Outcomes of Lymphedema Microsurgery for Breast Cancer-related Lymphedema With or Without Microvascular Breast Reconstruction.
Identifieur interne : 000155 ( PubMed/Corpus ); précédent : 000154; suivant : 000156Outcomes of Lymphedema Microsurgery for Breast Cancer-related Lymphedema With or Without Microvascular Breast Reconstruction.
Auteurs : Holger Engel ; Chia-Yu Lin ; Jung-Ju Huang ; Ming-Huei ChengSource :
- Annals of surgery [ 1528-1140 ] ; 2017.
Abstract
This study investigated the outcome of lymphedema microsurgery with or without microsurgical breast reconstruction for breast cancer-related lymphedema (BCRL).
DOI: 10.1097/SLA.0000000000002322
PubMed: 28594742
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Outcomes of Lymphedema Microsurgery for Breast Cancer-related Lymphedema With or Without Microvascular Breast Reconstruction.</title><author><name sortKey="Engel, Holger" sort="Engel, Holger" uniqKey="Engel H" first="Holger" last="Engel">Holger Engel</name><affiliation><nlm:affiliation>*Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University of Heidelberg, BG Trauma Center Ludwigshafen, Heidelberg, Germany †Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Linkou, Tauyuan, Taiwan ‡Center for Tissue Engineering, Chang Gung Memorial Hospital, Linkou, Tauyuan, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Lin, Chia Yu" sort="Lin, Chia Yu" uniqKey="Lin C" first="Chia-Yu" last="Lin">Chia-Yu Lin</name></author><author><name sortKey="Huang, Jung Ju" sort="Huang, Jung Ju" uniqKey="Huang J" first="Jung-Ju" last="Huang">Jung-Ju Huang</name></author><author><name sortKey="Cheng, Ming Huei" sort="Cheng, Ming Huei" uniqKey="Cheng M" first="Ming-Huei" last="Cheng">Ming-Huei Cheng</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28594742</idno><idno type="pmid">28594742</idno><idno type="doi">10.1097/SLA.0000000000002322</idno><idno type="wicri:Area/PubMed/Corpus">000155</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000155</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Outcomes of Lymphedema Microsurgery for Breast Cancer-related Lymphedema With or Without Microvascular Breast Reconstruction.</title><author><name sortKey="Engel, Holger" sort="Engel, Holger" uniqKey="Engel H" first="Holger" last="Engel">Holger Engel</name><affiliation><nlm:affiliation>*Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University of Heidelberg, BG Trauma Center Ludwigshafen, Heidelberg, Germany †Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Linkou, Tauyuan, Taiwan ‡Center for Tissue Engineering, Chang Gung Memorial Hospital, Linkou, Tauyuan, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Lin, Chia Yu" sort="Lin, Chia Yu" uniqKey="Lin C" first="Chia-Yu" last="Lin">Chia-Yu Lin</name></author><author><name sortKey="Huang, Jung Ju" sort="Huang, Jung Ju" uniqKey="Huang J" first="Jung-Ju" last="Huang">Jung-Ju Huang</name></author><author><name sortKey="Cheng, Ming Huei" sort="Cheng, Ming Huei" uniqKey="Cheng M" first="Ming-Huei" last="Cheng">Ming-Huei Cheng</name></author></analytic><series><title level="j">Annals of surgery</title><idno type="eISSN">1528-1140</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 investigated the outcome of lymphedema microsurgery with or without microsurgical breast reconstruction for breast cancer-related lymphedema (BCRL).</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28594742</PMID><DateCreated><Year>2017</Year><Month>06</Month><Day>08</Day></DateCreated><DateRevised><Year>2017</Year><Month>06</Month><Day>08</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1528-1140</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Jun</Month><Day>07</Day></PubDate></JournalIssue><Title>Annals of surgery</Title><ISOAbbreviation>Ann. Surg.</ISOAbbreviation></Journal><ArticleTitle>Outcomes of Lymphedema Microsurgery for Breast Cancer-related Lymphedema With or Without Microvascular Breast Reconstruction.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1097/SLA.0000000000002322</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">This study investigated the outcome of lymphedema microsurgery with or without microsurgical breast reconstruction for breast cancer-related lymphedema (BCRL).</AbstractText><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Complete decongestive therapy, lymphovenous anastomosis, and vascularized lymph node flap transfer are the 3 major treatment modalities for BCRL. Releasing axillary contracture and transferring a free flap may potentially improve the BCRL.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Between 2004 and 2015, 124 patients with BCRL who underwent 3 treatment modalities without or with microsurgical breast reconstruction were included in this study as groups I and II, respectively. Patients were offered the lymphedema microsurgery depending on the availability of patent lymphatic ducts on indocyanine green lymphography if they failed to complete decongestive therapy. The circumferential difference, reduction rate, and episodes of cellulitis were used to evaluate the outcome of treatments.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Improvements in the circumferential difference (12.8 ± 4.2% vs 11.5 ± 5.3%), the reduction rate (20.4 ± 5.1% vs 14.7 ± 6%), and episodes of cellulitis (1.7 ± 1.1 vs 2.1 ± 2.4 times/yr) did not significantly differ between groups I and II (P = 0.06, 0.07, and 0.06, respectively). In both groups, vascularized lymph node flap transfer was significantly superior to lymphovenous anastomosis or complete decongestive therapy in terms of improvements in the circumferential difference, reduction rate and episodes of cellulitis (P = 0.04, 0.04, and 0.06, respectively).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Microsurgical breast reconstruction did not improve the outcome of BCRL. Improvements in BCRL were better for lymphatic microsurgery than complete decongestive therapy. Moreover, vascularized lymph node flap transfer provided greater improvements in the BCRL than lymphovenous anastomosis.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Engel</LastName><ForeName>Holger</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>*Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University of Heidelberg, BG Trauma Center Ludwigshafen, Heidelberg, Germany †Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Linkou, Tauyuan, Taiwan ‡Center for Tissue Engineering, Chang Gung Memorial Hospital, Linkou, Tauyuan, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lin</LastName><ForeName>Chia-Yu</ForeName><Initials>CY</Initials></Author><Author ValidYN="Y"><LastName>Huang</LastName><ForeName>Jung-Ju</ForeName><Initials>JJ</Initials></Author><Author ValidYN="Y"><LastName>Cheng</LastName><ForeName>Ming-Huei</ForeName><Initials>MH</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>06</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Surg</MedlineTA><NlmUniqueID>0372354</NlmUniqueID><ISSNLinking>0003-4932</ISSNLinking></MedlineJournalInfo></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>6</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>6</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>6</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28594742</ArticleId><ArticleId IdType="doi">10.1097/SLA.0000000000002322</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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