Latissimus dorsi flap with vascularized lymph node transfer for lymphedema treatment: Technique, outcomes, indications and review of literature.
Identifieur interne : 000277 ( PubMed/Checkpoint ); précédent : 000276; suivant : 000278Latissimus dorsi flap with vascularized lymph node transfer for lymphedema treatment: Technique, outcomes, indications and review of literature.
Auteurs : Amir Inbal [États-Unis] ; Chad M. Teven [États-Unis] ; David W. Chang [États-Unis]Source :
- Journal of surgical oncology [ 1096-9098 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- blood supply : Lymph Nodes, Superficial Back Muscles.
- surgery : Lymphedema.
- transplantation : Lymph Nodes, Superficial Back Muscles, Surgical Flaps.
- Adult, Humans, Middle Aged.
Abstract
One of the surgical treatment options for lymphedema is vascularized lymph node transfer (VLNT). We present our experience with latissimus dorsi (LD) flap based VLNT for lymphedema treatment.
DOI: 10.1002/jso.24347
PubMed: 27943281
Affiliations:
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pubmed:27943281Le document en format XML
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<term>Lymph Nodes (transplantation)</term>
<term>Lymphedema (surgery)</term>
<term>Middle Aged</term>
<term>Superficial Back Muscles (blood supply)</term>
<term>Superficial Back Muscles (transplantation)</term>
<term>Surgical Flaps (transplantation)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux (transplantation)</term>
<term>Lymphoedème ()</term>
<term>Muscles superficiels du dos ()</term>
<term>Muscles superficiels du dos (transplantation)</term>
<term>Noeuds lymphatiques ()</term>
<term>Noeuds lymphatiques (transplantation)</term>
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<term>Superficial Back Muscles</term>
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<term>Middle Aged</term>
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<term>Lambeaux chirurgicaux</term>
<term>Lymphoedème</term>
<term>Muscles superficiels du dos</term>
<term>Noeuds lymphatiques</term>
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<front><div type="abstract" xml:lang="en">One of the surgical treatment options for lymphedema is vascularized lymph node transfer (VLNT). We present our experience with latissimus dorsi (LD) flap based VLNT for lymphedema treatment.</div>
</front>
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<DateCreated><Year>2016</Year>
<Month>12</Month>
<Day>12</Day>
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<DateCompleted><Year>2017</Year>
<Month>02</Month>
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<JournalIssue CitedMedium="Internet"><Volume>115</Volume>
<Issue>1</Issue>
<PubDate><Year>2017</Year>
<Month>Jan</Month>
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<Title>Journal of surgical oncology</Title>
<ISOAbbreviation>J Surg Oncol</ISOAbbreviation>
</Journal>
<ArticleTitle>Latissimus dorsi flap with vascularized lymph node transfer for lymphedema treatment: Technique, outcomes, indications and review of literature.</ArticleTitle>
<Pagination><MedlinePgn>72-77</MedlinePgn>
</Pagination>
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<Abstract><AbstractText Label="BACKGROUND AND OBJECTIVES" NlmCategory="OBJECTIVE">One of the surgical treatment options for lymphedema is vascularized lymph node transfer (VLNT). We present our experience with latissimus dorsi (LD) flap based VLNT for lymphedema treatment.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We reviewed 14 consecutive patients treated with pedicled or free LD VLNT between 2014 and 2016 for recalcitrant upper or lower extremity lymphedema. Seven patients underwent lymphovenous bypass in addition to LD VLNT. Limb volume and quality of life scores using the Lymphedema Life Impact Scale (LLIS) were analyzed for quantitative and qualitative assessment.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Mean duration of lymphedema was 69 months (range 24-124 months). Follow-up ranged from 3 to 12 months (mean 6.7 month). Major complications included one free flap loss and one reoperation for thrombosis. Mean preoperative volume differential between normal and affected limb was 35% (range 3-87%). Volume differential reduction was 48%, 28%, and 46% at 3, 6, and 12 months, respectively. The LLIS score improved from mean of 46.8 before surgery to a mean of 38.6 at 12 month, demonstrating improvement in quality of life.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The LD VLNT provides a viable option for treatment of UE and LE lymphedema in selected patients. J. Surg. Oncol. 2017;115:72-77. © 2016 Wiley Periodicals, Inc.</AbstractText>
<CopyrightInformation>© 2016 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Inbal</LastName>
<ForeName>Amir</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Chicago Medical Center, Chicago, Illinois.</Affiliation>
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