[Liposuction combined with lymphatico-venous anastomosis for treatment of secondary lymphedema of the lower limbs: a report of 49 cases].
Identifieur interne : 008F27 ( Ncbi/Merge ); précédent : 008F26; suivant : 008F28[Liposuction combined with lymphatico-venous anastomosis for treatment of secondary lymphedema of the lower limbs: a report of 49 cases].
Auteurs : K. Chang [République populaire de Chine] ; S. Xia ; Y G Sun ; J F Xin ; W B ShenSource :
- Zhonghua wai ke za zhi [Chinese journal of surgery] [ 0529-5815 ] ; 2017.
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Abstract
Objective: To study the clinical effects of liposuction combined with lymphatico-venous anastomosis for treatment of secondary lymphedema of the lower limbs. Methods: A retrospective analysis was performed for 49 patients who had undergone liposuction combined with lymphatico-venous anastomosis to treat secondary lymphedema of the lower limbs at Department of Lymph Surgery, Beijing Shijitan Hospital from November 2013 to February 2015.All patients were female aging from 31 to 70 years with median age of (52±10)years.All patients had history of pelvic surgery.There were 32 cases with cervical carcinoma, 11 cases with endometrial cancer, 1 case with ovarian cancer who accepted radical hysterectomy, 2 cases with benign tumor who accepted resection, 2 cases accepted inguinal lymph node dissection, 1 case with rectal cancer accepted radical resection.There were 30 cases with history of radiation therapy and 23 cases with history of erysipelas recurrent((2.1±3.9)/year). The limb swelling degree in preoperative and postoperative patients was explored using one-way analysis of variance with replicate measures and paired sample t-test. Meanwhile the incidence of lymphogenous infection was used as an evaluation of operation efficacy. Results: The mean lower limb circumference difference at 7 days, 6 months and 12 months was (0.17±1.36)cm, (1.25±1.62)cm and(1.58±1.56)cm, respectively, which was significantly decreased compared with preoperative((4.92±2.16)cm) (t=-5.712, -5.777, -5.765; all P<0.01). The mean lower limb volume difference at 7 days, 6 months and 12 months was (522±799)ml, (726±973)ml and (889±895)ml, respectively, which was significantly decreased compared with preoperative((2 729±1 335) ml)(t=-5.905, -6.093, -5.777; all P<0.01). The incidence of erysipelas was 0.0(0.0, 0.0)/6 months within 6 months after operation and 0.0(0.0, 0.0)/6 months within 6-12 months after operation, which was significantly lower than that before operation(0.0(0.0, 2.0)/year). The feeling of tightness and heaviness of the limb was significantly improved compared with preoperative. Conclusion: Liposuction combined with lymphatico-venous anastomosis is an effective method for the treatment of secondary lymphedema of the lower limbs.
PubMed: 28355765
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Liposuction combined with lymphatico-venous anastomosis for treatment of secondary lymphedema of the lower limbs: a report of 49 cases].</title><author><name sortKey="Chang, K" sort="Chang, K" uniqKey="Chang K" first="K" last="Chang">K. Chang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Lymph Surgery, Beijing Shijitan Hospital, Beijing 100038, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Lymph Surgery, Beijing Shijitan Hospital, Beijing 100038</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Xia, S" sort="Xia, S" uniqKey="Xia S" first="S" last="Xia">S. Xia</name></author><author><name sortKey="Sun, Y G" sort="Sun, Y G" uniqKey="Sun Y" first="Y G" last="Sun">Y G Sun</name></author><author><name sortKey="Xin, J F" sort="Xin, J F" uniqKey="Xin J" first="J F" last="Xin">J F Xin</name></author><author><name sortKey="Shen, W B" sort="Shen, W B" uniqKey="Shen W" first="W B" last="Shen">W B Shen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28355765</idno><idno type="pmid">28355765</idno><idno type="wicri:Area/PubMed/Corpus">000275</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000275</idno><idno type="wicri:Area/PubMed/Curation">000275</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000275</idno><idno type="wicri:Area/PubMed/Checkpoint">000275</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000275</idno><idno type="wicri:Area/Ncbi/Merge">008F27</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Liposuction combined with lymphatico-venous anastomosis for treatment of secondary lymphedema of the lower limbs: a report of 49 cases].