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Updated: May 27, 2026

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
[Diagnosis and surgical treatment for mediastinal hemangioma and lymphangioma]
Tao Zhang1, Nai-kang Zhou, Xiang-yang Chu
1Department of Thoracic Surgery, General Hospital of PLA, Beijing 100853, China. thoracic_zt@yahoo.com.cn
Insights
Primary mediastinal hemangioma and lymphangioma require prompt surgical intervention. Radical excision is crucial for preventing recurrence of these rare mediastinal tumors.
Area of Science:
- Thoracic Surgery
- Vascular Tumors
- Mediastinal Pathology
Context:
- Primary mediastinal hemangioma and lymphangioma are rare tumors.
- Diagnosis and surgical treatment present unique challenges.
Purpose:
- To review the diagnostic and surgical treatment experience for primary mediastinal hemangioma and lymphangioma.
- To analyze clinical data from patients treated between 1998 and 2009.
Summary:
- Eleven patients with mediastinal hemangioma or lymphangioma underwent surgical treatment.
- Most patients lacked accurate preoperative diagnosis; radical excision was achieved in 10 cases.
- Histopathological examination confirmed diagnoses: hemangioma (n=5), lymphangioma (n=3), and hematolymphangioma (n=3).
Impact:
- Highlights the importance of surgical intervention for mediastinal hemangioma and lymphangioma.
- Emphasizes radical excision to minimize postoperative recurrence.
- Informs clinical practice regarding the management of these rare mediastinal neoplasms.
Objective:
To review the experience of diagnosis and surgical treatment of the primary mediastinal hemangioma and lymphangioma.
Methods:
We summarized the medical records of patients with primary mediastinal hemangioma or lymphangioma at our hospital from January 1998 to January 2009, then extracted relevant clinical data and carried out the retrospective analysis.
Results:
There were 11 patients in the whole group. The age range was 4 - 78 years old (average: 38.9). Six patients were symptom-free and most patients had not an accurate preoperative diagnosis. All patients underwent surgical procedures. The radical excision was accomplished in 10 cases and incomplete excision in 1 case. Two cases of surgically related complications were observed. All the cases were diagnosed by postoperative histopathological examination. There were hemangioma (n = 5), lymphangioma (n = 3) and hematolymphangioma (n = 3).
Conclusions:
The operation should be performed once the diagnosis of hemangioma or lymphangioma is made. Radical excision should be performed to prevent a post-operative recurrence.
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