Saphenous Vein Sparing Superficial Inguinal Dissection in Lower Extremity Melanoma
Identifieur interne : 004146 ( Pmc/Curation ); précédent : 004145; suivant : 004147Saphenous Vein Sparing Superficial Inguinal Dissection in Lower Extremity Melanoma
Auteurs : Muhammed Be Ir Öztürk [Turquie] ; Arzu Akan [Turquie] ; Özay Özkaya [Turquie] ; Onur Egemen [Turquie] ; Ali R Za Örero Lu [Turquie] ; Turgut Kayadibi [Turquie] ; Mithat Akan [Turquie]Source :
- Journal of Skin Cancer [ 2090-2905 ] ; 2014.
Abstract
Url:
DOI: 10.1155/2014/652123
PubMed: 25126426
PubMed Central: 4122063
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Saphenous Vein Sparing Superficial Inguinal Dissection in Lower Extremity Melanoma</title><author><name sortKey="Ozturk, Muhammed Be Ir" sort="Ozturk, Muhammed Be Ir" uniqKey="Ozturk M" first="Muhammed Be Ir" last="Öztürk">Muhammed Be Ir Öztürk</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Plastic Reconstructive and Aesthetic Surgery, Tekirdag Government Hospital, 59020 Tekirdag, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Plastic Reconstructive and Aesthetic Surgery, Tekirdag Government Hospital, 59020 Tekirdag</wicri:regionArea></affiliation></author><author><name sortKey="Akan, Arzu" sort="Akan, Arzu" uniqKey="Akan A" first="Arzu" last="Akan">Arzu Akan</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of General Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of General Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Ozkaya, Ozay" sort="Ozkaya, Ozay" uniqKey="Ozkaya O" first="Özay" last="Özkaya">Özay Özkaya</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Egemen, Onur" sort="Egemen, Onur" uniqKey="Egemen O" first="Onur" last="Egemen">Onur Egemen</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Orero Lu, Ali R Za" sort="Orero Lu, Ali R Za" uniqKey="Orero Lu A" first="Ali R Za" last="Örero Lu">Ali R Za Örero Lu</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Plastic Reconstructive and Aesthetic Surgery, Prof. Dr. A. Ilhan Ozdemir State Hospital, 28000 Giresun, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Plastic Reconstructive and Aesthetic Surgery, Prof. Dr. A. Ilhan Ozdemir State Hospital, 28000 Giresun</wicri:regionArea></affiliation></author><author><name sortKey="Kayadibi, Turgut" sort="Kayadibi, Turgut" uniqKey="Kayadibi T" first="Turgut" last="Kayadibi">Turgut Kayadibi</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Akan, Mithat" sort="Akan, Mithat" uniqKey="Akan M" first="Mithat" last="Akan">Mithat Akan</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Plastic Reconstructive and Aesthetic Surgery, Medipol University Hospital, 34200 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Plastic Reconstructive and Aesthetic Surgery, Medipol University Hospital, 34200 Istanbul</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25126426</idno><idno type="pmc">4122063</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4122063</idno><idno type="RBID">PMC:4122063</idno><idno type="doi">10.1155/2014/652123</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">004147</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">004147</idno><idno type="wicri:Area/Pmc/Curation">004146</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">004146</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Saphenous Vein Sparing Superficial Inguinal Dissection in Lower Extremity Melanoma</title><author><name sortKey="Ozturk, Muhammed Be Ir" sort="Ozturk, Muhammed Be Ir" uniqKey="Ozturk M" first="Muhammed Be Ir" last="Öztürk">Muhammed Be Ir Öztürk</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Plastic Reconstructive and Aesthetic Surgery, Tekirdag Government Hospital, 59020 Tekirdag, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Plastic Reconstructive and Aesthetic Surgery, Tekirdag Government Hospital, 59020 Tekirdag</wicri:regionArea></affiliation></author><author><name sortKey="Akan, Arzu" sort="Akan, Arzu" uniqKey="Akan A" first="Arzu" last="Akan">Arzu Akan</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of General Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of General Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Ozkaya, Ozay" sort="Ozkaya, Ozay" uniqKey="Ozkaya O" first="Özay" last="Özkaya">Özay Özkaya</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Egemen, Onur" sort="Egemen, Onur" uniqKey="Egemen O" first="Onur" last="Egemen">Onur Egemen</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Orero Lu, Ali R Za" sort="Orero Lu, Ali R Za" uniqKey="Orero Lu A" first="Ali