The laparoscopic right gastroepiploic lymph node flap transfer for upper and lower limb lymphedema: Technique and outcomes.
Identifieur interne : 000D74 ( PubMed/Corpus ); précédent : 000D73; suivant : 000D75The laparoscopic right gastroepiploic lymph node flap transfer for upper and lower limb lymphedema: Technique and outcomes.
Auteurs : Pedro Ciudad ; Michele Maruccia ; Juan Socas ; Ming-Hsien Lee ; Kuo-Piao Chung ; Thomas Constantinescu ; Kidakorn Kiranantawat ; Fabio Nicoli ; Stamatis Sapountzis ; Matthew Sze-Wei Yeo ; Hung-Chi ChenSource :
- Microsurgery [ 1098-2752 ] ; 2017.
Abstract
Lymph node flap transfer popularity for treatment of extremity lymphedema is increasing quickly. Multiple flap donor sites were described in search of the optimal one. We describe the technique and outcomes of a laparoscopically harvested right gastroepiploic lymph node flap for treatment of extremity lymphedema.
DOI: 10.1002/micr.22450
PubMed: 26175309
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The laparoscopic right gastroepiploic lymph node flap transfer for upper and lower limb lymphedema: Technique and outcomes.</title><author><name sortKey="Ciudad, Pedro" sort="Ciudad, Pedro" uniqKey="Ciudad P" first="Pedro" last="Ciudad">Pedro Ciudad</name><affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Maruccia, Michele" sort="Maruccia, Michele" uniqKey="Maruccia M" first="Michele" last="Maruccia">Michele Maruccia</name><affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Socas, Juan" sort="Socas, Juan" uniqKey="Socas J" first="Juan" last="Socas">Juan Socas</name><affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, Indiana University School of Medicine, Indianapolis, IN.</nlm:affiliation></affiliation></author><author><name sortKey="Lee, Ming Hsien" sort="Lee, Ming Hsien" uniqKey="Lee M" first="Ming-Hsien" last="Lee">Ming-Hsien Lee</name><affiliation><nlm:affiliation>Department of General Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Chung, Kuo Piao" sort="Chung, Kuo Piao" uniqKey="Chung K" first="Kuo-Piao" last="Chung">Kuo-Piao Chung</name><affiliation><nlm:affiliation>Institute of Healthcare Policy and Management, Department of Public Health, National Taiwan University, Taipei, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Constantinescu, Thomas" sort="Constantinescu, Thomas" uniqKey="Constantinescu T" first="Thomas" last="Constantinescu">Thomas Constantinescu</name><affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Kiranantawat, Kidakorn" sort="Kiranantawat, Kidakorn" uniqKey="Kiranantawat K" first="Kidakorn" last="Kiranantawat">Kidakorn Kiranantawat</name><affiliation><nlm:affiliation>Division of Plastic and Maxillofacial Surgery, Department of Surgery, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.</nlm:affiliation></affiliation></author><author><name sortKey="Nicoli, Fabio" sort="Nicoli, Fabio" uniqKey="Nicoli F" first="Fabio" last="Nicoli">Fabio Nicoli</name><affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Sapountzis, Stamatis" sort="Sapountzis, Stamatis" uniqKey="Sapountzis S" first="Stamatis" last="Sapountzis">Stamatis Sapountzis</name><affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Yeo, Matthew Sze Wei" sort="Yeo, Matthew Sze Wei" uniqKey="Yeo M" first="Matthew Sze-Wei" last="Yeo">Matthew Sze-Wei Yeo</name></author><author><name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name><affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:26175309</idno><idno type="pmid">26175309</idno><idno type="doi">10.1002/micr.22450</idno><idno type="wicri:Area/PubMed/Corpus">000D74</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000D74</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The laparoscopic right gastroepiploic lymph node flap transfer for upper and lower limb lymphedema: Technique and outcomes.</title><author><name sortKey="Ciudad, Pedro" sort="Ciudad, Pedro" uniqKey="Ciudad P" first="Pedro" last="Ciudad">Pedro Ciudad</name><affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Maruccia, Michele" sort="Maruccia, Michele" uniqKey="Maruccia M" first="Michele" last="Maruccia">Michele Maruccia</name><affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Socas, Juan" sort="Socas, Juan" uniqKey="Socas J" first="Juan" last="Socas">Juan Socas</name><affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, Indiana University School of Medicine, Indianapolis, IN.</nlm:affiliation></affiliation></author><author><name sortKey="Lee, Ming Hsien" sort="Lee, Ming Hsien" uniqKey="Lee M" first="Ming-Hsien" last="Lee">Ming-Hsien Lee</name><affiliation><nlm:affiliation>Department of General Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Chung, Kuo Piao" sort="Chung, Kuo Piao" uniqKey="Chung K" first="Kuo-Piao" last="Chung">Kuo-Piao Chung</name><affiliation><nlm:affiliation>Institute of Healthcare Policy and Management, Department of Public Health, National Taiwan University, Taipei, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Constantinescu, Thomas" sort="Constantinescu, Thomas" uniqKey="Constantinescu T" first="Thomas" last="Constantinescu">Thomas Constantinescu</name><affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Kiranantawat, Kidakorn" sort="Kiranantawat, Kidakorn" uniqKey="Kiranantawat K" first="Kidakorn" last="Kiranantawat">Kidakorn Kiranantawat</name><affiliation><nlm:affiliation>Division of Plastic and Maxillofacial Surgery, Department of Surgery, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.