Antegrade and retrograde lymphatico‐venous anastomosis for cancer‐related lymphedema with lymphatic valve dysfuction and lymphatic varix
Antegrade and retrograde lymphatico‐venous anastomosis for cancer‐related lymphedema with lymphatic valve dysfuction and lymphatic varix
复制标题
顺行和逆行淋巴静脉吻合术治疗伴有淋巴瓣功能障碍和淋巴管静脉曲张的癌症相关性淋巴水肿
DOI：
10.1002/micr.22022
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发表时间：
2012
期刊：
影响因子：
2.1
通讯作者：
I. Koshima
中科院分区：
文献类型：
--
作者：
M. Mihara;H. Hara;T. Iida;T. Todokoro;Takumi Yamamoto;M. Narushima;K. Tashiro;N. Murai;I. Koshima
在健康人中，由于收集淋巴管中的瓣膜，不会发生逆行淋巴流。然而，在淋巴结清扫后的继发性水肿中，发生淋巴滞留和淋巴高压，并且瓣膜功能障碍诱导淋巴回流。在该病例报告中，我们重点关注逆行淋巴流，并在顺行LVA的同时进行了逆行股静脉-静脉吻合术（LVA）。一名67岁的日本女性右大腿和臀部水肿加重3年。8年前，她曾因子宫内膜癌接受过广泛子宫切除术和淋巴结清扫术。吲哚菁绿色试验显示顺、逆行淋巴流。在局部麻醉下，在右大腿内侧和右下腹区域进行了4次左心室造影。淋巴水肿在12个月内迅速改善，在LVA后24个月不需要压迫治疗。逆行LVA可能对继发性水肿更有效。© 2012 Wiley Periodicals，Inc.显微外科，2012年。
In healthy people, no retrograde lymph flow occurs because of valves in collecting lymph vessels. However, in secondary lymphedema after lymph node dissection, lymph retention and lymphatic hypertension occurs and valvular dysfunction induces retrograde lymph flow. In this case reported, we focused on retrograde lymph flow and performed retrograde lymphatico‐venous anastomosis (LVA) simultaneously with antegrade LVA. A 67‐year‐old Japanese woman had worsening edema in her right thigh and hip area for 3 years. She had previously undergone extended hysterectomy with lymph node dissection for endometrial cancer 8 years before. Indocyanine green test showed antegrade and retrograde lymph flow. Four LVAs were made in the right medial thigh and right lower abdominal area under local anesthesia. Lymphedema showed rapid improvement within 12 months and compression therapy was not required at 24 months after LVA. Retrograde LVA has a possibility of a more efficacy for secondary lymphedema. © 2012 Wiley Periodicals, Inc. Microsurgery, 2012.