</title><author><name sortKey="Chang, K" sort="Chang, K" uniqKey="Chang K" first="K" last="Chang">K. Chang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Lymph Surgery, Beijing Shijitan Hospital, Beijing 100038, China.</nlm:affiliation><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Lymph Surgery, Beijing Shijitan Hospital, Beijing 100038</wicri:regionArea><placeName><settlement type="city">Pékin</settlement></placeName></affiliation></author><author><name sortKey="Xia, S" sort="Xia, S" uniqKey="Xia S" first="S" last="Xia">S. Xia</name></author><author><name sortKey="Sun, Y G" sort="Sun, Y G" uniqKey="Sun Y" first="Y G" last="Sun">Y G Sun</name></author><author><name sortKey="Xin, J F" sort="Xin, J F" uniqKey="Xin J" first="J F" last="Xin">J F Xin</name></author><author><name sortKey="Shen, W B" sort="Shen, W B" uniqKey="Shen W" first="W B" last="Shen">W B Shen</name></author></analytic><series><title level="j">Zhonghua wai ke za zhi [Chinese journal of surgery]</title><idno type="ISSN">0529-5815</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abdomen</term><term>Adult</term><term>Aged</term><term>Anastomosis, Surgical</term><term>Female</term><term>Genital Neoplasms, Female (surgery)</term><term>Humans</term><term>Lipectomy</term><term>Lower Extremity</term><term>Lymph Node Excision</term><term>Lymphedema (surgery)</term><term>Middle Aged</term><term>Postoperative Complications</term><term>Retrospective Studies</term><term>Veins</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Abdomen</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Lipectomie</term><term>Lymphadénectomie</term><term>Lymphoedème ()</term><term>Membre inférieur</term><term>Sujet âgé</term><term>Tumeurs de l'appareil génital féminin ()</term><term>Veines</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Genital Neoplasms, Female</term><term>Lymphedema</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Abdomen</term><term>Adult</term><term>Aged</term><term>Anastomosis, Surgical</term><term>Female</term><term>Humans</term><term>Lipectomy</term><term>Lower Extremity</term><term>Lymph Node Excision</term><term>Middle Aged</term><term>Postoperative Complications</term><term>Retrospective Studies</term><term>Veins</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Abdomen</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Anastomose chirurgicale</term><term>Complications postopératoires</term><term>Femelle</term><term>Humains</term><term>Lipectomie</term><term>Lymphadénectomie</term><term>Lymphoedème</term><term>Membre inférieur</term><term>Sujet âgé</term><term>Tumeurs de l'appareil génital féminin</term><term>Veines</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: To study the clinical effects of liposuction combined with lymphatico-venous anastomosis for treatment of secondary lymphedema of the lower limbs. Methods: A retrospective analysis was performed for 49 patients who had undergone liposuction combined with lymphatico-venous anastomosis to treat secondary lymphedema of the lower limbs at Department of Lymph Surgery, Beijing Shijitan Hospital from November 2013 to February 2015.All patients were female aging from 31 to 70 years with median age of (52±10)years.All patients had history of pelvic surgery.There were 32 cases with cervical carcinoma, 11 cases with endometrial cancer, 1 case with ovarian cancer who accepted radical hysterectomy, 2 cases with benign tumor who accepted resection, 2 cases accepted inguinal lymph node dissection, 1 case with rectal cancer accepted radical