R Za" last="Örero Lu">Ali R Za Örero Lu</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Plastic Reconstructive and Aesthetic Surgery, Prof. Dr. A. Ilhan Ozdemir State Hospital, 28000 Giresun, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Plastic Reconstructive and Aesthetic Surgery, Prof. Dr. A. Ilhan Ozdemir State Hospital, 28000 Giresun</wicri:regionArea></affiliation></author><author><name sortKey="Kayadibi, Turgut" sort="Kayadibi, Turgut" uniqKey="Kayadibi T" first="Turgut" last="Kayadibi">Turgut Kayadibi</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul</wicri:regionArea></affiliation></author><author><name sortKey="Akan, Mithat" sort="Akan, Mithat" uniqKey="Akan M" first="Mithat" last="Akan">Mithat Akan</name><affiliation wicri:level="1"><nlm:aff id="I5">Department of Plastic Reconstructive and Aesthetic Surgery, Medipol University Hospital, 34200 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Plastic Reconstructive and Aesthetic Surgery, Medipol University Hospital, 34200 Istanbul</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Skin Cancer</title><idno type="ISSN">2090-2905</idno><idno type="eISSN">2090-2913</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Aim</italic>. The classic inguinal lymph node dissection is the main step for the regional control of the lower extremity melanoma, but this surgical procedure is associated with significant postoperative morbidity. The permanent lymphedema is the most devastating long-term complication leading to a significant decrease in the patient's quality of life. In this study we present our experience with modified, saphenous vein sparing, inguinal lymph node dissections for patients with melanoma of the lower extremity. <italic>Methods</italic>. Twenty one patients (10 women, 11 men) who underwent saphenous vein sparing superficial inguinal lymph node dissection for the melanoma of lower extremity were included in this study. The effects of saphenous vein sparing on postoperative complications were evaluated. <italic>Results</italic>. We have observed the decreased rate of long-term lymphedema in patients undergoing inguinal lymphadenectomy for the lower extremity melanoma. <italic>Conclusion</italic>. The inguinal lymphadenectomy with saphenous vein preservation in lower extremity melanoma patients seems to be an oncologically safe procedure and it may offer reduced long-term morbidity.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Serpell, Jw" uniqKey="Serpell J">JW Serpell</name></author><author><name sortKey="Carne, Pwg" uniqKey="Carne P">PWG Carne</name></author><author><name sortKey="Bailey, M" uniqKey="Bailey M">M Bailey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ul Mulk, J" uniqKey="Ul Mulk J">J Ul-Mulk</name></author><author><name sortKey="Holmich, Lr" uniqKey="Holmich L">LR Hölmich</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lawton, G" uniqKey="Lawton G">G Lawton</name></author><author><name sortKey="Rasque, H" uniqKey="Rasque H">H Rasque</name></author><author><name sortKey="Ariyan, S" uniqKey="Ariyan S">S 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uniqKey="Spillane A">AJ Spillane</name></author><author><name sortKey="Saw, Rpm" uniqKey="Saw R">RPM Saw</name></author><author><name sortKey="Tucker, M" uniqKey="Tucker M">M Tucker</name></author><author><name sortKey="Byth, K" uniqKey="Byth K">K Byth</name></author><author><name sortKey="Thompson, Jf" uniqKey="Thompson J">JF Thompson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chang, Sb" uniqKey="Chang S">SB Chang</name></author><author><name sortKey="Askew, Rl" uniqKey="Askew R">RL Askew</name></author><author><name sortKey="Xing, Y" uniqKey="Xing Y">Y Xing</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hughes, Tmd" uniqKey="Hughes T">TMD Hughes</name></author><author><name sortKey="A Hern, Rp" uniqKey="A Hern R">RP A'Hern</name></author><author><name sortKey="Thomas, Jm" uniqKey="Thomas J">JM Thomas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Karakousis, Cp" 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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Skin Cancer</journal-id><journal-id journal-id-type="iso-abbrev">J Skin Cancer</journal-id><journal-id journal-id-type="publisher-id">JSC</journal-id><journal-title-group><journal-title>Journal of Skin Cancer</journal-title></journal-title-group><issn pub-type="ppub">2090-2905</issn><issn pub-type="epub">2090-2913</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25126426</article-id><article-id