Long-term results of microscopic lymphatic vessel-isolated vein anastomosis for secondary lymphedema of the lower extremities.
Identifieur interne : 002414 ( Ncbi/Merge ); précédent : 002413; suivant : 002415Long-term results of microscopic lymphatic vessel-isolated vein anastomosis for secondary lymphedema of the lower extremities.
Auteurs : Shinobu Matsubara [Japon] ; Hitoshi Sakuda ; Moriyasu Nakaema ; Yukio KuniyoshiSource :
- Surgery today [ 0941-1291 ] ; 2006.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- methods : Anastomosis, Surgical, Microsurgery.
- surgery : Lymphatic Vessels, Lymphedema, Saphenous Vein.
- Adult, Aged, Chronic Disease, Female, Follow-Up Studies, Humans, Leg, Middle Aged, Retrospective Studies, Time Factors, Treatment Outcome.
Abstract
To evaluate the effectiveness of microscopic lymphatic vessel-isolated vein anastomosis in patients with secondary obstructive lymphedema of a lower extremity, refractory to nonoperative management.
DOI: 10.1007/s00595-006-3269-7
PubMed: 16998677
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Long-term results of microscopic lymphatic vessel-isolated vein anastomosis for secondary lymphedema of the lower extremities.</title><author><name sortKey="Matsubara, Shinobu" sort="Matsubara, Shinobu" uniqKey="Matsubara S" first="Shinobu" last="Matsubara">Shinobu Matsubara</name><affiliation wicri:level="1"><nlm:affiliation>Thoracic and Cardiovascular Surgery, Department of Bioregulatory Medicine, Faculty of Medicine, University of Ryukyus, 207 Uehara, Okinawa 903-0215, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Thoracic and Cardiovascular Surgery, Department of Bioregulatory Medicine, Faculty of Medicine, University of Ryukyus, 207 Uehara, Okinawa 903-0215</wicri:regionArea><wicri:noRegion>Okinawa 903-0215</wicri:noRegion></affiliation></author><author><name sortKey="Sakuda, Hitoshi" sort="Sakuda, Hitoshi" uniqKey="Sakuda H" first="Hitoshi" last="Sakuda">Hitoshi Sakuda</name></author><author><name sortKey="Nakaema, Moriyasu" sort="Nakaema, Moriyasu" uniqKey="Nakaema M" first="Moriyasu" last="Nakaema">Moriyasu Nakaema</name></author><author><name sortKey="Kuniyoshi, Yukio" sort="Kuniyoshi, Yukio" uniqKey="Kuniyoshi Y" first="Yukio" last="Kuniyoshi">Yukio Kuniyoshi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="RBID">pubmed:16998677</idno><idno type="pmid">16998677</idno><idno type="doi">10.1007/s00595-006-3269-7</idno><idno type="wicri:Area/PubMed/Corpus">003877</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">003877</idno><idno type="wicri:Area/PubMed/Curation">003877</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">003877</idno><idno type="wicri:Area/PubMed/Checkpoint">003877</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">003877</idno><idno type="wicri:Area/Ncbi/Merge">002414</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Long-term results of microscopic lymphatic vessel-isolated vein anastomosis for secondary lymphedema of the lower extremities.</title><author><name sortKey="Matsubara, Shinobu" sort="Matsubara, Shinobu" uniqKey="Matsubara S" first="Shinobu" last="Matsubara">Shinobu Matsubara</name><affiliation wicri:level="1"><nlm:affiliation>Thoracic and Cardiovascular Surgery, Department of Bioregulatory Medicine, Faculty of Medicine, University of Ryukyus, 207 Uehara, Okinawa 903-0215, Japan.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Thoracic and Cardiovascular Surgery, Department of Bioregulatory Medicine, Faculty of Medicine, University of Ryukyus, 207 Uehara, Okinawa 903-0215</wicri:regionArea><wicri:noRegion>Okinawa 903-0215</wicri:noRegion></affiliation></author><author><name sortKey="Sakuda, Hitoshi" sort="Sakuda, Hitoshi" uniqKey="Sakuda H" first="Hitoshi" last="Sakuda">Hitoshi Sakuda</name></author><author><name sortKey="Nakaema, Moriyasu" sort="Nakaema, Moriyasu" uniqKey="Nakaema M" first="Moriyasu" last="Nakaema">Moriyasu Nakaema</name></author><author><name sortKey="Kuniyoshi, Yukio" sort="Kuniyoshi, Yukio" uniqKey="Kuniyoshi Y" first="Yukio" last="Kuniyoshi">Yukio Kuniyoshi</name></author></analytic><series><title level="j">Surgery today</title><idno type="ISSN">0941-1291</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Anastomosis, Surgical (methods)</term><term>Chronic Disease</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Leg</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (surgery)</term><term>Microsurgery (methods)</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Saphenous Vein (surgery)</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale ()</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphoedème ()</term><term>Maladie chronique</term><term>Microchirurgie ()</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Vaisseaux lymphatiques ()</term><term>Veine saphène ()</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Anastomosis, Surgical</term><term>Microsurgery</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphatic Vessels</term><term>Lymphedema</term><term>Saphenous Vein</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Chronic Disease</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Leg</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Jambe</term><term>Lymphoedème</term><term>Maladie chronique</term><term>Microchirurgie</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Vaisseaux lymphatiques</term><term>Veine saphène</term><term>Études de suivi</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To evaluate the effectiveness of microscopic lymphatic vessel-isolated vein anastomosis in patients with secondary obstructive lymphedema of a lower extremity, refractory to nonoperative management.