Endoscopic resection for verrucous venous malformation and capillary arteriovenous malformation: a deep approach to superficial lesions.

IF 1.6 4区医学 Q2 SURGERY

Frontiers in Surgery Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI:10.3389/fsurg.2025.1515564

Zhengtuan Guo, Chong Xie, Weilong Lin, Peihua Wang, Weijia Yang, Huaijie Wang

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引用次数: 0

Abstract

Background: Open surgery is the treatment of choice for verrucous venous malformation (VVM) and capillary arteriovenous malformation (CAVM) with overgrowth. The study aimed to report an innovative endoscopic resection technique for subcutaneous vascular malformations with superficial lesions at our center.

Methods: We retrospectively reviewed the medical records of patients who underwent endoscopic resection for VVM or CAVM between September 2019 and July 2024.

Results: The current cohort includes 14 female and 4 male patients, with ages ranging from 1 year to 8 years. Diagnoses included classic VVM (n = 10), VVM-subcutaneous variant (n = 4), and CAVM (n = 4). Endoscopic surgery uses two or more small ports in a gas-inflated manner. Surgery included radical resection, partial resection of the subcutaneous mass, and debulking of adipose overgrowth. Technical success was achieved in all patients. Local skin necrosis (area <1 cm²) occurred in two patients. No recurrence was observed during follow-up.

Conclusion: Endoscopic resection is a minimally invasive, feasible, and safe technique for VVMs in selected CAVM. Better cosmetic results can be expected in patients with superficial lesions using this endoscopic surgical technique.

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内窥镜切除疣状静脉畸形和毛细血管动静脉畸形：一种深入路的浅表病变。

背景：开放性手术是治疗疣状静脉畸形（VVM）和毛细血管动静脉畸形（CAVM）的首选方法。本研究旨在报告一种创新的内镜切除技术在我们中心皮下血管畸形与浅表病变。方法：回顾性分析2019年9月至2024年7月期间接受内窥镜切除VVM或CAVM患者的病历。结果：当前队列包括14名女性和4名男性患者，年龄从1岁到8岁不等。诊断包括经典VVM （n = 10）、VVM皮下变异（n = 4）和CAVM （n = 4）。内窥镜手术以充气的方式使用两个或多个小端口。手术包括根治性切除、部分皮下肿物切除和脂肪过度增生的减积。所有患者均取得了技术上的成功。2例患者发生局部皮肤坏死（2区）。随访期间未见复发。结论：内镜下切除是一种微创、可行、安全的手术方法。使用这种内窥镜手术技术的浅表病变患者可获得更好的美容效果。

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

Frontiers in Surgery Medicine-Surgery

CiteScore

1.90

自引率

11.10%

发文量

1872

审稿时长

12 weeks

期刊介绍： Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.