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Mesenteric and retroperitoneal cysts.

R J Kurtz, T M Heimann, J Holt

    Annals of Surgery
    |January 1, 1986
    PubMed
    Summary
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    Mesenteric and retroperitoneal cysts are rare intra-abdominal tumors. Analysis of 162 cases reveals distinct trends in pediatric patients and highlights challenges in treating retroperitoneal cysts, impacting recurrence rates.

    Area of Science:

    • Abdominal Surgery
    • Pediatric Surgery
    • Surgical Oncology

    Background:

    • Mesenteric and retroperitoneal cysts are uncommon intra-abdominal neoplasms.
    • Distinguishing between these cyst types is crucial for effective treatment.
    • Previous literature lacks comprehensive analysis of trends and outcomes.

    Purpose of the Study:

    • To analyze trends in mesenteric and retroperitoneal cysts.
    • To compare pediatric cases with adult cases.
    • To evaluate treatment outcomes and recurrence patterns.

    Main Methods:

    • Retrospective analysis of 162 reported cases (10 new, 152 literature).
    • Comparison of patient demographics, symptom duration, operative urgency, recurrence, and cyst location.
    • Statistical analysis to identify significant differences between age groups and cyst locations.

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    Main Results:

    • Pediatric patients (<10 years) presented with shorter symptom duration, higher emergency operation rates, and fewer recurrences.
    • Retroperitoneal cysts were associated with incomplete excision, higher recurrence rates, and more frequent marsupialization.
    • Mesenteric and retroperitoneal cysts exhibit distinct clinical behaviors and outcomes.

    Conclusions:

    • Mesenteric and retroperitoneal cysts represent distinct entities despite similar clinical presentations.
    • Surgical outcomes for retroperitoneal cysts are less favorable, necessitating tailored management strategies.
    • Further research into optimal surgical techniques for retroperitoneal cysts is warranted.