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Comparison of Lymphovenous Shunt Methods in a Rat Model: Supermicrosurgical Lymphaticovenular Anastomosis versus Microsurgical Lymphaticovenous Implantation.

Identifieur interne : 000190 ( PubMed/Curation ); précédent : 000189; suivant : 000191

Comparison of Lymphovenous Shunt Methods in a Rat Model: Supermicrosurgical Lymphaticovenular Anastomosis versus Microsurgical Lymphaticovenous Implantation.

Auteurs : Ryohei Ishiura ; Takumi Yamamoto ; Takahumi Saito ; Daisuke Mito ; Takuya Iida

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RBID : pubmed:28538568

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Abstract

Lymphaticovenular anastomosis and lymphaticovenous implantation are the most popular lymphovenous shunt operations for the treatment of obstructive lymphedema. However, no study has been reported regarding direct comparison between lymphaticovenular anastomosis and lymphaticovenous implantation. This study aimed to compare postoperative patency of lymphaticovenular anastomosis and lymphaticovenous implantation using a rat model.

DOI: 10.1097/PRS.0000000000003354
PubMed: 28538568

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Ryohei Ishiura
<affiliation>
<nlm:affiliation>Tokyo, Japan From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo; the Department of Plastic Surgery, Cancer Institute Ariake Hospital; and the Department of Plastic Surgery, Tokyo Metropolitan Bokutoh Hospital.</nlm:affiliation>
<wicri:noCountry code="subField">Tokyo Metropolitan Bokutoh Hospital</wicri:noCountry>
</affiliation>

