Lymph node content of supraclavicular and thoracodorsal-based axillary flaps for vascularized lymph node transfer.
Identifieur interne : 000821 ( PubMed/Checkpoint ); précédent : 000820; suivant : 000822Lymph node content of supraclavicular and thoracodorsal-based axillary flaps for vascularized lymph node transfer.
Auteurs : Patrick A. Gerety [États-Unis] ; Christopher J. Pannucci [États-Unis] ; Marten N. Basta ; Amber R. Wang ; Paul Zhang ; Carolyn Mies ; Suhail K. KanchwalaSource :
- Journal of vascular surgery. Venous and lymphatic disorders [ 2213-3348 ] ; 2016.
Abstract
Microvascular transfer of lymph node flaps has recently gained popularity as a treatment for secondary lymphedema often occurring after axillary, groin, or pelvic lymph node dissections. This study aimed to delineate the lymph node contents and pedicle characteristics of the supraclavicular (SC) and thoracodorsal (TD)-based axillary flaps as well as to compare lymph node quantification of surgeon vs pathologist.
DOI: 10.1016/j.jvsv.2015.06.004
PubMed: 26946900
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Pannucci</name><affiliation wicri:level="2"><nlm:affiliation>Division of Plastic Surgery, Department of Surgery, University of Utah, Salt Lake City, Utah.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Utah</region></placeName><wicri:cityArea>Division of Plastic Surgery, Department of Surgery, University of Utah, Salt Lake City</wicri:cityArea></affiliation></author><author><name sortKey="Basta, Marten N" sort="Basta, Marten N" uniqKey="Basta M" first="Marten N" last="Basta">Marten N. Basta</name><affiliation><nlm:affiliation>Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Wang, Amber R" sort="Wang, Amber R" uniqKey="Wang A" first="Amber R" last="Wang">Amber R. Wang</name><affiliation><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Zhang, Paul" sort="Zhang, Paul" uniqKey="Zhang P" first="Paul" last="Zhang">Paul Zhang</name><affiliation><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Mies, Carolyn" sort="Mies, Carolyn" uniqKey="Mies C" first="Carolyn" last="Mies">Carolyn Mies</name><affiliation><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Kanchwala, Suhail K" sort="Kanchwala, Suhail K" uniqKey="Kanchwala S" first="Suhail K" last="Kanchwala">Suhail K. Kanchwala</name><affiliation><nlm:affiliation>Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2016">2016</date><idno type="RBID">pubmed:26946900</idno><idno type="pmid">26946900</idno><idno type="doi">10.1016/j.jvsv.2015.06.004</idno><idno type="wicri:Area/PubMed/Corpus">000957</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000957</idno><idno type="wicri:Area/PubMed/Curation">000957</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000957</idno><idno type="wicri:Area/PubMed/Checkpoint">000957</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000957</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lymph node content of supraclavicular and thoracodorsal-based axillary flaps for vascularized lymph node transfer.</title><author><name sortKey="Gerety, Patrick A" sort="Gerety, Patrick A" uniqKey="Gerety P" first="Patrick A" last="Gerety">Patrick A. Gerety</name><affiliation wicri:level="1"><nlm:affiliation>Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa. Electronic address: patrick.gerety@uphs.upenn.edu.</nlm:affiliation><country wicri:rule="url">États-Unis</country></affiliation></author><author><name sortKey="Pannucci, Christopher J" sort="Pannucci, Christopher J" uniqKey="Pannucci C" first="Christopher J" last="Pannucci">Christopher J. Pannucci</name><affiliation wicri:level="2"><nlm:affiliation>Division of Plastic Surgery, Department of Surgery, University of Utah, Salt Lake City, Utah.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Utah</region></placeName><wicri:cityArea>Division of Plastic Surgery, Department of Surgery, University of Utah, Salt Lake City</wicri:cityArea></affiliation></author><author><name sortKey="Basta, Marten N" sort="Basta, Marten N" uniqKey="Basta M" first="Marten N" last="Basta">Marten N. Basta</name><affiliation><nlm:affiliation>Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Wang, Amber R" sort="Wang, Amber R" uniqKey="Wang A" first="Amber R" last="Wang">Amber R. Wang</name><affiliation><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Zhang, Paul" sort="Zhang, Paul" uniqKey="Zhang P" first="Paul" last="Zhang">Paul Zhang</name><affiliation><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Mies, Carolyn" sort="Mies, Carolyn" uniqKey="Mies C" first="Carolyn" last="Mies">Carolyn Mies</name><affiliation><nlm:affiliation>Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author><author><name sortKey="Kanchwala, Suhail K" sort="Kanchwala, Suhail K" uniqKey="Kanchwala S" first="Suhail K" last="Kanchwala">Suhail K. Kanchwala</name><affiliation><nlm:affiliation>Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</nlm:affiliation><wicri:noCountry code="subField">Pa</wicri:noCountry></affiliation></author></analytic><series><title level="j">Journal of vascular surgery. Venous and lymphatic disorders</title><idno type="eISSN">2213-3348</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Microvascular transfer of lymph node flaps has recently gained popularity as a treatment for secondary lymphedema often occurring after axillary, groin, or pelvic lymph node dissections. This study aimed to delineate the lymph node contents and pedicle characteristics of the supraclavicular (SC) and thoracodorsal (TD)-based axillary flaps as well as to compare lymph node quantification of surgeon vs pathologist.