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Saphenous vein sparing superficial inguinal dissection in lower extremity melanoma.

Identifieur interne : 001387 ( PubMed/Corpus ); précédent : 001386; suivant : 001388

Saphenous vein sparing superficial inguinal dissection in lower extremity melanoma.

Auteurs : Muhammed Be Ir Oztürk ; Arzu Akan ; Ozay Ozkaya ; Onur Egemen ; Ali R Za Orero Lu ; Turgut Kayadibi ; Mithat Akan

Source :

RBID : pubmed:25126426

Abstract

Aim. 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. Methods. 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. Results. We have observed the decreased rate of long-term lymphedema in patients undergoing inguinal lymphadenectomy for the lower extremity melanoma. Conclusion. 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.

DOI: 10.1155/2014/652123
PubMed: 25126426

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pubmed:25126426

Le document en format XML

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<name sortKey="Akan, Arzu" sort="Akan, Arzu" uniqKey="Akan A" first="Arzu" last="Akan">Arzu Akan</name>
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<name sortKey="Ozkaya, Ozay" sort="Ozkaya, Ozay" uniqKey="Ozkaya O" first="Ozay" last="Ozkaya">Ozay Ozkaya</name>
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<nlm:affiliation>Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, Turkey.</nlm:affiliation>
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<name sortKey="Egemen, Onur" sort="Egemen, Onur" uniqKey="Egemen O" first="Onur" last="Egemen">Onur Egemen</name>
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<nlm:affiliation>Department of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, Turkey.</nlm:affiliation>
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<name sortKey="Orero Lu, Ali R Za" sort="Orero Lu, Ali R Za" uniqKey="Orero Lu A" first="Ali R Za" last="Orero Lu">Ali R Za Orero Lu</name>
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<div type="abstract" xml:lang="en">Aim. 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. Methods. 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. Results. We have observed the decreased rate of long-term lymphedema in patients undergoing inguinal lymphadenectomy for the lower extremity melanoma. Conclusion. 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.</div>
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