Liposuction combined with lymphatico-venous anastomosis for treatment of breast cancer-related lymphedema of the upper limb
10.3760/cma.j.cn113855-20191209-00723
- VernacularTitle:联合应用抽吸减容与淋巴静脉吻合治疗乳腺癌相关上肢淋巴水肿的疗效分析
- Author:
Kun CHANG
1
;
Song XIA
;
Yuguang SUN
;
Jianfeng XIN
;
Wenbin SHEN
;
Nengwei ZHANG
Author Information
1. 首都医科大学附属北京世纪坛医院淋巴外科，北京 100038
- From:
Chinese Journal of General Surgery
2020;35(7):545-549
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the clinical effect of liposuction combined with lymphatico-venous anastomosis for treatment of breast cancer-related lymphedema(BCRL).Methods:From Nov 2015 to Nov 2017, 111 patients with BCRL admitted to the Department of Lymphatic Surgery at Beijing Shijitan Hospital were enrolled. The rank-sum test was used for statistical analysis. The frequencies of erysipelas episodes before and after combined surgeries were compared.Results:The mean upper limb circumference significantly decreased at 7 days[0.2 cm (-0.8, 1.1)], at follow-up[0.2 cm(-0.4, 1.0)]compared with that of preoperation[5.0 cm(4.1, 6.9)]( P<0.05). The mean upper limb volume significantly decreased at day 7[26 ml(-120, 155)], at follow-up[37 ml(-66, 165)]compared with preoperation[786 ml(632, 1 200)]( P<0.05). The incidence of erysipelas of the affected limbs significantly decreased after treatment. Furthermore, the softness and the feeling of heaviness of the affected limbs significantly improved after the combined procedures(all P<0.05). Conclusion:Liposuction combined with lymphatico-venous anastomosis is an effective method for the treatment of breast cancer-related lymphedema.