resection.There were 30 cases with history of radiation therapy and 23 cases with history of erysipelas recurrent((2.1±3.9)/year). The limb swelling degree in preoperative and postoperative patients was explored using one-way analysis of variance with replicate measures and paired sample t-test. Meanwhile the incidence of lymphogenous infection was used as an evaluation of operation efficacy. Results: The mean lower limb circumference difference at 7 days, 6 months and 12 months was (0.17±1.36)cm, (1.25±1.62)cm and(1.58±1.56)cm, respectively, which was significantly decreased compared with preoperative((4.92±2.16)cm) (t=-5.712, -5.777, -5.765; all P<0.01). The mean lower limb volume difference at 7 days, 6 months and 12 months was (522±799)ml, (726±973)ml and (889±895)ml, respectively, which was significantly decreased compared with preoperative((2 729±1 335) ml)(t=-5.905, -6.093, -5.777; all P<0.01). The incidence of erysipelas was 0.0(0.0, 0.0)/6 months within 6 months after operation and 0.0(0.0, 0.0)/6 months within 6-12 months after operation, which was significantly lower than that before operation(0.0(0.0, 2.0)/year). The feeling of tightness and heaviness of the limb was significantly improved compared with preoperative. Conclusion: Liposuction combined with lymphatico-venous anastomosis is an effective method for the treatment of secondary lymphedema of the lower limbs.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28355765</PMID><DateCreated><Year>2017</Year><Month>03</Month><Day>29</Day></DateCreated><DateCompleted><Year>2017</Year><Month>08</Month><Day>07</Day></DateCompleted><DateRevised><Year>2017</Year><Month>08</Month><Day>07</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0529-5815</ISSN><JournalIssue CitedMedium="Print"><Volume>55</Volume><Issue>4</Issue><PubDate><Year>2017</Year><Month>Apr</Month><Day>01</Day></PubDate></JournalIssue><Title>Zhonghua wai ke za zhi [Chinese journal of surgery]</Title><ISOAbbreviation>Zhonghua Wai Ke Za Zhi</ISOAbbreviation></Journal><ArticleTitle>[Liposuction combined with lymphatico-venous anastomosis for treatment of secondary lymphedema of the lower limbs: a report of 49 cases].</ArticleTitle><Pagination><MedlinePgn>274-278</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3760/cma.j.issn.0529-5815.2017.04.008</ELocationID><Abstract><AbstractText>Objective: To study the clinical effects of liposuction combined with lymphatico-venous anastomosis for treatment of secondary lymphedema of the lower limbs. Methods: A retrospective analysis was performed for 49 patients who had undergone liposuction combined with lymphatico-venous anastomosis to treat secondary lymphedema of the lower limbs at Department of Lymph Surgery, Beijing Shijitan Hospital from November 2013 to February 2015.All patients were female aging from 31 to 70 years with median age of (52±10)years.All patients had history of pelvic surgery.There were 32 cases with cervical carcinoma, 11 cases with endometrial cancer, 1 case with ovarian cancer who accepted radical hysterectomy, 2 cases with benign tumor who accepted resection, 2 cases accepted inguinal lymph node dissection, 1 case with rectal cancer accepted radical resection.There were 30 cases with history of radiation therapy and 23 cases with history of erysipelas recurrent((2.1±3.9)/year). The limb swelling degree in preoperative and postoperative patients was explored using one-way analysis of variance with replicate measures and paired sample t-test. Meanwhile the incidence of lymphogenous infection was used as an evaluation of operation efficacy. Results: The mean lower limb circumference difference at 7 days, 6 months and 12 months was (0.17±1.36)cm, (1.25±1.62)cm and(1.58±1.56)cm, respectively, which was significantly decreased compared with preoperative((4.92±2.16)cm) (t=-5.712, -5.777, -5.765; all P<0.01). The mean lower limb volume difference at 7 days, 6 months and 12 months was (522±799)ml, (726±973)ml and (889±895)ml, respectively, which was significantly decreased compared with preoperative((2 729±1 335) ml)(t=-5.905, -6.093, -5.777; all P<0.01). The incidence of erysipelas was 0.0(0.0, 0.0)/6 months within 6 months after operation and 0.0(0.0, 0.0)/6 months within 6-12 months after operation, which was significantly lower than that before operation(0.0(0.0, 2.0)/year). The feeling of tightness and heaviness of the limb was significantly improved compared with preoperative. Conclusion: Liposuction combined with lymphatico-venous anastomosis is an effective method for the treatment of secondary lymphedema of the lower limbs.