Campisi C, Boccardo F
Department of Specialistic Surgical Sciences, Anaesthesiology and Organ Transplants, Emergency Surgical Clinic Section, Lymphology and Microsurgery Centre, S. Martino Hospital, University of Genoa, Italy.
Handchir Mikrochir Plast Chir. 2003 Jul;35(4):221-4. doi: 10.1055/s-2003-42130.
The technique of interposed vein grafts (Lymphatic-Venous-Lymphatic Plasty: LVLA) consists in using autologous vein grafts to reconstruct lymphatic pathways where there is a block to the lymphatic circulation of the limb due to a congenital or acquired reason. The venous segment represents a sort of "bridge" between afferent and efferent lymphatic collectors. The study aims at evaluating long-term results of the treatment of peripheral lymphoedemas by the microsurgical reconstructive technique of LVLA. The results proved to be positive also in the long term after microsurgical operation. The follow-up was performed by water volumetry and isotopic lymphography. This technique of interposed vein grafts allows peripheral lymphoedemas to be treated when derivative lympho-venous shunts can not be used due to an impaired venous circulation in the same lymphoedematous limb.
静脉间置移植技术（淋巴-静脉-淋巴成形术：LVLA）是利用自体静脉移植物重建因先天性或后天性原因导致肢体淋巴循环受阻部位的淋巴通路。静脉段充当传入和传出淋巴管之间的一种“桥梁”。本研究旨在评估通过LVLA显微外科重建技术治疗周围性淋巴水肿的长期效果。显微外科手术后的长期结果也证明是积极的。通过水容积测量法和同位素淋巴造影术进行随访。当同一淋巴水肿肢体的静脉循环受损而无法使用衍生性淋巴-静脉分流术时，这种静脉间置移植技术可用于治疗周围性淋巴水肿。