Le document en format XML

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<title xml:lang="en">Comparison of Lymphovenous Shunt Methods in a Rat Model: Supermicrosurgical Lymphaticovenular Anastomosis versus Microsurgical Lymphaticovenous Implantation.</title>
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<name sortKey="Ishiura, Ryohei" sort="Ishiura, Ryohei" uniqKey="Ishiura R" first="Ryohei" last="Ishiura">Ryohei Ishiura</name>
<affiliation>
<nlm:affiliation>Tokyo, Japan From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo; the Department of Plastic Surgery, Cancer Institute Ariake Hospital; and the Department of Plastic Surgery, Tokyo Metropolitan Bokutoh Hospital.</nlm:affiliation>
<wicri:noCountry code="subField">Tokyo Metropolitan Bokutoh Hospital</wicri:noCountry>
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<name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto</name>
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<name sortKey="Saito, Takahumi" sort="Saito, Takahumi" uniqKey="Saito T" first="Takahumi" last="Saito">Takahumi Saito</name>
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<name sortKey="Mito, Daisuke" sort="Mito, Daisuke" uniqKey="Mito D" first="Daisuke" last="Mito">Daisuke Mito</name>
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<name sortKey="Iida, Takuya" sort="Iida, Takuya" uniqKey="Iida T" first="Takuya" last="Iida">Takuya Iida</name>
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<title xml:lang="en">Comparison of Lymphovenous Shunt Methods in a Rat Model: Supermicrosurgical Lymphaticovenular Anastomosis versus Microsurgical Lymphaticovenous Implantation.</title>
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<name sortKey="Ishiura, Ryohei" sort="Ishiura, Ryohei" uniqKey="Ishiura R" first="Ryohei" last="Ishiura">Ryohei Ishiura</name>
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<nlm:affiliation>Tokyo, Japan From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo; the Department of Plastic Surgery, Cancer Institute Ariake Hospital; and the Department of Plastic Surgery, Tokyo Metropolitan Bokutoh Hospital.</nlm:affiliation>
<wicri:noCountry code="subField">Tokyo Metropolitan Bokutoh Hospital</wicri:noCountry>
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<name sortKey="Yamamoto, Takumi" sort="Yamamoto, Takumi" uniqKey="Yamamoto T" first="Takumi" last="Yamamoto">Takumi Yamamoto</name>
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<title level="j">Plastic and reconstructive surgery</title>
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<term>Anastomosis, Surgical (methods)</term>
<term>Animals</term>
<term>Disease Models, Animal</term>
<term>Lymphatic Vessels (surgery)</term>
<term>Male</term>
<term>Microsurgery (methods)</term>
<term>Random Allocation</term>
<term>Rats</term>
<term>Rats, Wistar</term>
<term>Vascular Patency (physiology)</term>
<term>Veins (surgery)</term>
<term>Venules (surgery)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Anastomose chirurgicale ()</term>
<term>Animaux</term>
<term>Attribution aléatoire</term>
<term>Microchirurgie ()</term>
<term>Modèles animaux de maladie humaine</term>
<term>Mâle</term>
<term>Perméabilité vasculaire (physiologie)</term>
<term>Rat Wistar</term>
<term>Rats</term>
<term>Vaisseaux lymphatiques ()</term>
<term>Veines ()</term>
<term>Veinules ()</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Anastomosis, Surgical</term>
<term>Microsurgery</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Perméabilité vasculaire</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Vascular Patency</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Lymphatic Vessels</term>
<term>Veins</term>
<term>Venules</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Animals</term>
<term>Disease Models, Animal</term>
<term>Male</term>
<term>Random Allocation</term>
<term>Rats</term>
<term>Rats, Wistar</term>
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<term>Anastomose chirurgicale</term>
<term>Animaux</term>
<term>Attribution aléatoire</term>
<term>Microchirurgie</term>
<term>Modèles animaux de maladie humaine</term>
<term>Mâle</term>
<term>Rat Wistar</term>
<term>Rats</term>
<term>Vaisseaux lymphatiques</term>
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<front>
<div type="abstract" xml:lang="en">Lymphaticovenular anastomosis and lymphaticovenous implantation are the most popular lymphovenous shunt operations for the treatment of obstructive lymphedema. However, no study has been reported regarding direct comparison between lymphaticovenular anastomosis and lymphaticovenous implantation. This study aimed to compare postoperative patency of lymphaticovenular anastomosis and lymphaticovenous implantation using a rat model.</div>
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<Month>05</Month>
<Day>24</Day>
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<Year>2017</Year>
<Month>09</Month>
<Day>01</Day>
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<Year>2017</Year>
<Month>09</Month>
<Day>01</Day>
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<ISSN IssnType="Electronic">1529-4242</ISSN>
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<Volume>139</Volume>
<Issue>6</Issue>
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<Year>2017</Year>
<Month>Jun</Month>
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<Title>Plastic and reconstructive surgery</Title>
<ISOAbbreviation>Plast. Reconstr. Surg.</ISOAbbreviation>
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<ArticleTitle>Comparison of Lymphovenous Shunt Methods in a Rat Model: Supermicrosurgical Lymphaticovenular Anastomosis versus Microsurgical Lymphaticovenous Implantation.</ArticleTitle>
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<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Lymphaticovenular anastomosis and lymphaticovenous implantation are the most popular lymphovenous shunt operations for the treatment of obstructive lymphedema. However, no study has been reported regarding direct comparison between lymphaticovenular anastomosis and lymphaticovenous implantation. This study aimed to compare postoperative patency of lymphaticovenular anastomosis and lymphaticovenous implantation using a rat model.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Twelve Wistar rats were used for the study. The rats were randomized into the lymphaticovenular anastomosis group (n = 6) or the lymphaticovenous implantation group (n = 6). In the lymphaticovenular anastomosis group, the largest femoral lymphatic vessel was anastomosed to a similar-size vein in an end-to-end intima-to-intima coaptation manner, and the other lymphatics were ligated. In the lymphaticovenous implantation group, the femoral lymphatic vessel and surrounding tissue were inserted into the short saphenous vein with a telescopic anastomosis technique. Patency was evaluated intraoperatively and 1 week postoperatively with patent blue dye and indocyanine green lymphography.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean diameters of the lymphatic vessels and the veins were 0.242 mm (range, 0.20 to 0.35 mm) and 0.471 mm (range, 0.30 to 0.75 mm), respectively. Intraoperative patency was 100 percent (six of six) in both groups (p = 1.000). Postoperative patency was significantly higher in the lymphaticovenular anastomosis group compared with the lymphaticovenous implantation group [100 percent (six of six) versus 33.3 percent (two of six); p = 0.014] CONCLUSION:: Postoperative patency of the lymphaticovenular anastomosis group was higher than that of the lymphaticovenous implantation group, although intraoperative patency rates of the lymphaticovenular anastomosis and lymphaticovenous implantation groups were comparable.</AbstractText>
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<ForeName>Ryohei</ForeName>
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<Affiliation>Tokyo, Japan From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo; the Department of Plastic Surgery, Cancer Institute Ariake Hospital; and the Department of Plastic Surgery, Tokyo Metropolitan Bokutoh Hospital.</Affiliation>
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