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">26946900</PMID><DateCreated><Year>2016</Year><Month>03</Month><Day>07</Day></DateCreated><DateRevised><Year>2016</Year><Month>03</Month><Day>07</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">2213-3348</ISSN><JournalIssue CitedMedium="Internet"><Volume>4</Volume><Issue>1</Issue><PubDate><Year>2016</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Journal of vascular surgery. Venous and lymphatic disorders</Title><ISOAbbreviation>J Vasc Surg Venous Lymphat Disord</ISOAbbreviation></Journal><ArticleTitle>Lymph node content of supraclavicular and thoracodorsal-based axillary flaps for vascularized lymph node transfer.</ArticleTitle><Pagination><MedlinePgn>80-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jvsv.2015.06.004</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S2213-333X(15)00115-8</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Microvascular transfer of lymph node flaps has recently gained popularity as a treatment for secondary lymphedema often occurring after axillary, groin, or pelvic lymph node dissections. This study aimed to delineate the lymph node contents and pedicle characteristics of the supraclavicular (SC) and thoracodorsal (TD)-based axillary flaps as well as to compare lymph node quantification of surgeon vs pathologist.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">SC and TD flaps were dissected from fresh female cadavers. The surgeon assessed pedicle characteristics, lymph node content, and anatomy. A pathologist assessed all flaps for gross and microscopic lymph node contents. The κ statistic was used to compare surgeon and pathologist.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Ten SC flaps and 10 TD flaps were harvested and quantified. In comparing the SC and TD flaps, there were no statistical differences between artery diameter (3.1 vs 3.2 mm; P = .75) and vein diameter (2.8 vs 3.5 mm; P = .24). The TD flap did have a significantly longer pedicle than the SC flap (4.2 vs 3.2 cm; P = .03). The TD flap was found to be significantly heavier than the SC flap (17.0 ± 4.8 vs 12.9 ± 3.3 g; P = .04). Gross lymph node quantity was similar in the SC and TD flaps (2.5 ± 1.7 vs 1.8 ± 1.2; P = .33). There was good agreement between the surgeon and pathologist in detecting gross lymph nodes in the flaps (SC κ = 0.87, TD κ = 0.61).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The SC and TD flaps have similar lymph node quantity, but the SC flap has higher lymphatic density. A surgeon's estimation of lymph node quantity is reliable and has been verified in this study by comparison to a pathologist's examination.</AbstractText><CopyrightInformation>Copyright © 2016 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gerety</LastName><ForeName>Patrick A</ForeName><Initials>PA</Initials><AffiliationInfo><Affiliation>Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa. Electronic address: patrick.gerety@uphs.upenn.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pannucci</LastName><ForeName>Christopher J</ForeName><Initials>CJ</Initials><AffiliationInfo><Affiliation>Division of Plastic Surgery, Department of Surgery, University of Utah, Salt Lake City, Utah.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Basta</LastName><ForeName>Marten N</ForeName><Initials>MN</Initials><AffiliationInfo><Affiliation>Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wang</LastName><ForeName>Amber R</ForeName><Initials>AR</Initials><AffiliationInfo><Affiliation>Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhang</LastName><ForeName>Paul</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mies</LastName><ForeName>Carolyn</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kanchwala</LastName><ForeName>Suhail K</ForeName><Initials>SK</Initials><AffiliationInfo><Affiliation>Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>09</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Vasc Surg Venous Lymphat Disord</MedlineTA><NlmUniqueID>101607771</NlmUniqueID></MedlineJournalInfo><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>03</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>06</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>3</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>3</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>3</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26946900</ArticleId><ArticleId IdType="pii">S2213-333X(15)00115-8</ArticleId><ArticleId IdType="doi">10.1016/j.jvsv.2015.06.004</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Utah</li></region></list><tree><noCountry><name sortKey="Basta, Marten N" sort="Basta, Marten N" uniqKey="Basta M" first="Marten N" last="Basta">Marten N. Basta</name><name sortKey="Kanchwala, Suhail K" sort="Kanchwala, Suhail K" uniqKey="Kanchwala S" first="Suhail K" last="Kanchwala">Suhail K. Kanchwala</name><name sortKey="Mies, Carolyn" sort="Mies, Carolyn" uniqKey="Mies C" first="Carolyn" last="Mies">Carolyn Mies</name><name sortKey="Wang, Amber R" sort="Wang, Amber R" uniqKey="Wang A" first="Amber R" last="Wang">Amber R. Wang</name><name sortKey="Zhang, Paul" sort="Zhang, Paul" uniqKey="Zhang P" first="Paul" last="Zhang">Paul Zhang</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Gerety, Patrick A" sort="Gerety, Patrick A" uniqKey="Gerety P" first="Patrick A" last="Gerety">Patrick A. Gerety</name></noRegion><name sortKey="Pannucci, Christopher J" sort="Pannucci, Christopher J" uniqKey="Pannucci C" first="Christopher J" last="Pannucci">Christopher J. Pannucci</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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