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chang</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Lymph Surgery, Beijing Shijitan Hospital, Beijing 100038, China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Xia</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Sun</LastName><ForeName>Y G</ForeName><Initials>YG</Initials></Author><Author ValidYN="Y"><LastName>Xin</LastName><ForeName>J F</ForeName><Initials>JF</Initials></Author><Author ValidYN="Y"><LastName>Shen</LastName><ForeName>W B</ForeName><Initials>WB</Initials></Author></AuthorList><Language>chi</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>China</Country><MedlineTA>Zhonghua Wai Ke Za Zhi</MedlineTA><NlmUniqueID>0153611</NlmUniqueID><ISSNLinking>0529-5815</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000005" MajorTopicYN="N">Abdomen</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000714" MajorTopicYN="Y">Anastomosis, Surgical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005833" MajorTopicYN="N">Genital Neoplasms, Female</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015187" MajorTopicYN="Y">Lipectomy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="N">Lymph Node Excision</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014680" MajorTopicYN="N">Veins</DescriptorName></MeshHeading></MeshHeadingList><OtherAbstract Type="Publisher" Language="chi"><AbstractText>目的： 探讨联合应用抽吸减容术与淋巴静脉吻合术治疗下肢继发性淋巴水肿的临床效果。 方法： 回顾性分析2013年11月至2015年2月首都医科大学附属北京世纪坛医院淋巴外科联合应用抽吸减容术与淋巴静脉吻合术治疗的49例下肢继发性淋巴水肿患者的临床资料。均为女性，年龄31～70岁，平均(52±10)岁。均有盆腔或腹股沟区手术史，其中接受过宫颈癌根治术32例、子宫内膜癌根治术11例、卵巢癌根治术1例、良性肿瘤切除术2例、腹股沟淋巴结清扫术2例、直肠癌根治术1例；合并放疗史30例。有患肢反复丹毒发作病史23例，发作频率为(2.1±3.9)次/年。利用重复测量方差分析检验治疗前后患肢肿胀程度的变化，再采用t检验进行两两比较；同时对比患肢术前术后淋巴管感染发作情况。 结果： 联合治疗后7 d、6个月和12个月患肢与健肢各径线差值分别为(0.17±1.36)cm、(1.25±1.62)cm和(1.58±1.56)cm，均较治疗前的(4.92±2.16)cm明显减小(t＝－5.712、－5.777、－5.765，P值均<0.01)；联合治疗后7 d、6个月和12个月患肢与健肢体积差值分别为(522±799)ml、(726±973)ml和(889±895)ml，均较治疗前的(2 729±1 335)ml明显减小(t＝－5.905、－6.093、－5.777，P值均<0.01)。联合治疗后6个月内丹毒发作频率为0.0(0.0，0.0)次/6个月；6～12个月为0.0(0.0，0.0)次/6个月，均较联合治疗前的0.0(0.0，2.0)次/年有所下降(P值均<0.05)。患肢松软程度及坠胀感均较治疗前明显好转。 结论： 联合应用抽吸减容术与淋巴静脉吻合术治疗下肢继发性淋巴水肿有效，且在观察期内疗效确切，患肢淋巴水肿无明显复发征象。.</AbstractText></OtherAbstract><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Liposuction</Keyword><Keyword MajorTopicYN="N">Lymphatico-venous anastomosis</Keyword><Keyword MajorTopicYN="N">Lymphedema</Keyword><Keyword MajorTopicYN="N">Treatment</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>3</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>3</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>8</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28355765</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>République populaire de Chine</li></country><settlement><li>Pékin</li></settlement></list><tree><noCountry><name sortKey="Shen, W B" sort="Shen, W B" uniqKey="Shen W" first="W B" last="Shen">W B Shen</name><name sortKey="Sun, Y G" sort="Sun, Y G" uniqKey="Sun Y" first="Y G" last="Sun">Y G Sun</name><name sortKey="Xia, S" sort="Xia, S" uniqKey="Xia S" first="S" last="Xia">S. Xia</name><name sortKey="Xin, J F" sort="Xin, J F" uniqKey="Xin J" first="J F" last="Xin">J F Xin</name></noCountry><country name="République populaire de Chine"><noRegion><name sortKey="Chang, K" sort="Chang, K" uniqKey="Chang K" first="K" last="Chang">K. Chang</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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