Complications of autologous lymph-node transplantation for limb lymphoedema.
Identifieur interne : 001D58 ( PubMed/Corpus ); précédent : 001D57; suivant : 001D59Complications of autologous lymph-node transplantation for limb lymphoedema.
Auteurs : S. Vignes ; M. Blanchard ; A. Yannoutsos ; M. ArraultSource :
- European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery [ 1532-2165 ] ; 2013.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Transplantation, Autologous.
- epidemiology : Postoperative Complications.
- etiology : Postoperative Complications.
- surgery : Lymphedema.
- transplantation : Lymph Nodes.
- Adolescent, Adult, Extremities, Female, Humans, Male, Middle Aged, Prospective Studies, Young Adult.
Abstract
This study aims to assess potential complications of autologous lymph-node transplantation (ALNT) to treat limb lymphoedema.
DOI: 10.1016/j.ejvs.2012.11.026
PubMed: 23305787
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Complications of autologous lymph-node transplantation for limb lymphoedema.</title><author><name sortKey="Vignes, S" sort="Vignes, S" uniqKey="Vignes S" first="S" last="Vignes">S. Vignes</name><affiliation><nlm:affiliation>Department of Lymphology, Centre National de Référence des Maladies Vasculaires Rares (lymphœdèmes primaires), Hôpital Cognacq-Jay, 15, rue Eugène Millon, 75015 Paris, France. stephane.vignes@cognacq-jay.fr</nlm:affiliation></affiliation></author><author><name sortKey="Blanchard, M" sort="Blanchard, M" uniqKey="Blanchard M" first="M" last="Blanchard">M. Blanchard</name></author><author><name sortKey="Yannoutsos, A" sort="Yannoutsos, A" uniqKey="Yannoutsos A" first="A" last="Yannoutsos">A. Yannoutsos</name></author><author><name sortKey="Arrault, M" sort="Arrault, M" uniqKey="Arrault M" first="M" last="Arrault">M. Arrault</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23305787</idno><idno type="pmid">23305787</idno><idno type="doi">10.1016/j.ejvs.2012.11.026</idno><idno type="wicri:Area/PubMed/Corpus">001D58</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001D58</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Complications of autologous lymph-node transplantation for limb lymphoedema.</title><author><name sortKey="Vignes, S" sort="Vignes, S" uniqKey="Vignes S" first="S" last="Vignes">S. Vignes</name><affiliation><nlm:affiliation>Department of Lymphology, Centre National de Référence des Maladies Vasculaires Rares (lymphœdèmes primaires), Hôpital Cognacq-Jay, 15, rue Eugène Millon, 75015 Paris, France. stephane.vignes@cognacq-jay.fr</nlm:affiliation></affiliation></author><author><name sortKey="Blanchard, M" sort="Blanchard, M" uniqKey="Blanchard M" first="M" last="Blanchard">M. Blanchard</name></author><author><name sortKey="Yannoutsos, A" sort="Yannoutsos, A" uniqKey="Yannoutsos A" first="A" last="Yannoutsos">A. Yannoutsos</name></author><author><name sortKey="Arrault, M" sort="Arrault, M" uniqKey="Arrault M" first="M" last="Arrault">M. Arrault</name></author></analytic><series><title level="j">European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery</title><idno type="eISSN">1532-2165</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Extremities</term><term>Female</term><term>Humans</term><term>Lymph Nodes (transplantation)</term><term>Lymphedema (surgery)</term><term>Male</term><term>Middle Aged</term><term>Postoperative Complications (epidemiology)</term><term>Postoperative Complications (etiology)</term><term>Prospective Studies</term><term>Transplantation, Autologous (adverse effects)</term><term>Young Adult</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Transplantation, Autologous</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Lymph Nodes</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Extremities</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prospective Studies</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study aims to assess potential complications of autologous lymph-node transplantation (ALNT) to treat limb lymphoedema.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23305787</PMID><DateCreated><Year>2013</Year><Month>04</Month><Day>22</Day></DateCreated><DateCompleted><Year>2013</Year><Month>06</Month><Day>17</Day></DateCompleted><DateRevised><Year>2013</Year><Month>04</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2165</ISSN><JournalIssue CitedMedium="Internet"><Volume>45</Volume><Issue>5</Issue><PubDate><Year>2013</Year><Month>May</Month></PubDate></JournalIssue><Title>European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery</Title><ISOAbbreviation>Eur J Vasc Endovasc Surg</ISOAbbreviation></Journal><ArticleTitle>Complications of autologous lymph-node transplantation for limb lymphoedema.</ArticleTitle><Pagination><MedlinePgn>516-20</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ejvs.2012.11.026</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1078-5884(12)00788-5</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">This study aims to assess potential complications of autologous lymph-node transplantation (ALNT) to treat limb lymphoedema.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Prospective, observational study.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">All limb-lymphoedema patients, followed up in a single lymphology department, who decided to undergo ALNT (January 2004-June 2012) independently of our medical team, were included.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Among the 26 patients (22 females, four males) included, 14 had secondary upper-limb lymphoedema after breast-cancer treatment and seven had secondary and five primary lower-limb lymphoedema. Median (interquartile range, IQR) ages at primary lower-limb lymphoedema and secondary lymphoedema onset were 18.5 (13-30) and 47.4 (35-58) years, respectively. Median body mass index (BMI) was 25.9 (22.9-29.3) kg m⁻². For all patients, median pre-surgery lymphoedema duration was 37 (24-90) months. Thirty-four ALNs were transplanted into the 26 patients, combined with liposuction in four lower-limb-lymphoedema patients. Ten (38%) patients developed 15 complications: six, chronic lymphoedema (four upper limb, two lower limb), defined as ≥2-cm difference versus the contralateral side, in the limb on the donor lymph-node-site territory, persisting for a median of 40 months post-ALNT; four, post-surgical lymphocoeles; one testicular hydrocoele requiring surgery; and four with persistent donor-site pain. Median (IQR) pre- and post-surgical lymphoedema volumes, calculated using the formula for a truncated cone, were, respectively, 1023 (633-1375) ml (median: 3 (1-6) months) and 1058 (666-1506) ml (median: 40 (14-72) months; P = 0.73).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">ALNT may engender severe, chronic complications, particularly persistent iatrogenic lymphoedema. Further investigations are required to evaluate and clearly determine its indications.</AbstractText><CopyrightInformation>Copyright © 2012 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Vignes</LastName><ForeName>S</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Lymphology, Centre National de Référence des Maladies Vasculaires Rares (lymphœdèmes primaires), Hôpital Cognacq-Jay, 15, rue Eugène Millon, 75015 Paris, France. stephane.vignes@cognacq-jay.fr</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Blanchard</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Yannoutsos</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Arrault</LastName><ForeName>M</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>01</Month><Day>08</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur J Vasc Endovasc Surg</MedlineTA><NlmUniqueID>9512728</NlmUniqueID><ISSNLinking>1078-5884</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Eur J Vasc Endovasc Surg. 2013 May;45(5):521-2; discussin 528</RefSource><PMID Version="1">23465459</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005121" MajorTopicYN="N">Extremities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008198" MajorTopicYN="N">Lymph Nodes</DescriptorName><QualifierName UI="Q000637" MajorTopicYN="Y">transplantation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014182" MajorTopicYN="N">Transplantation, Autologous</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>08</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2012</Year><Month>11</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>1</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>1</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>6</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23305787</ArticleId><ArticleId IdType="pii">S1078-5884(12)00788-5</ArticleId><ArticleId IdType="doi">10.1016/j.ejvs.2012.11.026</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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