Microlymphatic Surgery for the Treatment of latrogenic Lymphedema
Microlymphatic Surgery for the Treatment of latrogenic Lymphedema
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DOI：
10.1016/j.cps.2012.08.002
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发表时间：
2012-10-01
影响因子：
2.3
通讯作者：
Riquet, Marc
中科院分区：
文献类型：
--
作者：
Becker, Corinne;Vasile, Julie V.;Riquet, Marc
淋巴水肿是癌症治疗后发生的一种慢性进行性病症。自体淋巴结移植，或显微外科血管化淋巴结转移 (ALNT)，是一种手术治疗选择，将产生血管化血管内皮生长因子-C 的组织带入手术区域，以促进淋巴管生成，并桥接远端阻塞的淋巴系统与近端淋巴系统。使用 3 个供体淋巴结皮瓣（腹股沟、胸部、颈部）描述了上肢和下肢 ALNT 的手术技术。描述了 ALNT 与腹部皮瓣和非腹部皮瓣组合的手术技术。影像显示 ALNT 后淋巴引流恢复。
Lymphedema is a chronic and progressive condition that occurs after cancer treatment. Autologous lymph node transplant, or microsurgical vascularized lymph node transfer (ALNT), is a surgical treatment option that brings vascularized vascular endothelial growth factor-C producing tissue into the operated field to promote lymphangiogenesis and bridge the distal obstructed lymphatic system with the proximal lymphatic system. Operative techniques for upper- and lower-extremity ALNT are described with 3 donor lymph node flaps (inguinal, thoracic, cervical). Surgical technique is described for the combination of ALNT with abdominal flaps and nonabdominal flaps. Imaging showing restoration of lymphatic drainage after ALNT is shown.