Lymphedema surgery: Patient selection and an overview of surgical techniques

被引:105
作者
Allen, Robert J., Jr. [1 ]
Cheng, Ming-Huei [1 ]
机构
[1] Chang Gung Univ, Dept Plast & Reconstruct Surg, Div Reconstruct Microsurg, Ctr Tissue Engn,Chang Gung Mem Hosp,Coll Med, Taoyuan 333, Taiwan
关键词
vascularized lymph node transfer; lymphaticovenous anastomosis; lymphovenous bypass; lymphedema; NODE TRANSFER; EXTREMITY LYMPHEDEMA; RANDOMIZED-TRIAL; FLAP TRANSFER; BREAST; THERAPY; MANAGEMENT; TRANSPLANTATION; MICROSURGERY; ANASTOMOSIS;
D O I
10.1002/jso.24170
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Evaluation of the lymphedema patients with appropriate staging is fundamental for further treatment. Treatment includes compressive decongestive therapy for stage 0 and 1 patients, lymphovenous anastomosis for stage 1 and 2 patients, vascularized lymph node transfer for stage 2 and above patients. Wedge resection, liposuction, and the Charles procedure are alternatives or additions to physiological procedures. The selection of donor lymph node flap and recipient site depends on the patient's lymphedema status and surgeon's expertise. J. Surg. Oncol. 2016;113:923-931. (c) 2016 Wiley Periodicals, Inc.
引用
收藏
页码:923 / 931
页数:9
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