The surgical anatomy of the vascularized lateral thoracic artery lymph node flap-A cadaver study.
Identifieur interne : 000060 ( PubMed/Curation ); précédent : 000059; suivant : 000061The surgical anatomy of the vascularized lateral thoracic artery lymph node flap-A cadaver study.
Auteurs : Ines E. Tinhofer [Autriche] ; Stefan Meng [Autriche] ; Johannes Steinbacher [Autriche] ; Julia Roka-Palkovits [Autriche] ; Eva Györi [Autriche] ; Lukas F. Reissig [Autriche] ; Ming-Huei Cheng [Taïwan] ; Wolfgang J. Weninger [Autriche] ; Chieh-Han J. Tzou [Autriche]Source :
- Journal of surgical oncology [ 1096-9098 ] ; 2017.
Abstract
One promising surgical treatment of lymphedema is the VLNT. Lymph nodes can be harvested from different locations; inguinal, axillary, and supraclavicular ones are used most often. The aim of our study was to assess the surgical anatomy of the lateral thoracic artery lymph node flap.
DOI: 10.1002/jso.24783
PubMed: 28782246
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<author><name sortKey="Tzou, Chieh Han J" sort="Tzou, Chieh Han J" uniqKey="Tzou C" first="Chieh-Han J" last="Tzou">Chieh-Han J. Tzou</name>
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<series><title level="j">Journal of surgical oncology</title>
<idno type="eISSN">1096-9098</idno>
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<front><div type="abstract" xml:lang="en">One promising surgical treatment of lymphedema is the VLNT. Lymph nodes can be harvested from different locations; inguinal, axillary, and supraclavicular ones are used most often. The aim of our study was to assess the surgical anatomy of the lateral thoracic artery lymph node flap.</div>
</front>
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<pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28782246</PMID>
<DateCreated><Year>2017</Year>
<Month>08</Month>
<Day>07</Day>
</DateCreated>
<DateRevised><Year>2017</Year>
<Month>08</Month>
<Day>07</Day>
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<JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year>
<Month>Aug</Month>
<Day>07</Day>
</PubDate>
</JournalIssue>
<Title>Journal of surgical oncology</Title>
<ISOAbbreviation>J Surg Oncol</ISOAbbreviation>
</Journal>
<ArticleTitle>The surgical anatomy of the vascularized lateral thoracic artery lymph node flap-A cadaver study.</ArticleTitle>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/jso.24783</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">One promising surgical treatment of lymphedema is the VLNT. Lymph nodes can be harvested from different locations; inguinal, axillary, and supraclavicular ones are used most often. The aim of our study was to assess the surgical anatomy of the lateral thoracic artery lymph node flap.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">In total, 16 lymph node flaps from nine cadavers were dissected. Flap markings were made between the anterior and posterior axillary line in dimensions of 10 × 5 cm. Axillary lymph nodes were analyzed using high-resolution ultrasound and morphologically via dissection. The cutaneous vascular territory of the lateral thoracic artery was highlighted via dye injections, the pedicle recorded by length, and diameter and its location in a specific coordinate system.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">On average, 3.10 ± 1.6 lymph nodes were counted per flap via ultrasound. Macroscopic inspection showed on average 13.40 ± 3.13. Their mean dimensions were 3.76 ± 1.19 mm in width and 7.12 ± 0.98 mm in length by ultrasonography, and 3.83 ± 2.14 mm and 6.30 ± 4.43 mm via dissection. The external diameter of the lateral thoracic artery averaged 2.2 ± 0.40 mm with a mean pedicle length of 3.6 ± 0.82 cm. 87.5% of the specimens had a skin paddle.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The lateral thoracic artery-based lymph node flap proved to be a suitable alternative to other VLNT donor sites.</AbstractText>
<CopyrightInformation>© 2017 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tinhofer</LastName>
<ForeName>Ines E</ForeName>
<Initials>IE</Initials>
<Identifier Source="ORCID">http://orcid.org/0000-0003-2919-1464</Identifier>
<AffiliationInfo><Affiliation>Department of Anatomy, Medical University of Vienna, Centre for Anatomy and Cell Biology, Vienna, Austria.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Meng</LastName>
<ForeName>Stefan</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Anatomy, Medical University of Vienna, Centre for Anatomy and Cell Biology, Vienna, Austria.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Radiology, Hospital Kaiser-Franz-Josef, Vienna Hospital Association, Vienna, Austria.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Steinbacher</LastName>
<ForeName>Johannes</ForeName>
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<AffiliationInfo><Affiliation>Department of Anatomy, Medical University of Vienna, Centre for Anatomy and Cell Biology, Vienna, Austria.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Roka-Palkovits</LastName>
<ForeName>Julia</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Györi</LastName>
<ForeName>Eva</ForeName>
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<AffiliationInfo><Affiliation>Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Reissig</LastName>
<ForeName>Lukas F</ForeName>
<Initials>LF</Initials>
<AffiliationInfo><Affiliation>Department of Anatomy, Medical University of Vienna, Centre for Anatomy and Cell Biology, Vienna, Austria.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Cheng</LastName>
<ForeName>Ming-Huei</ForeName>
<Initials>MH</Initials>
<AffiliationInfo><Affiliation>Division of Plastic Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial University Hospital Taipei, Taipei, Taiwan.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Weninger</LastName>
<ForeName>Wolfgang J</ForeName>
<Initials>WJ</Initials>
<AffiliationInfo><Affiliation>Department of Anatomy, Medical University of Vienna, Centre for Anatomy and Cell Biology, Vienna, Austria.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tzou</LastName>
<ForeName>Chieh-Han J</ForeName>
<Initials>CJ</Initials>
<AffiliationInfo><Affiliation>Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2017</Year>
<Month>08</Month>
<Day>07</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Surg Oncol</MedlineTA>
<NlmUniqueID>0222643</NlmUniqueID>
<ISSNLinking>0022-4790</ISSNLinking>
</MedlineJournalInfo>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">anatomy</Keyword>
<Keyword MajorTopicYN="N">lateral thoracic artery</Keyword>
<Keyword MajorTopicYN="N">lymphedema surgery</Keyword>
<Keyword MajorTopicYN="N">vascularized lymph node flap transfer</Keyword>
</KeywordList>
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<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year>
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