Comparison of long-term clinical outcomes among different vascularized lymph node transfers: 6-year experience of a single center's approach to the treatment of lymphedema.
Identifieur interne : 009266 ( Ncbi/Merge ); précédent : 009265; suivant : 009267Comparison of long-term clinical outcomes among different vascularized lymph node transfers: 6-year experience of a single center's approach to the treatment of lymphedema.
Auteurs : Pedro Ciudad [Taïwan] ; Mouchammed Agko [Taïwan] ; John Jaime Perez Coca [Taïwan] ; Oscar J. Manrique [Taïwan] ; Wei-Ling Chang [Taïwan] ; Fabio Nicoli [Taïwan] ; Shih-Heng Chen [Taïwan] ; Hung-Chi Chen [Taïwan]Source :
- Journal of surgical oncology [ 1096-9098 ] ; 2017.
Abstract
This study evaluated the long-term clinical outcomes among different vascularized lymph node transfers (VLNT) used at our institution.
DOI: 10.1002/jso.24730
PubMed: 28695707
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Comparison of long-term clinical outcomes among different vascularized lymph node transfers: 6-year experience of a single center's approach to the treatment of lymphedema.</title><author><name sortKey="Ciudad, Pedro" sort="Ciudad, Pedro" uniqKey="Ciudad P" first="Pedro" last="Ciudad">Pedro Ciudad</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Agko, Mouchammed" sort="Agko, Mouchammed" uniqKey="Agko M" first="Mouchammed" last="Agko">Mouchammed Agko</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Perez Coca, John Jaime" sort="Perez Coca, John Jaime" uniqKey="Perez Coca J" first="John Jaime" last="Perez Coca">John Jaime Perez Coca</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Manrique, Oscar J" sort="Manrique, Oscar J" uniqKey="Manrique O" first="Oscar J" last="Manrique">Oscar J. Manrique</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Chang, Wei Ling" sort="Chang, Wei Ling" uniqKey="Chang W" first="Wei-Ling" last="Chang">Wei-Ling Chang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Nicoli, Fabio" sort="Nicoli, Fabio" uniqKey="Nicoli F" first="Fabio" last="Nicoli">Fabio Nicoli</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Shih Heng" sort="Chen, Shih Heng" uniqKey="Chen S" first="Shih-Heng" last="Chen">Shih-Heng Chen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang-Gung University, Linkou, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang-Gung University, Linkou</wicri:regionArea><wicri:noRegion>Linkou</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28695707</idno><idno type="pmid">28695707</idno><idno type="doi">10.1002/jso.24730</idno><idno type="wicri:Area/PubMed/Corpus">000110</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000110</idno><idno 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Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Agko, Mouchammed" sort="Agko, Mouchammed" uniqKey="Agko M" first="Mouchammed" last="Agko">Mouchammed Agko</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Perez Coca, John Jaime" sort="Perez Coca, John Jaime" uniqKey="Perez Coca J" first="John Jaime" last="Perez Coca">John Jaime Perez Coca</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Manrique, Oscar J" sort="Manrique, Oscar J" uniqKey="Manrique O" first="Oscar J" last="Manrique">Oscar J. Manrique</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Chang, Wei Ling" sort="Chang, Wei Ling" uniqKey="Chang W" first="Wei-Ling" last="Chang">Wei-Ling Chang</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Nicoli, Fabio" sort="Nicoli, Fabio" uniqKey="Nicoli F" first="Fabio" last="Nicoli">Fabio Nicoli</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Shih Heng" sort="Chen, Shih Heng" uniqKey="Chen S" first="Shih-Heng" last="Chen">Shih-Heng Chen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang-Gung University, Linkou, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang-Gung University, Linkou</wicri:regionArea><wicri:noRegion>Linkou</wicri:noRegion></affiliation></author><author><name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name><affiliation wicri:level="1"><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea><wicri:noRegion>Taichung</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of surgical oncology</title><idno type="eISSN">1096-9098</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study evaluated the long-term clinical outcomes among different vascularized lymph node transfers (VLNT) used at our institution.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28695707</PMID><DateCreated><Year>2017</Year><Month>07</Month><Day>11</Day></DateCreated><DateRevised><Year>2017</Year><Month>07</Month><Day>11</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1096-9098</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Jul</Month><Day>10</Day></PubDate></JournalIssue><Title>Journal of surgical oncology</Title><ISOAbbreviation>J Surg Oncol</ISOAbbreviation></Journal><ArticleTitle>Comparison of long-term clinical outcomes among different vascularized lymph node transfers: 6-year experience of a single center's approach to the treatment of lymphedema.