasive, effective, and safe treatment for subcutaneous vascular malformations and intramuscular FAVA. This approach can set a new standard that minimizes wound complications and reduces recovery time in patients undergoing resection for benign soft-tissue lesions.
影响因子：
4.2
作者：
Wang, Baiye;Ou, Caifeng;Yu, Jingang;Ye, Jianping;Luo, Yunfeng;Wang, Yu;Zhang, Pusheng
通讯作者：
Zhang, Pusheng