Lower limb lymphedema treated with lymphatico‐venous anastomosis based on pre‐ and intraoperative icg lymphography and non‐contact vein visualization: A case report
Identifieur interne : 004747 ( Main/Exploration ); précédent : 004746; suivant : 004748Lower limb lymphedema treated with lymphatico‐venous anastomosis based on pre‐ and intraoperative icg lymphography and non‐contact vein visualization: A case report
Auteurs : Makoto Mihara [Japon] ; Hisako Hara [Japon] ; Mitsunaga Narushima [Japon] ; Yohei Hayashi [Japon] ; Takumi Yamamoto (chirurgien) [Japon] ; Azusa Oshima [Japon] ; Kazuki Kikuchi [Japon] ; Noriyuki Murai ; Isao Koshima [Japon]Source :
- Microsurgery [ 0738-1085 ] ; 2012-03.
Descripteurs français
- KwdFr :
- MESH :
- imagerie diagnostique : Lymphoedème, Vaisseaux lymphatiques.
- Adulte d'âge moyen, Agents colorants, Anastomose chirurgicale, Femelle, Humains, Jambe, Lymphoedème, Lymphographie, Vaisseaux lymphatiques, Veines, Vert indocyanine.
English descriptors
- KwdEn :
- MESH :
- chemical : Coloring Agents, Indocyanine Green.
- diagnostic imaging : Lymphatic Vessels, Lymphedema.
- surgery : Lymphatic Vessels, Lymphedema, Veins.
- Anastomosis, Surgical, Female, Humans, Leg, Lymphography, Middle Aged.
Abstract
Lymphatico‐venous anastomosis (LVA) is used to resolve lymph retention in lymphedema. However, the postoperative outcome of lower limb lymphedema is poorer than that for upper limb lymphedema, because of the location lower than the heart level. Improvement of the therapeutic outcome requires application of as many anastomoses as possible in a limited operation time, particularly since there is a positive correlation between the number of anastomoses and the therapeutic effect of LVA. In this case, we described a method to increase the efficiency of lymphatico‐venous anastomosis for bilateral severe lower limb lymphedema through efficient identification of lymph vessels and veins suitable for anastomosis using indocyanine green (ICG) contrast imaging and AccuVein, a noncontact vein visualization system, respectively. Ten LVAs were succeeded at seven incisions, and the operation time was 3 hours and 5 minutes. Accuvein can be used for identification of subcutaneous venules with a diameter of about 0.5–1.0 mm. We used this approach in surgery for a case of bilateral lower limb lymphedema, with a resultant improvement in the surgical outcome. © 2012 Wiley Periodicals, Inc. Microsurgery, 2012.
Url:
DOI: 10.1002/micr.20977
Affiliations:
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Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2012-03">2012-03</date></imprint><idno type="ISSN">0738-1085</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0738-1085</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anastomosis, Surgical</term><term>Coloring Agents</term><term>Female</term><term>Humans</term><term>Indocyanine Green</term><term>Leg</term><term>Lymphatic Vessels (diagnostic imaging)</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (surgery)</term><term>Lymphography</term><term>Middle Aged</term><term>Veins (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Agents colorants</term><term>Anastomose chirurgicale</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphoedème ()</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphographie</term><term>Vaisseaux lymphatiques ()</term><term>Vaisseaux lymphatiques (imagerie diagnostique)</term><term>Veines ()</term><term>Vert indocyanine</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Coloring Agents</term><term>Indocyanine Green</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphatic Vessels</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphatic Vessels</term><term>Lymphedema</term><term>Veins</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Anastomosis, Surgical</term><term>Female</term><term>Humans</term><term>Leg</term><term>Lymphography</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Agents colorants</term><term>Anastomose chirurgicale</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphoedème</term><term>Lymphographie</term><term>Vaisseaux lymphatiques</term><term>Veines</term><term>Vert indocyanine</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Lymphatico‐venous anastomosis (LVA) is used to resolve lymph retention in lymphedema. However, the postoperative outcome of lower limb lymphedema is poorer than that for upper limb lymphedema, because of the location lower than the heart level. Improvement of the therapeutic outcome requires application of as many anastomoses as possible in a limited operation time, particularly since there is a positive correlation between the number of anastomoses and the therapeutic effect of LVA. In this case, we described a method to increase the efficiency of lymphatico‐venous anastomosis for bilateral severe lower limb lymphedema through efficient identification of lymph vessels and veins suitable for anastomosis using indocyanine green (ICG) contrast imaging and AccuVein, a noncontact vein visualization system, respectively. Ten LVAs were succeeded at seven incisions, and the operation time was 3 hours and 5 minutes. Accuvein can be used for identification of subcutaneous venules with a diameter of about 0.5–1.0 mm. We used this approach in surgery for a case of bilateral lower limb lymphedema, with a resultant improvement in the surgical outcome. © 2012 Wiley Periodicals, Inc. Microsurgery, 2012.</div></front></TEI><affiliations><list><country><li>Japon</li></country><region><li>Région de Kantō</li></region><settlement><li>Tokyo</li></settlement><orgName><li>Université de Tokyo</li></orgName></list><tree><noCountry><name sortKey="Murai, Noriyuki" sort="Murai, Noriyuki" uniqKey="Murai N" first="Noriyuki" last="Murai">Noriyuki Murai</name></noCountry><country name="Japon"><region name="Région de Kantō"><name sortKey="Mihara, Makoto" sort="Mihara, Makoto" uniqKey="Mihara M" first="Makoto" last="Mihara">Makoto Mihara</name></region><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="Kikuchi, Kazuki" sort="Kikuchi, Kazuki" uniqKey="Kikuchi K" first="Kazuki" last="Kikuchi">Kazuki Kikuchi</name><name sortKey="Koshima, Isao" sort="Koshima, Isao" uniqKey="Koshima I" first="Isao" last="Koshima">Isao Koshima</name><name sortKey="Mihara, Makoto" sort="Mihara, Makoto" uniqKey="Mihara M" first="Makoto" last="Mihara">Makoto Mihara</name><name sortKey="Narushima, Mitsunaga" sort="Narushima, Mitsunaga" uniqKey="Narushima M" first="Mitsunaga" last="Narushima">Mitsunaga Narushima</name><name sortKey="Oshima, Azusa" sort="Oshima, Azusa" uniqKey="Oshima A" first="Azusa" last="Oshima">Azusa Oshima</name><name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto (chirurgien)</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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