</nlm:affiliation></affiliation></author><author><name sortKey="Nicoli, Fabio" sort="Nicoli, Fabio" uniqKey="Nicoli F" first="Fabio" last="Nicoli">Fabio Nicoli</name><affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Sapountzis, Stamatis" sort="Sapountzis, Stamatis" uniqKey="Sapountzis S" first="Stamatis" last="Sapountzis">Stamatis Sapountzis</name><affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation></affiliation></author><author><name sortKey="Yeo, Matthew Sze Wei" sort="Yeo, Matthew Sze Wei" uniqKey="Yeo M" first="Matthew Sze-Wei" last="Yeo">Matthew Sze-Wei Yeo</name></author><author><name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name><affiliation><nlm:affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Microsurgery</title><idno type="eISSN">1098-2752</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">Lymph node flap transfer popularity for treatment of extremity lymphedema is increasing quickly. Multiple flap donor sites were described in search of the optimal one. We describe the technique and outcomes of a laparoscopically harvested right gastroepiploic lymph node flap for treatment of extremity lymphedema.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">26175309</PMID><DateCreated><Year>2015</Year><Month>07</Month><Day>15</Day></DateCreated><DateRevised><Year>2017</Year><Month>03</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1098-2752</ISSN><JournalIssue CitedMedium="Internet"><Volume>37</Volume><Issue>3</Issue><PubDate><Year>2017</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Microsurgery</Title><ISOAbbreviation>Microsurgery</ISOAbbreviation></Journal><ArticleTitle>The laparoscopic right gastroepiploic lymph node flap transfer for upper and lower limb lymphedema: Technique and outcomes.</ArticleTitle><Pagination><MedlinePgn>197-205</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1002/micr.22450</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymph node flap transfer popularity for treatment of extremity lymphedema is increasing quickly. Multiple flap donor sites were described in search of the optimal one. We describe the technique and outcomes of a laparoscopically harvested right gastroepiploic lymph node flap for treatment of extremity lymphedema.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">From January 2012 to January 2013, 10 consecutive female patients, average age 54.8 years, with International Society of Lymphology stage II-III extremity lymphedema refractory to conservative management were included. Five patients had upper limb breast cancer-related lymphedema and five patients had lower limb pelvic cancer-related lymphedema. All patients underwent laparoscopic harvest of the right gastroepiploic lymph node flap, transferred to the wrist and ankle as recipient sites. Flaps were covered with a small skin graft taken from the thigh. Perioperative assessment included physical exam, photography, circumference measurements, CT scans, lymphoscintigraphy, and Lymphedema Quality of Life (LYMQOL) questionnaire. Clinical and CT evaluation of donor-site morbidity were performed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The flap survival rate was 100%, with a mean harvest time of 32 minutes and total operating time of 164 minutes. One case required regrafting for skin graft loss. The mean limb reduction rate was 39.5% at a mean follow-up of 14.7 months. Perioperative lymphoscintigraphy demonstrated transferred lymph node viability and lymphatic transport improvement. LYMQOL showed a 2.6-fold quality-of-life improvement (P < 0.01). No donor-site morbidity was encountered.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The use of the laparoscopically harvested right gastroepiploic lymph node flap may be a safe technique that improves limb measurements and quality of life in extremity lymphedema patients. © 2015 Wiley Periodicals, Inc. Microsurgery 37:197-205, 2017.</AbstractText><CopyrightInformation>© 2015 Wiley Periodicals, Inc.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ciudad</LastName><ForeName>Pedro</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Tissue Engineering and Regenerative Medicine Program, Department of Biomedical Engineering, National Chung Hsing University, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maruccia</LastName><ForeName>Michele</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Plastic, Reconstructive, and Aesthetic Surgery, "Sapienza" University, Rome, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Socas</LastName><ForeName>Juan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, Indiana University School of Medicine, Indianapolis, IN.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Ming-Hsien</ForeName><Initials>MH</Initials><AffiliationInfo><Affiliation>Department of General Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chung</LastName><ForeName>Kuo-Piao</ForeName><Initials>KP</Initials><AffiliationInfo><Affiliation>Institute of Healthcare Policy and Management, Department of Public Health, National Taiwan University, Taipei, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Constantinescu</LastName><ForeName>Thomas</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kiranantawat</LastName><ForeName>Kidakorn</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of Plastic and Maxillofacial Surgery, Department of Surgery, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.</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>Sapountzis</LastName><ForeName>Stamatis</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yeo</LastName><ForeName>Matthew Sze-Wei</ForeName><Initials>MS</Initials></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>2015</Year><Month>07</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Microsurgery</MedlineTA><NlmUniqueID>8309230</NlmUniqueID><ISSNLinking>0738-1085</ISSNLinking></MedlineJournalInfo></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>11</Month><Day>20</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2015</Year><Month>06</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>06</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>7</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>7</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>7</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26175309</ArticleId><ArticleId IdType="doi">10.1002/micr.22450</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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