Clinical Effectiveness of Lymphaticovenular Anastomosis for Secondary Extremity Lymphedema
10.3969/j.issn.1674-9081.2016.03.007
- VernacularTitle:淋巴管静脉吻合治疗肢体获得性淋巴水肿临床效果
- Author:
Jiu-Zuo HUANG
1
;
Nan-Ze YU
;
Ru ZHAO
;
Xiao LONG
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院整形外科
- Keywords:
lymphedema;
lymphaticovenular anastomosis
- From:
Medical Journal of Peking Union Medical College Hospital
2016;7(3):195-198
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effectiveness of lymphaticovenular anastomosis in seconda -ry extremity lymphedema .Methods Fifteen patients with secondary extremity lymphedema treated with lymphati-covenular anastomosis between September 2013 and August 2014 at Peking Union Medical College Hospital were in-cluded in this study, of whom 12 were unilateral, and 3 were bilateral.Indocyanine green lymphography was used before the operation to evaluate the severity of lymphedema and the patency of lymphatic vessels .Microsurgery was applied to determine the site and number of anastomosis .The circumference of the involved limb was measured be-fore and after the operation at the same level to calculate the reduction of circumference .Results Lymphaticove-nular anastomosis was successfully conducted in all the 15 patients.The follow -up period ranged from 6 to 10 months (mean 8.3 months), and the average circumference reductions in upper and lower limbs were 33.7%and 20.0%, respectively .None of the patients suffered recurrent lymphangitis after the operation .Conclusion Lym-phaticovenular anastomosis is an effective treatment for early pitting extremity lymphedema , especially for the cases with patent lymphatic vessels without fibrosis as confirmed by preoperative lymphography .
