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Primary intrapelvic lymphaticovenular anastomosis following lymph node dissection.

Identifieur interne : 007881 ( Main/Exploration ); précédent : 007880; suivant : 007882

Primary intrapelvic lymphaticovenular anastomosis following lymph node dissection.

Auteurs : Meisei Takeishi [Japon] ; Masahiro Kojima ; Katuya Mori ; Kunihiro Kurihara ; Hiroshi Sasaki

Source :

RBID : pubmed:16929199

Descripteurs français

English descriptors

Abstract

Lymphedema of lower extremities occurs following surgical resection of malignant tumors and intrapelvic lymph node dissection and is a long-term problem for patients. We performed primary intrapelvic lymphaticovenular anastomosis to prevent postoperative leg lymphedema. The procedures were conducted in 7 patients (aged 35-61 years) with cancer of the uterine body. After completion of hystero-oophorectomy and intrapelvic lymph node dissection, the afferent lymphatics entering internal and external iliac lymph nodes were end-to-end anastomosed with branches of the deep inferior epigastric veins. The time taken for constructing 4 anastomoses was 100 to 120 minutes. The follow-up period ranged from 10 to 18 months (mean, 14 months). All patients were discharged and are independent in daily living. Apart from mild leg lymphedema in 1 patient, no lymphedema was observed in other patients up to the last follow-up. This surgical modality is effective in preventing lymphedema in lower extremities after intrapelvic para-aortic lymph node dissection.

DOI: 10.1097/01.sap.0000222727.05869.04
PubMed: 16929199


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Le document en format XML

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<term>Lymph Node Excision (adverse effects)</term>
<term>Lymphatic Vessels (surgery)</term>
<term>Lymphedema (etiology)</term>
<term>Lymphedema (surgery)</term>
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<term>Humains</term>
<term>Lymphadénectomie (effets indésirables)</term>
<term>Lymphoedème ()</term>
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