LymphedemaV1, Main, Exploration, bibRecord, 004930

Outcomes of lymphaticovenous side-to-end anastomosis in peripheral lymphedema

Identifieur interne : 004930 ( Main/Exploration ); précédent : 004929; suivant : 004931

Outcomes of lymphaticovenous side-to-end anastomosis in peripheral lymphedema

Auteurs : Jiro Maegawa [Japon] ; Yuichiro Yabuki [Japon] ; Hiroto Tomoeda [Japon] ; Misato Hosono [Japon] ; Kazunori Yasumura [Japon]

Source :

Journal of vascular surgery [ 0741-5214 ] ; 2012.

RBID : Pascal:12-0138309

Descripteurs français

Pascal (Inist)
- Lymphoedème, Pathologie de l'appareil circulatoire, Pronostic, Anastomose, Chirurgie.
Wicri :
- topic : Chirurgie.

English descriptors

KwdEn :
- Anastomosis, Cardiovascular disease, Lymphedema, Prognosis, Surgery.

Abstract

Objective: Lymphaticovenous anastomosis has been used for patients with peripheral lymphedema. However, the efficacy of this procedure is controversial due to a lack of evidence regarding postoperative patency. We sought to determine midterm postoperative patency of lymphaticovenous side-to-end anastomoses (LVSEAs) using indocyanine green fluorescence lymphography. Methods: This was a retrospective observational study set in a teaching hospital. Of 107 patients with chronic lymphedema who underwent 472 LVSEAs, 57 (223 anastomoses) consented to fluorescence lymphography and comprised the study cohort. The intervention consisted of a microsurgical LVSEA performed with a suture-stent method. Patients also had preoperative and postoperative complex decongestive physiotherapy. Anastomosis patency was assessed using indocyanine green fluorescence lymphography ≥6 months after surgery. Patency rates were calculated using Kaplan-Meier analysis. We assessed volume reduction on the operated-on limb and compared this between patients in whom anastomoses were patent and those in whom anastomoses were not obviously patent. Results: Patency could be evaluated only at the dorsum of the foot, ankle, and lower leg because the near-infrared rays emitted by the special camera used could not penetrate the deep subcutaneous layer containing collective lymphatics in areas such as the thigh. Several patterns were observed on fluorescence lymphography: straight, radial, and L-shaped. Cumulative patency rates of LVSEAs were 75% at 12 months and 36% at 24 months after surgery. No significant difference in volume change of the affected limb was seen between the 34 patients with patent anastomosis (600 ± 969 mL) and the 24 patients without obvious evidence of patency (420 ± 874 mL). Conclusions: Although further study is required to determine factors leading to anastomotic obstruction and to optimize the results of microlymphatic surgery, the present LVSEA technique appears promising.

Affiliations:

Japon

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: 000106
to stream PascalFrancis, to step Curation: 000851
to stream PascalFrancis, to step Checkpoint: 000086
to stream Main, to step Merge: 004958
to stream Main, to step Curation: 004930

