Supramicrosurgical lymphatico-venular anastomosis (LVA) in treating lymphoedema: 36-months preliminary report.
Supramicrosurgical lymphatico-venular anastomosis (LVA) in treating lymphoedema: 36-months preliminary report.
复制标题
超显微外科淋巴静脉吻合术 (LVA) 治疗淋巴水肿：36 个月初步报告。
DOI：
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发表时间：
2016
影响因子：
3.3
通讯作者：
Claudio Ungari
中科院分区：
文献类型：
--
作者：
P. Gennaro;G. Gabriele;M. Mihara;K. Kikuchi;C. Salini;I. V. Aboh;F. Cascino;G. Chisci;Claudio Ungari
客观化
四肢淋巴水肿是一种广泛的病理情况，主要发生在癌症切除的并发症中，尤其是在妇女中。传统疗法指的是保守的和理疗的方法。手术策略在文献中得到了广泛的报道，但仍然具有挑战性。这篇文献的一部分集中在超显微外科淋巴静脉吻合术(LVA)技术上。LVA具有成功率高、创伤小、适应证广等特点。此外，这种手术可以在局部麻醉下进行。
患者和方法
从2011年10月到2014年10月，69名淋巴水肿患者在意大利锡耶纳大学医院接受了LVA手术。术前、术后均进行评估。
结果
共吻合366例。平均每例吻合5.3次。所有患者的患侧大小均有缩小。平均缩小率为50%。患者还表现出淋巴管炎发作的减少和压缩服装类别的减少。此外，还对满意度指数进行了评估。大多数患者(72.5%)对手术非常满意。
结论
LVA已被证明是一种治疗淋巴水肿的有效手术策略，特别是在早期继发性病例中。虽然LVA在文献中被广泛讨论，但大多数作品涉及日本作家，在日本以外的报道很少。本文是对意大利采用LVA技术的第一次回顾分析，也是日本以外为数不多的几个之一。
OBJECTIVE
Lymphoedema of the extremities is a widespread pathological condition that mostly occurs as a complication of cancer resections, especially in women. Conventional therapy refers to conservative and physiotherapeutic approaches. Surgical strategies have been widely reported in the literature and are still challenging. Part of this literature focuses on the supra microsurgical lymphaticovenular anastomosis (LVA) technique. LVA is characterized by a high success rate, minimal invasivity and broad indications. Furthermore, this procedure can be performed under local anesthesia.
PATIENTS AND METHODS
From October 2011 through October 2014, 69 patients affected by lymphedema underwent LVA surgery in Siena University Hospital, Italy. Preoperative and postoperative evaluations were taken.
RESULTS
Totally, 366 anastomosis have been performed. The average rate was 5.3 anastomosis per patient. All patients registered a decrease in the size of the affected side. The average volume reduction was 50%. Patients also showed a reduction of lymphangitis episodes and reduction of compression garments class. Moreover, a satisfaction index was evaluated. The majority of patients (72.5%) was extremely satisfied of the surgery.
CONCLUSIONS
LVA has demonstrated to be an effective surgical strategy to treat lymphoedema, especially in secondary cases in early stages. Although LVA is widely discussed in the literature, the majority of works relates to Japanese authors and few reports exist outside Japan. This paper represents the very first retrospective analysis of the adoption of LVA technique in Italy and one of the few outside Japan.
影响因子：
5
作者：
Rasmussen, John C.;Tan, I-Chih;Sevick-Muraca, Eva M.
通讯作者：
Sevick-Muraca, Eva M.