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1002/jso.24730</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">This study evaluated the long-term clinical outcomes among different vascularized lymph node transfers (VLNT) used at our institution.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Between July 2010 and July 2016, all patients with International Society of Lymphology (ISL) stages II-III who underwent VLNT were evaluated. Demographic and clinical data (limb circumference, infectious episodes, lymphoscintigraphic studies) were recorded pre-operatively. Clinical outcomes, complications, and additional excisional procedures were analyzed post-operatively. At least 2-year follow-up was required for inclusion.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall, 83 patients (Stage II:47, Stage III:36) met the inclusion criterion. Mean follow-up was 32.8 months (range, 24-49). Lymph node flaps used were groin (n = 13), supraclavicular (n = 25), gastroepiploic (n = 42), ileocecal (n = 2), and appendicular (n = 1). Total mean circumference reduction rate was 29.1% (Stage II) and 17.9% (Stage III) (P < 0.05). A paired t-test showed that VLNT significantly decreased the number of infections (P < 0.05). Three patients reported no improvement of the symptoms. Major complications included one flap loss and one donor site hematoma. After the period of follow-up, 18 patients (21.7%) underwent additional excisional procedures.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">VLNT is a promising technique used for the treatment of lymphedema and appears to be more effective in moderate stages (Stage II). Patients with advanced stage lymphedema (Stage III) may benefit from additional excisional procedures.</AbstractText><CopyrightInformation>© 2017 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ciudad</LastName><ForeName>Pedro</ForeName><Initials>P</Initials><Identifier Source="ORCID">http://orcid.org/0000-0003-4646-2676</Identifier><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Biological Science and Technology, China Medical University, Taichung, Taiwan.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Peru Plastic and Reconstructive Surgery Research Institute, Lima, Peru.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Agko</LastName><ForeName>Mouchammed</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Perez Coca</LastName><ForeName>John Jaime</ForeName><Initials>JJ</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Manrique</LastName><ForeName>Oscar J</ForeName><Initials>OJ</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chang</LastName><ForeName>Wei-Ling</ForeName><Initials>WL</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nicoli</LastName><ForeName>Fabio</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Shih-Heng</ForeName><Initials>SH</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang-Gung University, Linkou, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>Hung-Chi</ForeName><Initials>HC</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>07</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Surg Oncol</MedlineTA><NlmUniqueID>0222643</NlmUniqueID><ISSNLinking>0022-4790</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">lymph node flap transfer</Keyword><Keyword MajorTopicYN="N">lymphaticovenular anastomosis</Keyword><Keyword MajorTopicYN="N">lymphedema</Keyword><Keyword MajorTopicYN="N">vascularized lymph node transfer</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>02</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>05</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>7</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>7</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>7</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28695707</ArticleId><ArticleId IdType="doi">10.1002/jso.24730</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Taïwan</li></country></list><tree><country name="Taïwan"><noRegion><name sortKey="Ciudad, Pedro" sort="Ciudad, Pedro" uniqKey="Ciudad P" first="Pedro" last="Ciudad">Pedro Ciudad</name></noRegion><name sortKey="Agko, Mouchammed" sort="Agko, Mouchammed" uniqKey="Agko M" first="Mouchammed" last="Agko">Mouchammed Agko</name><name sortKey="Chang, Wei Ling" sort="Chang, Wei Ling" uniqKey="Chang W" first="Wei-Ling" last="Chang">Wei-Ling Chang</name><name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name><name sortKey="Chen, Shih Heng" sort="Chen, Shih Heng" uniqKey="Chen S" first="Shih-Heng" last="Chen">Shih-Heng Chen</name><name sortKey="Manrique, Oscar J" sort="Manrique, Oscar J" uniqKey="Manrique O" first="Oscar J" last="Manrique">Oscar J. Manrique</name><name sortKey="Nicoli, Fabio" sort="Nicoli, Fabio" uniqKey="Nicoli F" first="Fabio" last="Nicoli">Fabio Nicoli</name><name sortKey="Perez Coca, John Jaime" sort="Perez Coca, John Jaime" uniqKey="Perez Coca J" first="John Jaime" last="Perez Coca">John Jaime Perez Coca</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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