Short-term Postoperative Complications of Lymphatic Malformation Surgical Excision: A 20-Year Institutional Review

IF 2.4 2区医学 Q1 PEDIATRICS

Journal of pediatric surgery Pub Date : 2025-01-02 DOI:10.1016/j.jpedsurg.2024.162146

Olivia A. Keane , MaKayla L. O'Guinn , Sarah Adams , Erin Delfosse , Sara Kreimer , Jessica Lee , Joseph Miller , Mary Timbang , Gabriel Gomez , Dean Anselmo

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引用次数: 0

Abstract

Objective

To evaluate outcomes and postoperative complications following surgical resection of lymphatic malformations (LMs) at a single multidisciplinary vascular anomalies center.

Methods

A single-center retrospective review of all patients ≤21 years old who underwent surgical resection of a lymphatic malformation at a quaternary referral center with a multidisciplinary vascular anomalies team from 2004 to 2024. Data pertaining to postoperative outcomes and treatments was abstracted.

Results

A total of 109 surgical procedures were included and examined. The most common 30-day postoperative complications included: seroma (18.3 %), superficial surgical site infection (18.3 %), and wound dehiscence (12.8 %), with lower rates of nerve palsy/injury (5.5 %), lymphedema (2.8 %), hematomas (3.7 %), and abscesses (4.6 %). An interventional radiology procedure within 30-days postoperatively was required for management of seroma in 8 patients (7.3 %), while 7 (6.4 %) patients required reoperation. Among patients who underwent attempted complete resection, recurrence of the LM was documented in 32.0 % (16/50). Subjective quality of life improvement was noted in 69.7 %. There was no difference in incidence of postoperative complications reported in patients who underwent preoperative sclerotherapy vs those that did not (p = 0.980).

Conclusion

Seroma and surgical site infection were the most reported short-term postoperative complications followed by wound dehiscence with low rates of other complications in surgical resection of LMs. Few patients required postoperative procedural intervention. Despite a relatively high rate of short-term complications, patients reported high satisfaction and symptom improvement following LM resection, which underscores the important role for surgical management of LMs in select patients.

Level of evidence

III.

Type of study

Cohort study.

查看原文本刊更多论文

淋巴畸形手术切除的短期术后并发症：20年的机构回顾。

目的：评价在单一多学科血管异常中心手术切除淋巴畸形（LMs）的疗效和术后并发症。方法：单中心回顾性分析2004年至2024年在第四转诊中心多学科血管异常小组接受淋巴畸形手术切除的所有≤21岁的患者。有关术后结果和治疗的数据被抽象化。结果：共纳入109例外科手术。术后30天最常见的并发症包括：血肿（18.3%）、手术部位浅表感染（18.3%）和伤口裂开（12.8%），神经麻痹/损伤（5.5%）、淋巴水肿（2.8%）、血肿（3.7%）和脓肿（4.6%）发生率较低。8例（7.3%）患者需要在术后30天内进行介入放射治疗，7例（6.4%）患者需要再次手术。在尝试完全切除的患者中，LM复发率为32.0%（16/50）。主观生活质量改善的占69.7%。术前接受硬化治疗的患者与未接受硬化治疗的患者术后并发症发生率无差异（p = 0.980）。结论：LMs术后短期并发症以血肿和手术部位感染最多，其次为伤口裂开，其他并发症发生率较低。很少患者需要术后手术干预。尽管短期并发症的发生率相对较高，但患者在LM切除术后报告了很高的满意度和症状改善，这强调了在特定患者中LM手术治疗的重要作用。证据水平：III。研究类型：队列研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of pediatric surgery 医学-外科

CiteScore

1.10

自引率

12.50%

发文量

569

审稿时长

38 days

期刊介绍： The journal presents original contributions as well as a complete international abstracts section and other special departments to provide the most current source of information and references in pediatric surgery. The journal is based on the need to improve the surgical care of infants and children, not only through advances in physiology, pathology and surgical techniques, but also by attention to the unique emotional and physical needs of the young patient.