Microsurgical Lymphaticovenous Implantation Targeting Dermal Lymphatic Backflow Using Indocyanine Green Fluorescence Lymphography in the Treatment of Postmastectomy Lymphedema
Identifieur interne : 005439 ( Main/Exploration ); précédent : 005438; suivant : 005440Microsurgical Lymphaticovenous Implantation Targeting Dermal Lymphatic Backflow Using Indocyanine Green Fluorescence Lymphography in the Treatment of Postmastectomy Lymphedema
Auteurs : Hiroshi Furukawa [Japon] ; Masayuki Osawa [Japon] ; Akira Saito [Japon] ; Toshihiko Hayashi [Japon] ; Emi Funayama [Japon] ; Akihiko Oyama [Japon] ; Mitsuru Sekido [Japon] ; Yuhei Yamamoto [Japon]Source :
- Plastic and reconstructive surgery : (1963) [ 0032-1052 ] ; 2011.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Chirurgie.
English descriptors
- KwdEn :
Abstract
Background: Microsurgical lymphaticovenous implantation in lymphedema is done to create a lymphaticovenous shunt by an implantation of collecting lymphatics into the small vein, as reported previously. The authors have recently introduced ultrasonograpy and indocyanine green fluorescence lymphography into this procedure. Methods: Nine cases of postmastectomy lymphedema had received preoperative venous marking using ultrasonography and lymphatic mapping using indocyanine green fluorescence lymphography. The concept of modification is to pick up the most effective point for microsurgical lymphaticovenous implantation that involves both subcutaneous veins and the dermal backflow of excess lymphatics. Objective improvement was analyzed by the percent reduction of edema circumference at two points of the affected forearm. Results: Preoperative lymphography showed a spotty image for dermal backflow in all nine extremities, a linear image on the dorsal hand in six extremities, and a linear image on the forearm in three extremities. With an average follow-up of 17 months, three patients had excellent results with the reduction of edema circumference more than 50 percent for both the distal and proximal sites of the treated forearm. Four patients had good results with the reduction of edema circumference more than 50 percent at the distal or proximal sites, two patients had fair results, and no patients had poor results. The average number of modified microsurgical lymphaticovenous implantations was 3.7 per case. Conclusion: Modified microsurgical lymphaticovenous implantation is expected to provide favorable results with a minimum number of these modified implantations, even though no linear lymph channel was detected by preoperative indocyanine green fluorescence lymphography.
Affiliations:
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aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</wicri:noRegion></affiliation></author><author><name sortKey="Sekido, Mitsuru" sort="Sekido, Mitsuru" uniqKey="Sekido M" first="Mitsuru" last="Sekido">Mitsuru Sekido</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</s1><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</wicri:noRegion></affiliation></author><author><name sortKey="Yamamoto, Yuhei" sort="Yamamoto, Yuhei" uniqKey="Yamamoto Y" first="Yuhei" last="Yamamoto">Yuhei Yamamoto</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</s1><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">11-0213108</idno><date when="2011">2011</date><idno type="stanalyst">PASCAL 11-0213108 INIST</idno><idno type="RBID">Pascal:11-0213108</idno><idno type="wicri:Area/PascalFrancis/Corpus">000185</idno><idno type="wicri:Area/PascalFrancis/Curation">000773</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000159</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000159</idno><idno type="wicri:doubleKey">0032-1052:2011:Furukawa H:microsurgical:lymphaticovenous:implantation</idno><idno type="wicri:Area/Main/Merge">005481</idno><idno type="wicri:Area/Main/Curation">005439</idno><idno type="wicri:Area/Main/Exploration">005439</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Microsurgical Lymphaticovenous Implantation Targeting Dermal Lymphatic Backflow Using Indocyanine Green Fluorescence Lymphography in the Treatment of Postmastectomy Lymphedema</title><author><name sortKey="Furukawa, Hiroshi" sort="Furukawa, Hiroshi" uniqKey="Furukawa H" first="Hiroshi" last="Furukawa">Hiroshi Furukawa</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</s1><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</wicri:noRegion></affiliation></author><author><name sortKey="Osawa, Masayuki" sort="Osawa, Masayuki" uniqKey="Osawa M" first="Masayuki" last="Osawa">Masayuki Osawa</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</s1><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</wicri:noRegion></affiliation></author><author><name sortKey="Saito, Akira" sort="Saito, Akira" uniqKey="Saito A" first="Akira" last="Saito">Akira Saito</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</s1><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</wicri:noRegion></affiliation></author><author><name sortKey="Hayashi, Toshihiko" sort="Hayashi, Toshihiko" uniqKey="Hayashi T" first="Toshihiko" last="Hayashi">Toshihiko Hayashi</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</s1><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</wicri:noRegion></affiliation></author><author><name