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Outcomes of lymphaticovenous side-to-end anastomosis in peripheral lymphedema</title>
<author><name sortKey="Maegawa, Jiro" sort="Maegawa, Jiro" uniqKey="Maegawa J" first="Jiro" last="Maegawa">Jiro Maegawa</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</s1>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Yabuki, Yuichiro" sort="Yabuki, Yuichiro" uniqKey="Yabuki Y" first="Yuichiro" last="Yabuki">Yuichiro Yabuki</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</s1>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tomoeda, Hiroto" sort="Tomoeda, Hiroto" uniqKey="Tomoeda H" first="Hiroto" last="Tomoeda">Hiroto Tomoeda</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</s1>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hosono, Misato" sort="Hosono, Misato" uniqKey="Hosono M" first="Misato" last="Hosono">Misato Hosono</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</s1>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Yasumura, Kazunori" sort="Yasumura, Kazunori" uniqKey="Yasumura K" first="Kazunori" last="Yasumura">Kazunori Yasumura</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</s1>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">12-0138309</idno>
<date when="2012">2012</date>
<idno type="stanalyst">PASCAL 12-0138309 INIST</idno>
<idno type="RBID">Pascal:12-0138309</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000106</idno>
<idno type="wicri:Area/PascalFrancis/Curation">000851</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">000086</idno>
<idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000086</idno>
<idno type="wicri:doubleKey">0741-5214:2012:Maegawa J:outcomes:of:lymphaticovenous</idno>
<idno type="wicri:Area/Main/Merge">004958</idno>
<idno type="wicri:Area/Main/Curation">004930</idno>
<idno type="wicri:Area/Main/Exploration">004930</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Outcomes of lymphaticovenous side-to-end anastomosis in peripheral lymphedema</title>
<author><name sortKey="Maegawa, Jiro" sort="Maegawa, Jiro" uniqKey="Maegawa J" first="Jiro" last="Maegawa">Jiro Maegawa</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</s1>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Yabuki, Yuichiro" sort="Yabuki, Yuichiro" uniqKey="Yabuki Y" first="Yuichiro" last="Yabuki">Yuichiro Yabuki</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</s1>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tomoeda, Hiroto" sort="Tomoeda, Hiroto" uniqKey="Tomoeda H" first="Hiroto" last="Tomoeda">Hiroto Tomoeda</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</s1>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Hosono, Misato" sort="Hosono, Misato" uniqKey="Hosono M" first="Misato" last="Hosono">Misato Hosono</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</s1>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Yasumura, Kazunori" sort="Yasumura, Kazunori" uniqKey="Yasumura K" first="Kazunori" last="Yasumura">Kazunori Yasumura</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</s1>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Japon</country>
<wicri:noRegion>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Journal of vascular surgery</title>
<title level="j" type="abbreviated">J. vasc. surg.</title>
<idno type="ISSN">0741-5214</idno>
<imprint><date when="2012">2012</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Journal of vascular surgery</title>
<title level="j" type="abbreviated">J. vasc. surg.</title>
<idno type="ISSN">0741-5214</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Anastomosis</term>
<term>Cardiovascular disease</term>
<term>Lymphedema</term>
<term>Prognosis</term>
<term>Surgery</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term>
<term>Pathologie de l'appareil circulatoire</term>
<term>Pronostic</term>
<term>Anastomose</term>
<term>Chirurgie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Chirurgie</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Objective: Lymphaticovenous anastomosis has been used for patients with peripheral lymphedema. However, the efficacy of this procedure is controversial due to a lack of evidence regarding postoperative patency. We sought to determine<sub> </sub>
 midterm postoperative patency of lymphaticovenous side-to-end anastomoses (LVSEAs) using indocyanine green fluorescence lymphography. Methods: This was a retrospective observational study set in a teaching hospital. Of 107 patients with chronic lymphedema who underwent 472 LVSEAs, 57 (223 anastomoses) consented to fluorescence lymphography and comprised the study cohort. The intervention consisted of a microsurgical LVSEA performed with a suture-stent method. Patients also had preoperative and postoperative complex decongestive physiotherapy. Anastomosis patency was assessed using indocyanine green fluorescence lymphography ≥6 months after surgery. Patency rates were calculated using Kaplan-Meier analysis. We assessed volume reduction on the operated-on limb and compared this between patients in whom anastomoses were patent and those in whom anastomoses were not obviously patent. Results: Patency could be evaluated only at the dorsum of the foot, ankle, and lower leg because the near-infrared rays emitted by the special camera used could not penetrate the deep subcutaneous layer containing collective lymphatics in areas such as the thigh. Several patterns were observed on fluorescence lymphography: straight, radial, and L-shaped. Cumulative patency rates of LVSEAs were 75% at 12 months and 36% at 24 months after surgery. No significant difference in volume change of the affected limb was seen between the 34 patients with patent anastomosis (600 ± 969 mL) and the 24 patients without obvious evidence of patency (420 ± 874 mL). Conclusions: Although further study is required to determine factors leading to anastomotic obstruction and to optimize the results of microlymphatic surgery, the present LVSEA technique appears promising.</div>
</front>
</TEI>
<affiliations><list><country><li>Japon</li>
</country>
</list>
<tree><country name="Japon"><noRegion><name sortKey="Maegawa, Jiro" sort="Maegawa, Jiro" uniqKey="Maegawa J" first="Jiro" last="Maegawa">Jiro Maegawa</name>
</noRegion>
<name sortKey="Hosono, Misato" sort="Hosono, Misato" uniqKey="Hosono M" first="Misato" last="Hosono">Misato Hosono</name>
<name sortKey="Tomoeda, Hiroto" sort="Tomoeda, Hiroto" uniqKey="Tomoeda H" first="Hiroto" last="Tomoeda">Hiroto Tomoeda</name>
<name sortKey="Yabuki, Yuichiro" sort="Yabuki, Yuichiro" uniqKey="Yabuki Y" first="Yuichiro" last="Yabuki">Yuichiro Yabuki</name>
<name sortKey="Yasumura, Kazunori" sort="Yasumura, Kazunori" uniqKey="Yasumura K" first="Kazunori" last="Yasumura">Kazunori Yasumura</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 004930 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 004930 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Sante
   |area=    LymphedemaV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     Pascal:12-0138309
   |texte=   Outcomes of lymphaticovenous side-to-end anastomosis in peripheral lymphedema
}}

This area was generated with Dilib version V0.6.31.
Data generation: Sat Nov 4 17:40:35 2017. Site generation: Tue Feb 13 16:42:16 2024

	Serveur d'exploration sur le lymphœdème
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Serveur d'exploration sur le lymphœdème

Outcomes of lymphaticovenous side-to-end anastomosis in peripheral lymphedema

Outcomes of lymphaticovenous side-to-end anastomosis in peripheral lymphedema

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri