Outcomes of lymphaticovenous side-to-end anastomosis in peripheral lymphedema.
Identifieur interne : 004941 ( Ncbi/Merge ); précédent : 004940; suivant : 004942Outcomes of lymphaticovenous side-to-end anastomosis in peripheral lymphedema.
Auteurs : Jiro Maegawa [Japon] ; Yuichiro Yabuki ; Hiroto Tomoeda ; Misato Hosono ; Kazunori YasumuraSource :
- Journal of vascular surgery [ 1097-6809 ] ; 2012.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Agents colorants, Anastomose chirurgicale, Estimation de Kaplan-Meier, Facteurs temps, Femelle, Humains, Hôpitaux d'enseignement, Japon, Jeune adulte, Lymphoedème (), Lymphoedème (diagnostic), Lymphographie (), Maladie chronique, Microchirurgie (), Mâle, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tissu sous-cutané (), Vaisseaux lymphatiques (), Valeur prédictive des tests, Veines (), Vert indocyanine, Études rétrospectives.
- MESH :
- diagnostic : Lymphoedème.
- Adolescent, Adulte, Adulte d'âge moyen, Agents colorants, Anastomose chirurgicale, Estimation de Kaplan-Meier, Facteurs temps, Femelle, Humains, Hôpitaux d'enseignement, Japon, Jeune adulte, Lymphoedème, Lymphographie, Maladie chronique, Microchirurgie, Mâle, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Tissu sous-cutané, Vaisseaux lymphatiques, Valeur prédictive des tests, Veines, Vert indocyanine, Études rétrospectives.
- Wicri :
- geographic : Japon.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Anastomosis, Surgical, Chronic Disease, Coloring Agents, Female, Hospitals, Teaching, Humans, Indocyanine Green, Japan, Kaplan-Meier Estimate, Lymphatic Vessels (surgery), Lymphedema (diagnosis), Lymphedema (surgery), Lymphography (methods), Male, Microsurgery (methods), Middle Aged, Predictive Value of Tests, Retrospective Studies, Subcutaneous Tissue (blood supply), Time Factors, Treatment Outcome, Veins (surgery), Young Adult.
- MESH :
- chemical : Coloring Agents, Indocyanine Green.
- geographic : Japan.
- blood supply : Subcutaneous Tissue.
- diagnosis : Lymphedema.
- methods : Lymphography, Microsurgery.
- surgery : Lymphatic Vessels, Lymphedema, Veins.
- Adolescent, Adult, Aged, Aged, 80 and over, Anastomosis, Surgical, Chronic Disease, Female, Hospitals, Teaching, Humans, Kaplan-Meier Estimate, Male, Middle Aged, Predictive Value of Tests, Retrospective Studies, Time Factors, Treatment Outcome, Young Adult.
Abstract
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.
DOI: 10.1016/j.jvs.2011.08.062
PubMed: 22209609
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pubmed:22209609Le document en format XML
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last="Tomoeda">Hiroto Tomoeda</name></author><author><name sortKey="Hosono, Misato" sort="Hosono, Misato" uniqKey="Hosono M" first="Misato" last="Hosono">Misato Hosono</name></author><author><name sortKey="Yasumura, Kazunori" sort="Yasumura, Kazunori" uniqKey="Yasumura K" first="Kazunori" last="Yasumura">Kazunori Yasumura</name></author></analytic><series><title level="j">Journal of vascular surgery</title><idno type="eISSN">1097-6809</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Anastomosis, Surgical</term><term>Chronic Disease</term><term>Coloring Agents</term><term>Female</term><term>Hospitals, Teaching</term><term>Humans</term><term>Indocyanine Green</term><term>Japan</term><term>Kaplan-Meier Estimate</term><term>Lymphatic Vessels (surgery)</term><term>Lymphedema (diagnosis)</term><term>Lymphedema (surgery)</term><term>Lymphography (methods)</term><term>Male</term><term>Microsurgery (methods)</term><term>Middle Aged</term><term>Predictive Value of Tests</term><term>Retrospective Studies</term><term>Subcutaneous Tissue (blood supply)</term><term>Time Factors</term><term>Treatment Outcome</term><term>Veins (surgery)</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Agents colorants</term><term>Anastomose chirurgicale</term><term>Estimation de Kaplan-Meier</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Hôpitaux d'enseignement</term><term>Japon</term><term>Jeune adulte</term><term>Lymphoedème ()</term><term>Lymphoedème (diagnostic)</term><term>Lymphographie ()</term><term>Maladie chronique</term><term>Microchirurgie ()</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tissu sous-cutané ()</term><term>Vaisseaux lymphatiques ()</term><term>Valeur prédictive des tests</term><term>Veines ()</term><term>Vert indocyanine</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Coloring Agents</term><term>Indocyanine Green</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Japan</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Subcutaneous Tissue</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Lymphoedème</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lymphography</term><term>Microsurgery</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphatic Vessels</term><term>Lymphedema</term><term>Veins</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Anastomosis, Surgical</term><term>Chronic Disease</term><term>Female</term><term>Hospitals, Teaching</term><term>Humans</term><term>Kaplan-Meier