pub-id-type="pmc">4122063</article-id><article-id pub-id-type="doi">10.1155/2014/652123</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Saphenous Vein Sparing Superficial Inguinal Dissection in Lower Extremity Melanoma</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Öztürk</surname><given-names>Muhammed Beşir</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Akan</surname><given-names>Arzu</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Özkaya</surname><given-names>Özay</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Egemen</surname><given-names>Onur</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Öreroğlu</surname><given-names>Ali Rıza</given-names></name><xref ref-type="aff" rid="I4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-7786-796X</contrib-id><name><surname>Kayadibi</surname><given-names>Turgut</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Akan</surname><given-names>Mithat</given-names></name><xref ref-type="aff" rid="I5"><sup>5</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Plastic Reconstructive and Aesthetic Surgery, Tekirdag Government Hospital, 59020 Tekirdag, Turkey</aff><aff id="I2"><sup>2</sup>Department of General Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, Turkey</aff><aff id="I3"><sup>3</sup>Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, Turkey</aff><aff id="I4"><sup>4</sup>Department of Plastic Reconstructive and Aesthetic Surgery, Prof. Dr. A. Ilhan Ozdemir State Hospital, 28000 Giresun, Turkey</aff><aff id="I5"><sup>5</sup>Department of Plastic Reconstructive and Aesthetic Surgery, Medipol University Hospital, 34200 Istanbul, Turkey</aff><author-notes><corresp id="cor1">*Muhammed Beşir Öztürk: <email>muhammedozturk@msn.com</email></corresp><fn fn-type="other"><p>Academic Editor: Iris Zalaudek</p></fn></author-notes><pub-date pub-type="ppub"><year>2014</year></pub-date><pub-date pub-type="epub"><day>13</day><month>7</month><year>2014</year></pub-date><volume>2014</volume><elocation-id>652123</elocation-id><history><date date-type="received"><day>29</day><month>5</month><year>2014</year></date><date date-type="accepted"><day>22</day><month>6</month><year>2014</year></date></history><permissions><copyright-statement>Copyright © 2014 Muhammed Beşir Öztürk et al.</copyright-statement><copyright-year>2014</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p><italic>Aim</italic>. The classic inguinal lymph node dissection is the main step for the regional control of the lower extremity melanoma, but this surgical procedure is associated with significant postoperative morbidity. The permanent lymphedema is the most devastating long-term complication leading to a significant decrease in the patient's quality of life. In this study we present our experience with modified, saphenous vein sparing, inguinal lymph node dissections for patients with melanoma of the lower extremity. <italic>Methods</italic>. Twenty one patients (10 women, 11 men) who underwent saphenous vein sparing superficial inguinal lymph node dissection for the melanoma of lower extremity were included in this study. The effects of saphenous vein sparing on postoperative complications were evaluated. <italic>Results</italic>. We have observed the decreased rate of long-term lymphedema in patients undergoing inguinal lymphadenectomy for the lower extremity melanoma. <italic>Conclusion</italic>. The inguinal lymphadenectomy with saphenous vein preservation in lower extremity melanoma patients seems to be an oncologically safe procedure and it may offer reduced long-term morbidity.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>(a) 45-year-old female patient having T4 (4 mm) melanoma of the left plantar foot. (b) Intraoperative view of the sparing long saphenous vein. (c) En block removal of lymph node bearing fibrofatty tissue. (d) The 12th month follow-up of the patient without any sign of lymphedema.</p></caption><graphic xlink:href="JSC2014-652123.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>(a) Preoperative view of the 43-year-old male patient having T4 (4,8 mm) melanoma located to the right heel. (b) Right-sided saphenous vein superficial inguinal dissection, intraoperative view. (c) Postoperative 16th month picture, showing no sign of lymphedema (note that the right ankle is thick because of the use of posterior tibial artery perforator flap in the right heel reconstruction).</p></caption><graphic xlink:href="JSC2014-652123.002"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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