지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 46 - 56 (11page)
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초록· 키워드
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Background When performing lymphovenous anastomosis, it is sometimes difficult to find venules in the proximity of an ideal lymphatic vessel that have a similar diameter to that of the lymphatic vessel. In this situation, larger venules can be used. Methods The authors evaluated the efficacy of and patient satisfaction with lymphovenous bypass with sleeve-in anastomosis. Between January 2014 and December 2016, we performed this procedure in 18 patients (eight upper extremities and 10 lower extremities) with secondary lymphedema. Lymphovenous bypass with sleeve-in anastomosis was performed under microscopy after injecting indocyanine green dye. The circumferential diameter was measured before lymphovenous bypass and at 1, 2, and 6 months after the procedure. An outcomes survey that included patients' qualitative satisfaction with lymphovenous bypass was conducted at 6 months postoperatively. Results Almost all patients showed quantitative improvements after surgery. The circumferential reduction rate in patients with stage II lymphedema of both the upper and lower extremities was significantly greater than in their counterparts with stage III/IV lymphedema. The circumferential reduction rate was lower in lower-extremity patients than in upper-extremity patients. Conclusions Lymphovenous bypass surgery with sleeve-in anastomosis in lymphedema patients is beneficial, and appears to be effective, when adequately-sized venules cannot be found in the proximity of an ideal lymphatic vessel.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Campisi C / 1999 / Lymphoedema : modern diagnostic and therapeutic aspects / Int Angiol 18:14~24
Sakorafas GH / 2006 / Lymphedema following axillary lymph node dissection for breast cancer / Surg Oncol 15:153~165
O’Brien BM / 1977 / Microlymphatic surgery / Orthop Clin North Am 8:405~424
Koshima I / 1998 / Paraumbilical perforator flap without deep inferior epigastric vessels / Plast Reconstr Surg 102:1052~1057
Lasso JM / 2013 / Practical solutions for lymphaticovenous anastomosis / J Reconstr Microsurg 29:1~4
Sakorafas GH / 2006 / Lymphedema following axillary lymph node dissection for breast cancer / Surg Oncol 15:153~165
O’Brien BM / 1977 / Microlymphatic surgery / Orthop Clin North Am 8:405~424
Koshima I / 1998 / Paraumbilical perforator flap without deep inferior epigastric vessels / Plast Reconstr Surg 102:1052~1057
Lasso JM / 2013 / Practical solutions for lymphaticovenous anastomosis / J Reconstr Microsurg 29:1~4
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