Lavie Ofer, Karmeli Ron, Mansano Roy, Hallak Moshe, Bornstein Jacob, Abramovici Haim
Division of Gynecologic Surgery and Oncology, Carmel Medical Center, Haifa, Israel.
Gynecol Oncol. 2002 Jan;84(1):155-6. doi: 10.1006/gyno.2001.6405.
Different approaches have been attempted in both prophylaxis and treatment of recurrent inguinal lymphoceles; however, to date none have been consistently effective. We hereby report our preliminary experience with mapping of the lymphatic leakage followed by ligation of these mapped vessels for resolution of a recurrent inguinal lymphocele.
A 73-year-old woman underwent an anterior modified radical vulvectomy with bilateral inguinofemoral lymph node dissection due to squamous cell carcinoma of the vulva. Postoperatively she presented with a recurrent inguinal lymphocele unresponsive to several treatment measures. After 8 weeks, the patient underwent lymphatic leakage mapping and subsequent ligation of lymphatic vessel endings, which resolved her recurrent lymphocele.
Lymphatic mapping and ligation of afferent lymphatics may be a useful method for treating recurrent lymphoceles after inguinofemoral lymph node dissection. Further studies are warranted to prove the absolute efficacy of this technique.
在复发性腹股沟淋巴管瘤的预防和治疗方面已尝试了不同方法；然而，迄今为止，尚无一种方法一直有效。我们在此报告我们通过对淋巴漏进行定位，随后结扎这些定位的血管以解决复发性腹股沟淋巴管瘤的初步经验。
一名73岁女性因外阴鳞状细胞癌接受了前位改良根治性外阴切除术及双侧腹股沟股淋巴结清扫术。术后她出现复发性腹股沟淋巴管瘤，对多种治疗措施均无反应。8周后，患者接受了淋巴漏定位及随后的淋巴管末端结扎，这解决了她的复发性淋巴管瘤。
淋巴管定位及结扎输入淋巴管可能是治疗腹股沟股淋巴结清扫术后复发性淋巴管瘤的一种有用方法。有必要进行进一步研究以证明该技术的绝对疗效。
