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Satomi Koide MBBS Chia-Yu Lin MSc Courtney Chen BS Ming-Huei Cheng MD MBA FACS 《Journal of surgical oncology》2020,121(1):129-137
Background: Vascularized submental lymph node (VSLN) transfer is an emerging approach for extremity lymphedema. This study investigated the long-term outcome and venous complications of VSLN for unilateral lower extremity lymphedema. Methods: Between 2010 and 2018, patients who underwent VSLN for unilateral lower extremity lymphedema were retrospectively evaluated. Patient demographics, operative records, complications, circumferential improvement, and episodes of cellulitis were analyzed. Further comparisons were performed between different types, numbers, and techniques of venous anastomoses. Results: A total of 75 VSLNs in 70 patients survived, giving a 100% success rate. Six flaps (8%) had venous complications (VC group) and 69 flaps (92%) did not (No-VC group). There were no statistical differences in types, numbers, and techniques of anastomoses between two groups (P = .65, 1, and .56, respectively). At a mean follow-up of 32.0 ± 23.0 months, mean circumferential improvement and episodes of cellulitis between two groups did not statistically differ significantly (P = .31 and .09, respectively). Conclusions: VSLN is an effective treatment for lower extremity lymphedema. The types, numbers of veins, and techniques of venous anastomoses did not statistically affect the venous complication rates. Functional outcomes of the VSLNs were not compromised if venous complications were salvaged promptly. 相似文献
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Robin Wu MD Yu-Jen Lu MD PhD Long-Sun Ro MD PhD Jung-Lung Hsu MD Ming-Huei Cheng MD MBA 《Journal of surgical oncology》2024,129(1):26-31
Hydrocephalus is routinely treated with ventriculoperitoneal shunt drainage of cerebrospinal fluid (CSF), a procedure plagued by high morbidity and frequent revisions. Vascularized submental lymph node (VSLN) transplants act as lymphatic pumps to drain interstitial fluid (ISF) from lymphedematous extremities. As the field of neuro-lymphatics comes to fruition, we hypothesize the efficacy of VSLN in the drainage of intracranial CSF-ISF. We report novel placement of VSLN in the temporal subdural space in two patients diagnosed with symptomatic communicating hydrocephalus. At a minimum follow-up of 1 month postoperatively, both experienced radiological and clinical improvements. 相似文献
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Comparison of long‐term clinical outcomes among different vascularized lymph node transfers: 6‐year experience of a single center's approach to the treatment of lymphedema 下载免费PDF全文
Pedro Ciudad MD PhD Mouchammed Agko MD John Jaime Perez Coca MD PhD Oscar J. Manrique MD Wei‐Ling Chang BS Fabio Nicoli MD Shih‐Heng Chen MD Hung‐Chi Chen MD PhD 《Journal of surgical oncology》2017,116(6):671-682
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The surgical anatomy of the vascularized lateral thoracic artery lymph node flap—A cadaver study 下载免费PDF全文
Ines E. Tinhofer MD Stefan Meng MD PhD Johannes Steinbacher MD Julia Roka‐Palkovits MD Eva Györi MD PhD Lukas F. Reissig MD Ming‐Huei Cheng MD MBA FACS PhD Wolfgang J. Weninger MD PhD Chieh Han Tzou MD MBA PhD 《Journal of surgical oncology》2017,116(8):1062-1068
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The vascularized groin lymph node flap (VGLN): Anatomical study and flap planning using multi‐detector CT scanner. The golden triangle for flap harvesting 下载免费PDF全文
Assaf A. Zeltzer MD FCCP Alexander Anzarut MD Delphine Braeckmans Katrin Seidenstuecker MD Benoit Hendrickx MD PhD Eddy Van Hedent MD Moustapha Hamdi MD PhD 《Journal of surgical oncology》2017,116(3):378-383
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Marco Pappalardo MD David W. Chang MD FACS Jaume Masia MD Isao Koshima MD Ming-Huei Cheng MD MBA FACS 《Journal of surgical oncology》2020,121(1):8-19
The hands-on supermicrosurgery course provided participants a valuable learning experience of in-depth practices of supermicrosurgical skills with experts. Seven live surgeries were successfully demonstrated at 8th World Symposium for Lymphedema Surgery. Variable donor sites for vascularized lymph node transfer were the submental, supraclavicular, groin, and omental; while the recipient sites included the wrist and axilla in upper limb; and popliteal and groin in the lower limb. The therapeutic and preventive lymphovenous anastomosis was also satisfactorily performed. 相似文献
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Suzanne Inchauste MD Justin Zelones MD Danielle Rochlin MD Dung H. Nguyen MD 《Journal of surgical oncology》2020,121(1):182-186
This is a case report of a 68-year-old male with stage III right lower extremity lymphedema following right inguinal lymph node dissection and adjuvant chemoradiotherapy for Hodgkin's lymphoma. He developed peripheral neuropathy and radiation-induced right femoral artery thrombosis, treated with saphenous vein graft. He underwent three vascularized lymph node transfers (VLNTs) to the upper medial thigh, posterior calf, and ankle with placement of nanofibrillar collagen scaffolds. Three months after surgery, he had volume reduction, less neuropathic pain, and improved ambulation. 相似文献
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《European journal of surgical oncology》2022,48(8):1718-1722
IntroductionLymphedema is a condition which heavily impacts patients QoL. For patients who desire autologous breast reconstruction, lymph nodes can be included in the Deep Inferior Epigastric Artery (DIEP) flap combining vascularized lymph node transfer and autologous breast reconstruction.Material and methodsPatients who received autologous breast reconstruction with a DIEP flap in combination with vascularized lymph nodes were included in this study. Volume measurements pre and post-surgery were analyzed and surveys including two versions of the ULL-27 questionnaire to measure QoL before and after surgery were send.ResultsIn total, 45 out of 64 patients returned the questionnaires. The average follow up was 51 months. The total ULL-27 score increased with 12.6 points on average (p = 0.00). The subdomain scores (physical, psychological and social) also significantly increased (p = 0.00). In addition 69% of patients were able to decrease physiotherapy, 63% of patients were able to decrease compression garment usage and the incidence of skin infections decreased in 6 patients out of 7 patients who had recurrent skin infections prior to surgery. The volume difference between the affected and the healthy arm did not significantly change (407 ml–406 ml, p = 0.988).ConclusionsVascularized lymph node transfer in combination with DIEP flap breast reconstruction can cause a significant improvement on lymphedema related QoL, even when a volume difference decrease is absent. It can also decrease compression garment usage and reduce the need for physiotherapy. Future prospective studies should evaluate these findings and identify patients that benefit most from such procedures. 相似文献
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Danielle H. Rochlin Suzanne Inchauste Justin Zelones Dung H. Nguyen 《Journal of surgical oncology》2020,121(1):121-128
Secondary lymphedema is a worldwide affliction that exacts a significant public health burden. This review examines the etiology, presentation, and management of secondary lymphedema. In addition, emerging adjunctive strategies are explored, specifically evidence from animal and pilot human studies regarding implantation of a collagen nanofibrillar scaffold (BioBridge™; Fibralign Corporation, Union City, CA) in promoting lymphangiogenesis, preventing and treating lymphedema, and enhancing outcomes with lymphaticovenous anastomosis and vascularized lymph node transfer. 相似文献