Lymphedema microsurgical preventive healing approach: a new technique for primary prevention of arm lymphedema after mastectomy.
Identifieur interne : 003011 ( PubMed/Curation ); précédent : 003010; suivant : 003012Lymphedema microsurgical preventive healing approach: a new technique for primary prevention of arm lymphedema after mastectomy.
Auteurs : Francesco Boccardo [Italie] ; Federico Casabona ; Franco De Cian ; Daniele Friedman ; Giuseppe Villa ; Stefano Bogliolo ; Simone Ferrero ; Federica Murelli ; Corradino CampisiSource :
- Annals of surgical oncology [ 1534-4681 ] ; 2009.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Bras (), Bras (anatomopathologie), Bras (imagerie diagnostique), Facteurs de risque, Femelle, Humains, Lymphoedème (), Lymphoedème (étiologie), Mastectomie (effets indésirables), Microchirurgie, Métastase lymphatique, Noeuds lymphatiques (), Noeuds lymphatiques (anatomopathologie), Noeuds lymphatiques (imagerie diagnostique), Pronostic, Résultat thérapeutique, Scintigraphie, Stade de la tumeur, Sujet âgé, Taux de survie, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Études de suivi.
- MESH :
- anatomopathologie : Bras, Noeuds lymphatiques, Tumeurs du sein.
- effets indésirables : Mastectomie.
- imagerie diagnostique : Bras, Noeuds lymphatiques.
- étiologie : Lymphoedème.
- Adulte, Adulte d'âge moyen, Bras, Facteurs de risque, Femelle, Humains, Lymphoedème, Microchirurgie, Métastase lymphatique, Noeuds lymphatiques, Pronostic, Résultat thérapeutique, Scintigraphie, Stade de la tumeur, Sujet âgé, Taux de survie, Tumeurs du sein, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Arm (diagnostic imaging), Arm (pathology), Arm (surgery), Breast Neoplasms (pathology), Breast Neoplasms (surgery), Female, Follow-Up Studies, Humans, Lymph Nodes (diagnostic imaging), Lymph Nodes (pathology), Lymph Nodes (surgery), Lymphatic Metastasis, Lymphedema (etiology), Lymphedema (prevention & control), Lymphedema (surgery), Mastectomy (adverse effects), Microsurgery, Middle Aged, Neoplasm Staging, Prognosis, Radionuclide Imaging, Risk Factors, Survival Rate, Treatment Outcome.
- MESH :
- adverse effects : Mastectomy.
- diagnostic imaging : Arm, Lymph Nodes.
- etiology : Lymphedema.
- pathology : Arm, Breast Neoplasms, Lymph Nodes.
- prevention & control : Lymphedema.
- surgery : Arm, Breast Neoplasms, Lymph Nodes, Lymphedema.
- Adult, Aged, Female, Follow-Up Studies, Humans, Lymphatic Metastasis, Microsurgery, Middle Aged, Neoplasm Staging, Prognosis, Radionuclide Imaging, Risk Factors, Survival Rate, Treatment Outcome.
Abstract
The purpose of this manuscript is to assess the efficacy of direct lymphatic venous microsurgery in the prevention of lymphedema following axillary dissection for breast cancer.
DOI: 10.1245/s10434-008-0270-y
PubMed: 19139964
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pubmed:19139964Le document en format XML
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<term>Noeuds lymphatiques</term>
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<front><div type="abstract" xml:lang="en">The purpose of this manuscript is to assess the efficacy of direct lymphatic venous microsurgery in the prevention of lymphedema following axillary dissection for breast cancer.</div>
</front>
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<Title>Annals of surgical oncology</Title>
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<ArticleTitle>Lymphedema microsurgical preventive healing approach: a new technique for primary prevention of arm lymphedema after mastectomy.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The purpose of this manuscript is to assess the efficacy of direct lymphatic venous microsurgery in the prevention of lymphedema following axillary dissection for breast cancer.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Nineteen patients with operable breast cancer requiring an axillary dissection underwent surgery, carrying out LVA between the blue lymphatics and an axillary vein branch simultaneously. The follow-up after 6 and 12 months from the operation included circumferential measurements in all cases and lymphangioscintigraphy only in 18 patients out of 19 cases.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Blue nodes in relation to lymphatic arm drainage were identified in 18/19 patients. All blue nodes were resected and 2-4 main afferent lymphatics from the arm could be prepared and used for anastomoses. Lymphatic-venous anastomoses allowed to prevent lymphedema in all cases. Lymphangioscintigraphy demonstrated the patency of microvascular anastomoses.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Disruption of the blue nodes and closure of arm lymphatics can explain the significantly high risk of lymphedema after axillary dissection. LVA proved to be a safe procedure for patients in order to prevent arm lymphedema.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Boccardo</LastName>
<ForeName>Francesco</ForeName>
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<ForeName>Corradino</ForeName>
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