Estimate</term><term>Male</term><term>Middle Aged</term><term>Predictive Value of Tests</term><term>Retrospective Studies</term><term>Time Factors</term><term>Treatment Outcome</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Agents colorants</term><term>Anastomose chirurgicale</term><term>Estimation de Kaplan-Meier</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Hôpitaux d'enseignement</term><term>Japon</term><term>Jeune adulte</term><term>Lymphoedème</term><term>Lymphographie</term><term>Maladie chronique</term><term>Microchirurgie</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tissu sous-cutané</term><term>Vaisseaux lymphatiques</term><term>Valeur prédictive des tests</term><term>Veines</term><term>Vert indocyanine</term><term>Études rétrospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Japon</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22209609</PMID><DateCreated><Year>2012</Year><Month>02</Month><Day>28</Day></DateCreated><DateCompleted><Year>2012</Year><Month>05</Month><Day>01</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-6809</ISSN><JournalIssue CitedMedium="Internet"><Volume>55</Volume><Issue>3</Issue><PubDate><Year>2012</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Journal of vascular surgery</Title><ISOAbbreviation>J. Vasc. Surg.</ISOAbbreviation></Journal><ArticleTitle>Outcomes of lymphaticovenous side-to-end anastomosis in peripheral lymphedema.</ArticleTitle><Pagination><MedlinePgn>753-60</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jvs.2011.08.062</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="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.</AbstractText><AbstractText Label="METHODS" NlmCategory="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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="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).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText><CopyrightInformation>Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Maegawa</LastName><ForeName>Jiro</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, Yokohama, Japan. maegawaj@med.yokohama-cu.ac.jp</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yabuki</LastName><ForeName>Yuichiro</ForeName><Initials>Y</Initials></Author><Author ValidYN="Y"><LastName>Tomoeda</LastName><ForeName>Hiroto</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Hosono</LastName><ForeName>Misato</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Yasumura</LastName><ForeName>Kazunori</ForeName><Initials>K</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>12</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Vasc Surg</MedlineTA><NlmUniqueID>8407742</NlmUniqueID><ISSNLinking>0741-5214</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D004396">Coloring Agents</NameOfSubstance></Chemical><Chemical><RegistryNumber>IX6J1063HV</RegistryNumber><NameOfSubstance UI="D007208">Indocyanine Green</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Vasc Surg. 2012 Mar;55(3):760</RefSource><PMID Version="1">22370025</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000714" MajorTopicYN="N">Anastomosis, Surgical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004396" MajorTopicYN="N">Coloring Agents</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006784" MajorTopicYN="N">Hospitals, Teaching</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007208" MajorTopicYN="N">Indocyanine Green</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007564" MajorTopicYN="N" Type="Geographic">Japan</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D053208" MajorTopicYN="N">Kaplan-Meier Estimate</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="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008220" MajorTopicYN="N">Lymphography</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></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="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D040521" MajorTopicYN="N">Subcutaneous Tissue</DescriptorName><QualifierName UI="Q000098" MajorTopicYN="Y">blood supply</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013997" MajorTopicYN="N">Time Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014680" MajorTopicYN="N">Veins</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>05</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2011</Year><Month>07</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>08</Month><Day>09</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>1</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>1</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>5</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22209609</ArticleId><ArticleId IdType="pii">S0741-5214(11)02462-1</ArticleId><ArticleId IdType="doi">10.1016/j.jvs.2011.08.062</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><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></noCountry><country name="Japon"><noRegion><name sortKey="Maegawa, Jiro" sort="Maegawa, Jiro" uniqKey="Maegawa J" first="Jiro" last="Maegawa">Jiro 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