Types of lymphoscintigraphy and indications for lymphaticovenous anastomosis
Identifieur interne : 005B53 ( Main/Exploration ); précédent : 005B52; suivant : 005B54Types of lymphoscintigraphy and indications for lymphaticovenous anastomosis
Auteurs : Jiro Maegawa [Japon] ; Taro Mikami [Japon] ; Yasushi Yamamoto [Japon] ; Toshihiko Satake [Japon] ; Shinji Kobayashi [Japon]Source :
- Microsurgery [ 0738-1085 ] ; 2010-09.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Anastomose chirurgicale (), Femelle, Humains, Lymphoedème (), Lymphoedème (anatomopathologie), Lymphoedème (imagerie diagnostique), Lymphoscintigraphie, Microchirurgie (), Mâle, Scintigraphie (), Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'utérus (), Vaisseaux lymphatiques ().
- MESH :
- anatomopathologie : Lymphoedème.
- imagerie diagnostique : Lymphoedème.
- Adulte, Adulte d'âge moyen, Anastomose chirurgicale, Femelle, Humains, Lymphoedème, Lymphoscintigraphie, Microchirurgie, Mâle, Scintigraphie, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs de l'utérus, Vaisseaux lymphatiques.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Anastomosis, Surgical (methods), Female, Humans, Lymphatic Vessels (surgery), Lymphedema (classification), Lymphedema (diagnostic imaging), Lymphedema (pathology), Lymphedema (surgery), Lymphoscintigraphy, Male, Microsurgery (methods), Middle Aged, Radionuclide Imaging (methods), Uterine Neoplasms (surgery).
- MESH :
- classification : Lymphedema.
- diagnostic imaging : Lymphedema.
- methods : Anastomosis, Surgical, Microsurgery, Radionuclide Imaging.
- pathology : Lymphedema.
- surgery : Lymphatic Vessels, Lymphedema, Uterine Neoplasms.
- Adult, Aged, Aged, 80 and over, Female, Humans, Lymphoscintigraphy, Male, Middle Aged.
Abstract
Several authors have reported the usefulness and benefits of lymphoscintigraphy. However, it is insufficient to indicate microvascular treatment based on lymphedema. Here, we present the relationships between lymphoscintigraphic types and indications for lymphatic microsurgery. Preoperative lymphoscintigraphy was performed in 142 limbs with secondary lymphedema of the lower extremity. The images obtained were classified into five types. Type I: Visible inguinal lymph nodes, lymphatics along the saphenous vein and/or collateral lymphatics. Type II: Dermal backflow in the thigh and stasis of an isotopic material in the lymphatics. Type III: Dermal backflow in the thigh and leg. Type IV: Dermal backflow in the leg. Type V: Radiolabeled colloid remaining in the foot. Lymphaticovenous anastomosis was performed in 35 limbs. The average number of anastomoses per limb was 3.3 in type II, 4.4 in type III, 3.6 in type IV, and 3 in type V. The highest number of anastomosis was performed in type III. In conclusion, type III is suggested to be the best indication for anastomosis compared with types IV and V. © 2010 Wiley‐Liss, Inc. Microsurgery 30:437–442, 2010.
Url:
DOI: 10.1002/micr.20772
Affiliations:
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last="Kobayashi">Shinji Kobayashi</name><affiliation wicri:level="1"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, Yokohama City University, 3‐9 Fukuura, Kanazawa‐ku, Yokohama 236‐0004</wicri:regionArea><wicri:noRegion>Yokohama 236‐0004</wicri:noRegion></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">30</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="437">437</biblScope><biblScope unit="page" to="442">442</biblScope><biblScope unit="page-count">6</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2010-09">2010-09</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>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Anastomosis, Surgical (methods)</term><term>Female</term><term>Humans</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (classification)</term><term>Lymphedema (diagnostic imaging)</term><term>Lymphedema (pathology)</term><term>Lymphedema (surgery)</term><term>Lymphoscintigraphy</term><term>Male</term><term>Microsurgery (methods)</term><term>Middle Aged</term><term>Radionuclide Imaging (methods)</term><term>Uterine Neoplasms (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale ()</term><term>Femelle</term><term>Humains</term><term>Lymphoedème ()</term><term>Lymphoedème (anatomopathologie)</term><term>Lymphoedème (imagerie diagnostique)</term><term>Lymphoscintigraphie</term><term>Microchirurgie ()</term><term>Mâle</term><term>Scintigraphie ()</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de l'utérus ()</term><term>Vaisseaux lymphatiques ()</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anastomosis, Surgical</term><term>Microsurgery</term><term>Radionuclide Imaging</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphatic Vessels</term><term>Lymphedema</term><term>Uterine Neoplasms</term></keywords><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>Lymphoscintigraphy</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale</term><term>Femelle</term><term>Humains</term><term>Lymphoedème</term><term>Lymphoscintigraphie</term><term>Microchirurgie</term><term>Mâle</term><term>Scintigraphie</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs de l'utérus</term><term>Vaisseaux lymphatiques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Several authors have reported the usefulness and benefits of lymphoscintigraphy. However, it is insufficient to indicate microvascular treatment based on lymphedema. Here, we present the relationships between lymphoscintigraphic types and indications for lymphatic microsurgery. Preoperative lymphoscintigraphy was performed in 142 limbs with secondary lymphedema of the lower extremity. The images obtained were classified into five types. Type I: Visible inguinal lymph nodes, lymphatics along the saphenous vein and/or collateral lymphatics. Type II: Dermal backflow in the thigh and stasis of an isotopic material in the lymphatics. Type III: Dermal backflow in the thigh and leg. Type IV: Dermal backflow in the leg. Type V: Radiolabeled colloid remaining in the foot. Lymphaticovenous anastomosis was performed in 35 limbs. The average number of anastomoses per limb was 3.3 in type II, 4.4 in type III, 3.6 in type IV, and 3 in type V. The highest number of anastomosis was performed in type III. In conclusion, type III is suggested to be the best indication for anastomosis compared with types IV and V. © 2010 Wiley‐Liss, Inc. Microsurgery 30:437–442, 2010.</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="Kobayashi, Shinji" sort="Kobayashi, Shinji" uniqKey="Kobayashi S" first="Shinji" last="Kobayashi">Shinji Kobayashi</name><name sortKey="Maegawa, Jiro" sort="Maegawa, Jiro" uniqKey="Maegawa J" first="Jiro" last="Maegawa">Jiro Maegawa</name><name sortKey="Mikami, Taro" sort="Mikami, Taro" uniqKey="Mikami T" first="Taro" last="Mikami">Taro Mikami</name><name sortKey="Satake, Toshihiko" sort="Satake, Toshihiko" uniqKey="Satake T" first="Toshihiko" last="Satake">Toshihiko Satake</name><name sortKey="Yamamoto, Yasushi" sort="Yamamoto, Yasushi" uniqKey="Yamamoto Y" first="Yasushi" last="Yamamoto">Yasushi Yamamoto</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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