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Upper-limb lymphedema treated aesthetically with lymphaticovenous anastomosis using indocyanine green lymphography and noncontact vein visualization.

Identifieur interne : 003D65 ( Main/Exploration ); précédent : 003D64; suivant : 003D66

Upper-limb lymphedema treated aesthetically with lymphaticovenous anastomosis using indocyanine green lymphography and noncontact vein visualization.

Auteurs : Makoto Mihara [Japon] ; Hisako Hara ; Yohei Hayashi ; Takuya Iida ; Jun Araki ; Takumi Yamamoto (chirurgien) [Japon] ; Takeshi Todokoro ; Mitsunaga Narushima ; Noriyuki Murai ; Isao Koshima

Source :

RBID : pubmed:22517571

Descripteurs français

English descriptors

Abstract

We have described a procedure to minimize surgical wounds, in which lymph vessels and skin venules are identified by indocyanine green (ICG) lymphography and the AV300 noncontact visualization system (AccuVein, Cold Spring Harbor, NY), respectively. This approach allows accurate decisions regarding sites of incision for lymphatic venous anastomosis (LVA). This method was applied in a patient with right upper-limb lymphedema after breast cancer therapy. The low-invasive procedure can be used before and during surgery. The incision size is minimal, and the incision site is at the joint area. Thus, we aim to establish this approach as a standard method for identifying lymph vessels and veins that are suitable for LVA. This innovative vascular-imaging machine makes LVA less invasive and more effective without side effects.

DOI: 10.1055/s-0032-1311691
PubMed: 22517571


Affiliations:


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Le document en format XML

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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Anastomosis, Surgical (methods)</term>
<term>Breast Neoplasms (complications)</term>
<term>Coloring Agents</term>
<term>Female</term>
<term>Humans</term>
<term>Indocyanine Green</term>
<term>Infrared Rays</term>
<term>Lasers</term>
<term>Lymphatic Vessels (surgery)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (surgery)</term>
<term>Lymphography (methods)</term>
<term>Middle Aged</term>
<term>Upper Extremity (surgery)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Agents colorants</term>
<term>Anastomose chirurgicale ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lasers</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Lymphographie ()</term>
<term>Membre supérieur ()</term>
<term>Rayons infrarouges</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein ()</term>
<term>Vaisseaux lymphatiques ()</term>
<term>Vert indocyanine</term>
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<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Coloring Agents</term>
<term>Indocyanine Green</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Anastomosis, Surgical</term>
<term>Lymphography</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
<term>Upper Extremity</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Lymphoedème</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Infrared Rays</term>
<term>Lasers</term>
<term>Middle Aged</term>
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<keywords scheme="MESH" xml:lang="fr">
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Agents colorants</term>
<term>Anastomose chirurgicale</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lasers</term>
<term>Lymphoedème</term>
<term>Lymphographie</term>
<term>Membre supérieur</term>
<term>Rayons infrarouges</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Tumeurs du sein</term>
<term>Vaisseaux lymphatiques</term>
<term>Vert indocyanine</term>
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<div type="abstract" xml:lang="en">We have described a procedure to minimize surgical wounds, in which lymph vessels and skin venules are identified by indocyanine green (ICG) lymphography and the AV300 noncontact visualization system (AccuVein, Cold Spring Harbor, NY), respectively. This approach allows accurate decisions regarding sites of incision for lymphatic venous anastomosis (LVA). This method was applied in a patient with right upper-limb lymphedema after breast cancer therapy. The low-invasive procedure can be used before and during surgery. The incision size is minimal, and the incision site is at the joint area. Thus, we aim to establish this approach as a standard method for identifying lymph vessels and veins that are suitable for LVA. This innovative vascular-imaging machine makes LVA less invasive and more effective without side effects.</div>
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<name sortKey="Hara, Hisako" sort="Hara, Hisako" uniqKey="Hara H" first="Hisako" last="Hara">Hisako Hara</name>
<name sortKey="Hayashi, Yohei" sort="Hayashi, Yohei" uniqKey="Hayashi Y" first="Yohei" last="Hayashi">Yohei Hayashi</name>
<name sortKey="Iida, Takuya" sort="Iida, Takuya" uniqKey="Iida T" first="Takuya" last="Iida">Takuya Iida</name>
<name sortKey="Koshima, Isao" sort="Koshima, Isao" uniqKey="Koshima I" first="Isao" last="Koshima">Isao Koshima</name>
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<name sortKey="Narushima, Mitsunaga" sort="Narushima, Mitsunaga" uniqKey="Narushima M" first="Mitsunaga" last="Narushima">Mitsunaga Narushima</name>
<name sortKey="Todokoro, Takeshi" sort="Todokoro, Takeshi" uniqKey="Todokoro T" first="Takeshi" last="Todokoro">Takeshi Todokoro</name>
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<name sortKey="Mihara, Makoto" sort="Mihara, Makoto" uniqKey="Mihara M" first="Makoto" last="Mihara">Makoto Mihara</name>
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<name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto (chirurgien)</name>
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