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[Cysts and cyst-like formations of the abdominal cavity and retroperitoneal space in children]

V I Fuchko, I I Bibliuk, N A Martyniuk

    Klinicheskaia Khirurgiia
    |January 1, 1992
    PubMed

    Insights

    Surgical treatment for abdominal and retroperitoneal cysts in children was evaluated. Many presented with advanced cysts, requiring complex surgeries, and a 12.8% postoperative lethality rate was observed.

    Area of Science:

    • Pediatric Surgery
    • Abdominal Imaging
    • Surgical Oncology

    Context:

    • Cysts and cyst-like formations in the abdominal cavity and retroperitoneal space present a significant surgical challenge in pediatric patients.
    • Many cases involve cysts at a terminal stage, often presenting with complications mimicking acute appendicitis or ileus.
    • Surgical intervention is frequently necessary for diagnosis and treatment.

    Purpose:

    • To describe the surgical treatment outcomes for children with abdominal and retroperitoneal cysts.
    • To analyze the surgical approaches and complications associated with these formations in pediatric patients.
    • To report the postoperative lethality rate in this cohort.

    Summary:

    • Surgical treatment was performed on 29 children with cysts and 10 with cyst-like formations in the abdominal cavity and retroperitoneal space.
    • The majority of patients presented with advanced-stage cysts, and surgical interventions included enucleation, resection, organ removal, or cystodigestive anastomosis.
    • Complicated cases were often initially diagnosed as acute appendicitis or ileus.

    Impact:

    • The study highlights the complexities of managing pediatric abdominal and retroperitoneal cysts, particularly when advanced or complicated.
    • Findings underscore the importance of accurate diagnosis and tailored surgical strategies in this patient population.
    • A postoperative lethality rate of 12.8% indicates the significant morbidity associated with these conditions.

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