Antegrade and retrograde lymphatico‐venous anastomosis for cancer‐related lymphedema with lymphatic valve dysfuction and lymphatic varix
Identifieur interne : 004853 ( Main/Exploration ); précédent : 004852; suivant : 004854Antegrade and retrograde lymphatico‐venous anastomosis for cancer‐related lymphedema with lymphatic valve dysfuction and lymphatic varix
Auteurs : Makoto Mihara [Japon] ; Hisako Hara [Japon] ; Takuya Iida [Japon] ; Takeshi Todokoro [Japon] ; Takumi Yamamoto (chirurgien) [Japon] ; Mitsunaga Narushima [Japon] ; Kensuke Tashiro [Japon] ; Noriyuki Murai [Japon] ; Isao Koshima [Japon]Source :
- Microsurgery [ 0738-1085 ] ; 2012-10.
Descripteurs français
- KwdFr :
- Anastomose chirurgicale, Complications postopératoires (), Complications postopératoires (physiopathologie), Femelle, Humains, Lymphadénectomie, Lymphoedème (), Lymphoedème (physiopathologie), Lymphoedème (étiologie), Sujet âgé, Tumeurs de l'endomètre (), Vaisseaux lymphatiques (), Vaisseaux lymphatiques (physiopathologie), Veines ().
- MESH :
- physiopathologie : Complications postopératoires, Lymphoedème, Vaisseaux lymphatiques.
- étiologie : Lymphoedème.
- Anastomose chirurgicale, Complications postopératoires, Femelle, Humains, Lymphadénectomie, Lymphoedème, Sujet âgé, Tumeurs de l'endomètre, Vaisseaux lymphatiques, Veines.
English descriptors
- KwdEn :
- Aged, Anastomosis, Surgical, Endometrial Neoplasms (surgery), Female, Humans, Lymph Node Excision, Lymphatic Vessels (physiopathology), Lymphatic Vessels (surgery), Lymphedema (etiology), Lymphedema (physiopathology), Lymphedema (surgery), Postoperative Complications (physiopathology), Postoperative Complications (surgery), Veins (surgery).
- MESH :
- etiology : Lymphedema.
- physiopathology : Lymphatic Vessels, Lymphedema, Postoperative Complications.
- surgery : Endometrial Neoplasms, Lymphatic Vessels, Lymphedema, Postoperative Complications, Veins.
- Aged, Anastomosis, Surgical, Female, Humans, Lymph Node Excision.
Abstract
In healthy people, no retrograde lymph flow occurs because of valves in collecting lymph vessels. However, in secondary lymphedema after lymph node dissection, lymph retention and lymphatic hypertension occurs and valvular dysfunction induces retrograde lymph flow. In this case reported, we focused on retrograde lymph flow and performed retrograde lymphatico‐venous anastomosis (LVA) simultaneously with antegrade LVA. A 67‐year‐old Japanese woman had worsening edema in her right thigh and hip area for 3 years. She had previously undergone extended hysterectomy with lymph node dissection for endometrial cancer 8 years before. Indocyanine green test showed antegrade and retrograde lymph flow. Four LVAs were made in the right medial thigh and right lower abdominal area under local anesthesia. Lymphedema showed rapid improvement within 12 months and compression therapy was not required at 24 months after LVA. Retrograde LVA has a possibility of a more efficacy for secondary lymphedema. © 2012 Wiley Periodicals, Inc. Microsurgery, 2012.
Url:
DOI: 10.1002/micr.22022
Affiliations:
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xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic Surgery and Reconstructive Surgery, The University of Tokyo, Bunkyo‐ku, Tokyo 113‐8655</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement><region type="région">Région de Kantō</region><settlement type="city">Tokyo</settlement></placeName><orgName type="university">Université de Tokyo</orgName></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Microsurgery</title><title level="j" type="alt">MICROSURGERY</title><idno type="ISSN">0738-1085</idno><idno type="eISSN">1098-2752</idno><imprint><biblScope unit="vol">32</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="580">580</biblScope><biblScope unit="page" to="584">584</biblScope><biblScope unit="page-count">5</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2012-10">2012-10</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>Aged</term><term>Anastomosis, Surgical</term><term>Endometrial Neoplasms (surgery)</term><term>Female</term><term>Humans</term><term>Lymph Node Excision</term><term>Lymphatic Vessels (physiopathology)</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (etiology)</term><term>Lymphedema (physiopathology)</term><term>Lymphedema (surgery)</term><term>Postoperative Complications (physiopathology)</term><term>Postoperative Complications (surgery)</term><term>Veins (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Anastomose chirurgicale</term><term>Complications postopératoires ()</term><term>Complications postopératoires (physiopathologie)</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Lymphoedème ()</term><term>Lymphoedème (physiopathologie)</term><term>Lymphoedème (étiologie)</term><term>Sujet âgé</term><term>Tumeurs de l'endomètre ()</term><term>Vaisseaux lymphatiques ()</term><term>Vaisseaux lymphatiques (physiopathologie)</term><term>Veines ()</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Complications postopératoires</term><term>Lymphoedème</term><term>Vaisseaux lymphatiques</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphatic Vessels</term><term>Lymphedema</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Endometrial Neoplasms</term><term>Lymphatic Vessels</term><term>Lymphedema</term><term>Postoperative Complications</term><term>Veins</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Anastomosis, Surgical</term><term>Female</term><term>Humans</term><term>Lymph Node Excision</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Anastomose chirurgicale</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Lymphadénectomie</term><term>Lymphoedème</term><term>Sujet âgé</term><term>Tumeurs de l'endomètre</term><term>Vaisseaux lymphatiques</term><term>Veines</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In healthy people, no retrograde lymph flow occurs because of valves in collecting lymph vessels. However, in secondary lymphedema after lymph node dissection, lymph retention and lymphatic hypertension occurs and valvular dysfunction induces retrograde lymph flow. In this case reported, we focused on retrograde lymph flow and performed retrograde lymphatico‐venous anastomosis (LVA) simultaneously with antegrade LVA. A 67‐year‐old Japanese woman had worsening edema in her right thigh and hip area for 3 years. She had previously undergone extended hysterectomy with lymph node dissection for endometrial cancer 8 years before. Indocyanine green test showed antegrade and retrograde lymph flow. Four LVAs were made in the right medial thigh and right lower abdominal area under local anesthesia. Lymphedema showed rapid improvement within 12 months and compression therapy was not required at 24 months after LVA. Retrograde LVA has a possibility of a more efficacy for secondary lymphedema. © 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><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="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><name sortKey="Mihara, Makoto" sort="Mihara, Makoto" uniqKey="Mihara M" first="Makoto" last="Mihara">Makoto Mihara</name><name sortKey="Murai, Noriyuki" sort="Murai, Noriyuki" uniqKey="Murai N" first="Noriyuki" last="Murai">Noriyuki Murai</name><name sortKey="Narushima, Mitsunaga" sort="Narushima, Mitsunaga" uniqKey="Narushima M" first="Mitsunaga" last="Narushima">Mitsunaga Narushima</name><name sortKey="Tashiro, Kensuke" sort="Tashiro, Kensuke" uniqKey="Tashiro K" first="Kensuke" last="Tashiro">Kensuke Tashiro</name><name sortKey="Todokoro, Takeshi" sort="Todokoro, Takeshi" uniqKey="Todokoro T" first="Takeshi" last="Todokoro">Takeshi Todokoro</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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