sortKey="Funayama, Emi" sort="Funayama, Emi" uniqKey="Funayama E" first="Emi" last="Funayama">Emi Funayama</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</s1><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</wicri:noRegion></affiliation></author><author><name sortKey="Oyama, Akihiko" sort="Oyama, Akihiko" uniqKey="Oyama A" first="Akihiko" last="Oyama">Akihiko Oyama</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</s1><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</wicri:noRegion></affiliation></author><author><name sortKey="Sekido, Mitsuru" sort="Sekido, Mitsuru" uniqKey="Sekido M" first="Mitsuru" last="Sekido">Mitsuru Sekido</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</s1><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</wicri:noRegion></affiliation></author><author><name sortKey="Yamamoto, Yuhei" sort="Yamamoto, Yuhei" uniqKey="Yamamoto Y" first="Yuhei" last="Yamamoto">Yuhei Yamamoto</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</s1><s3>JPN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Japon</country><wicri:noRegion>Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Hokkaido at Sapporo.</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Plastic and reconstructive surgery : (1963)</title><title level="j" type="abbreviated">Plast. reconstr. surg. : (1963)</title><idno type="ISSN">0032-1052</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Plastic and reconstructive surgery : (1963)</title><title level="j" type="abbreviated">Plast. reconstr. surg. : (1963)</title><idno type="ISSN">0032-1052</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Derm</term><term>Fluorescence</term><term>Implantation</term><term>Indocyanine green</term><term>Lymph node</term><term>Lymphatic</term><term>Lymphatic system</term><term>Lymphedema</term><term>Lymphography</term><term>Microsurgery</term><term>Surgery</term><term>Targeting</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term><term>Microchirurgie</term><term>Lymphographie</term><term>Traitement</term><term>Implantation</term><term>Ciblage</term><term>Derme</term><term>Système lymphatique</term><term>Lymphatique</term><term>Ganglion lymphatique</term><term>Vert indocyanine</term><term>Fluorescence</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">Background: Microsurgical lymphaticovenous implantation in lymphedema is done to create a lymphaticovenous shunt by an implantation of collecting lymphatics into the small vein, as reported previously. The authors have recently introduced ultrasonograpy and indocyanine green fluorescence lymphography into this procedure. Methods: Nine cases of postmastectomy lymphedema had received preoperative venous marking using ultrasonography and lymphatic mapping using indocyanine green fluorescence lymphography. The concept of modification is to pick up the most effective point for microsurgical lymphaticovenous implantation that involves both subcutaneous veins and the dermal backflow of excess lymphatics. Objective improvement was analyzed by the percent reduction of edema circumference at two points of the affected forearm. Results: Preoperative lymphography showed a spotty image for dermal backflow in all nine extremities, a linear image on the dorsal hand in six extremities, and a linear image on the forearm in three extremities. With an average follow-up of 17 months, three patients had excellent results with the reduction of edema circumference more than 50 percent for both the distal and proximal sites of the treated forearm. Four patients had good results with the reduction of edema circumference more than 50 percent at the distal or proximal sites, two patients had fair results, and no patients had poor results. The average number of modified microsurgical lymphaticovenous implantations was 3.7 per case. Conclusion: Modified microsurgical lymphaticovenous implantation is expected to provide favorable results with a minimum number of these modified implantations, even though no linear lymph channel was detected by preoperative indocyanine green fluorescence lymphography.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><country name="Japon"><noRegion><name sortKey="Furukawa, Hiroshi" sort="Furukawa, Hiroshi" uniqKey="Furukawa H" first="Hiroshi" last="Furukawa">Hiroshi Furukawa</name></noRegion><name sortKey="Funayama, Emi" sort="Funayama, Emi" uniqKey="Funayama E" first="Emi" last="Funayama">Emi Funayama</name><name sortKey="Hayashi, Toshihiko" sort="Hayashi, Toshihiko" uniqKey="Hayashi T" first="Toshihiko" last="Hayashi">Toshihiko Hayashi</name><name sortKey="Osawa, Masayuki" sort="Osawa, Masayuki" uniqKey="Osawa M" first="Masayuki" last="Osawa">Masayuki Osawa</name><name sortKey="Oyama, Akihiko" sort="Oyama, Akihiko" uniqKey="Oyama A" first="Akihiko" last="Oyama">Akihiko Oyama</name><name sortKey="Saito, Akira" sort="Saito, Akira" uniqKey="Saito A" first="Akira" last="Saito">Akira Saito</name><name sortKey="Sekido, Mitsuru" sort="Sekido, Mitsuru" uniqKey="Sekido M" first="Mitsuru" last="Sekido">Mitsuru Sekido</name><name sortKey="Yamamoto, Yuhei" sort="Yamamoto, Yuhei" uniqKey="Yamamoto Y" first="Yuhei" last="Yamamoto">Yuhei Yamamoto</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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