Laparoscopic Excision of Mesenteric Cysts

Design and Methods: TF, a 12-year-old male, presented to the surgical outpatient clinic with a 3 month history of abdominal pain and distention. Examination of the abdomen revealed mild tenderness in the epigastric region and an abdominal mass. CT scan of the abdomen and pelvis showed two mesenteric cysts with the largest being 15cm x 10cm x 6 cm. Results: Both cysts originated from the small bowel mesentery and they were resected laparoscopically, placed in an endocatch bag and removed by way of the 12mm umbilical port site. Histologic evaluation of the specimen confirmed cystic lymphangioma. Conclusion: Minimally invasive surgery has been found to be an excellent approach in the surgical management of mesenteric cysts. The operation was executed without complications, an unremarkable recovery, short hospital stay and quick return to normal activity. The laparoscopic approach should always be considered as a feasible option for this patholog