Complete reduction of lymphoedema of the arm by liposuction after breast cancer
Complete reduction of lymphoedema of the arm by liposuction after breast cancer
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DOI：
10.3109/02844319709085480
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发表时间：
1997-06-01
影响因子：
--
通讯作者：
Svensson, H
中科院分区：
文献类型：
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作者：
Brorson, H;Svensson, H
乳房切除术后手臂淋巴水肿的发生率在8%到38%之间，从功能和社会方面来看，这是一个值得注意的问题。保守和以前的手术方案并没有完全成功。根据这些经验，吸脂术显然构成了一种有趣的新手术方法，它可能能够对淋巴水肿患者产生可预测和可靠的改善。对28例乳腺癌术后手臂淋巴水肿患者进行吸脂治疗。术后立即用加压衣进行肢体加压。所有患者在乳腺癌术后均接受了放射治疗。平均术前水肿体积为1845 ml（范围570-3915），平均抽吸体积为2250 ml（范围1000-3850）;抽吸体积与术前水肿体积呈线性相关。无严重手术并发症，但有8例患者需要输血，其抽吸量超过2000 ml。12个月后（n = 24），发现水肿体积平均减少106%，水肿量约为2500 ml的患者有望恢复正常。虽然在更严重的情况下水肿不能完全消除，但从功能和美容方面来看，大幅减少是有益的。我们的结论是，吸脂术是安全和有效的，以减少淋巴水肿的手臂手术后，乳腺癌。在一个阶段的过程中，水肿和肥大的脂肪组织可以被删除，具有良好的临床效果。
The incidence of lymphoedema of the arm after mastectomy ranges between 8% and 38%, and it is an appreciable problem from both functional and social aspects. Conservative and previous surgical regimens have not been completely successful. In the light of these experiences, liposuction clearly constitutes an interesting new surgical approach, which is potentially capable of effecting predictable and reliable improvements in patients with lymphoedema. Twenty eight women with lymphoedema of the arm after breast cancer were consecutively treated by liposuction. Limb compression with a compression garment was instituted immediately after operation. All patients had been given radiotherapy after the operation for breast cancer. Mean preoperative volume of oedema was 1845 ml (range 570-3915), and mean volume of aspirate was 2250 ml (range 1000-3850); volume of aspirate correlated linearly with the volume of preoperative oedema. There were no major surgical complications, but blood transfusion was necessary in eight patients whose volume of aspirate exceeded 2000 ml. After 12 months (n = 24), an average reduction in volume of oedema of 106% was found. Such a normalisation can be expected in patients with oedema that amounts to about 2500 ml. Although the oedema cannot be completely removed in more severe cases, substantial reduction is beneficial from both functional and cosmetic aspects. We conclude that liposuction is safe and effective for reducing lymphoedema of the arm after operations for breast cancer. In a one-stage procedure, oedematous and hypertrophic fat tissue can be removed with an excellent clinical outcome.