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16998677</PMID><DateCreated><Year>2006</Year><Month>09</Month><Day>25</Day></DateCreated><DateCompleted><Year>2006</Year><Month>12</Month><Day>07</Day></DateCompleted><DateRevised><Year>2006</Year><Month>09</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0941-1291</ISSN><JournalIssue CitedMedium="Print"><Volume>36</Volume><Issue>10</Issue><PubDate><Year>2006</Year></PubDate></JournalIssue><Title>Surgery today</Title><ISOAbbreviation>Surg. Today</ISOAbbreviation></Journal><ArticleTitle>Long-term results of microscopic lymphatic vessel-isolated vein anastomosis for secondary lymphedema of the lower extremities.</ArticleTitle><Pagination><MedlinePgn>859-64</MedlinePgn></Pagination><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To evaluate the effectiveness of microscopic lymphatic vessel-isolated vein anastomosis in patients with secondary obstructive lymphedema of a lower extremity, refractory to nonoperative management.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Nine women suffered from nonpitting edema of one or both legs (11 limbs) after radical hysterectomy with postoperative irradiation for uterine cancer. The indications for this operation were repeated cellulitis and severe nonpitting edema impairing limb function. Under microscopy of 3.2 on average, the identified lymphatic vessels were anastomosed to an isolated saphenous vein using the pull-through technique with modifications.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The follow-up period ranged from 21 to 87 months and the operation achieved excellent reduction, of more than 5 cm, in six limbs; good reduction, of 2-5 cm, in two limbs; and poor reduction, of less than 2 cm, in three limbs. The frequency of cellulitis decreased from 2.4 infections per patient per year to 0.2 infections per patient per year.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">These results show that microscopic lymphatic vessel-isolated vein anastomosis is a minimally invasive operation, with good long-term effects, making it the treatment of choice for intractable secondary lymphedema of the lower extremities refractory to physiotherapy.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Matsubara</LastName><ForeName>Shinobu</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Thoracic and Cardiovascular Surgery, Department of Bioregulatory Medicine, Faculty of Medicine, University of Ryukyus, 207 Uehara, Okinawa 903-0215, Japan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sakuda</LastName><ForeName>Hitoshi</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Nakaema</LastName><ForeName>Moriyasu</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Kuniyoshi</LastName><ForeName>Yukio</ForeName><Initials>Y</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Japan</Country><MedlineTA>Surg Today</MedlineTA><NlmUniqueID>9204360</NlmUniqueID><ISSNLinking>0941-1291</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000714" MajorTopicYN="N">Anastomosis, Surgical</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007866" MajorTopicYN="Y">Leg</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D042601" MajorTopicYN="N">Lymphatic Vessels</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008866" MajorTopicYN="N">Microsurgery</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012501" MajorTopicYN="N">Saphenous Vein</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2006</Year><Month>03</Month><Day>28</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2006</Year><Month>03</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>9</Month><Day>26</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>12</Month><Day>9</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>9</Month><Day>26</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">16998677</ArticleId><ArticleId IdType="doi">10.1007/s00595-006-3269-7</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Kuniyoshi, Yukio" sort="Kuniyoshi, Yukio" uniqKey="Kuniyoshi Y" first="Yukio" last="Kuniyoshi">Yukio Kuniyoshi</name><name sortKey="Nakaema, Moriyasu" sort="Nakaema, Moriyasu" uniqKey="Nakaema M" first="Moriyasu" last="Nakaema">Moriyasu Nakaema</name><name sortKey="Sakuda, Hitoshi" sort="Sakuda, Hitoshi" uniqKey="Sakuda H" first="Hitoshi" last="Sakuda">Hitoshi Sakuda</name></noCountry><country name="Japon"><noRegion><name sortKey="Matsubara, Shinobu" sort="Matsubara, Shinobu" uniqKey="Matsubara S" first="Shinobu" last="Matsubara">Shinobu Matsubara</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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