Volume 7 Issue 3
May  2016
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Jiu-zuo HUANG, Nan-ze YU, Ru ZHAO, Xiao LONG. Clinical Effectiveness of Lymphaticovenular Anastomosis for Secondary Extremity Lymphedema[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(3): 195-198. doi: 10.3969/j.issn.1674-9081.2016.03.007
Citation: Jiu-zuo HUANG, Nan-ze YU, Ru ZHAO, Xiao LONG. Clinical Effectiveness of Lymphaticovenular Anastomosis for Secondary Extremity Lymphedema[J]. Medical Journal of Peking Union Medical College Hospital, 2016, 7(3): 195-198. doi: 10.3969/j.issn.1674-9081.2016.03.007

Clinical Effectiveness of Lymphaticovenular Anastomosis for Secondary Extremity Lymphedema

doi: 10.3969/j.issn.1674-9081.2016.03.007
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  • Corresponding author: LONG Xiao   Tel: 010-69152711, E-mail: pumclongxiao@126.com
  • Received Date: 2015-02-14
  • Publish Date: 2016-05-30
  •   Objective  To investigate the clinical effectiveness of lymphaticovenular anastomosis in secondary extremity lymphedema.  Methods  Fifteen patients with secondary extremity lymphedema treated with lymphaticovenular anastomosis between September 2013 and August 2014 at Peking Union Medical College Hospital were included 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 before and after the operation at the same level to calculate the reduction of circumference.  Results  Lymphaticovenular 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  Lymphaticovenular 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.
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  • [1] Murdaca G, Cagnati P, Gulli R, et al. Current views on diagnostic approach and treatment of lymphedema[J]. Am J Med, 2012, 125:134-140. doi:  10.1016/j.amjmed.2011.06.032
    [2] Chang CJ, Cormier JN. Lymphedema interventions: exercise, surgery, and compression devices[J]. Semin Oncol Nurs, 2013, 29: 28-40. doi:  10.1016/j.soncn.2012.11.005
    [3] Ryan M, Campisi CC, Boccardo F, et al. Surgical treatment for lymphedema: optimal timing and optimal techniques[J]. J Am Coll Surg, 2013, 216: 1221-1213.
    [4] Degni M. New technique of lymphatic-venous anastomosis for the treatment of lymphedema[J]. J Cardiovasc Surg, 1978, 19: 577-580.
    [5] Torrisi JS, Joseph WJ, Ghanta S, et al. Lymphaticovenous bypass decreases pathologic skin changes in upper extremity breast cancer-related lymphedema[J]. Lymphat Res Biol, 2015, 13:46-53. doi:  10.1089/lrb.2014.0022
    [6] Degni M. New microsurgical technique of lymphatico-venous anastomosis for the treatment of lymphedema[J]. Lymphology, 1981, 14: 61-63.
    [7] Mihara M, Hayashi Y, Murai N, et al. Regional diagnosis of lymphoedema and selection of sites for lymphaticovenular anastomosis using elastography[J]. Clin Radiol, 2011, 66:715-719. doi:  10.1016/j.crad.2011.03.004
    [8] Chang DW, Suami H, Skoracki R. A prospective analysis of 100 consecutive lymphovenous bypass cases for treatment of extremity lymphedema[J]. Plast Reconstr Surg, 2013, 132: 1305-1314. doi:  10.1097/PRS.0b013e3182a4d626
    [9] Becker C, Vasile JV, Levine JL, et al. Microlymphatic surgery for the treatment of iatrogenic lymphedema[J]. Clin Plast Surg, 2012, 39: 385-398. doi:  10.1016/j.cps.2012.08.002
    [10] Cormier JN, Rouke L, Crosby M, et al. The surgical treatment of lymphedema: a systematic review of the contemporary literature (2004-2010)[J]. Ann Surg Oncol, 2012, 19: 642-651. doi:  10.1245/s10434-011-2017-4
    [11] Yamamoto T, Yamamoto N, Yamashita M, et al. Efferent lymphatic vessel anastomosis: supermicrosurgical efferent lymphatic vessel-to-venous anastomosis for the prophylactic treatment of subclinical lymphedema[J]. Ann Plast Surg, 2016, 76:424-427. doi:  10.1097/SAP.0000000000000381
    [12] Chang CJ, Cormier JN. Lymphedema interventions: exercise, surgery, and compression devices[J]. Semin Oncol Nurs, 2013, 29:28-40. doi:  10.1016/j.soncn.2012.11.005
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