Nakajima Eiji, Nakajima Ryu, Tsukamoto Soichiro, Koide Yoshio, Yarita Tsutomu, Kato Harubumi
Department of Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, 160-0023, Japan.
Surg Today. 2006;36(2):175-9. doi: 10.1007/s00595-005-3111-7.
Lymphedema of the arm and hand is one of the major complications after a breast cancer resection. Conservative treatment for the treatment of lymphedema, such as compression garments and centripetal massage, is very important for these cases. However, if the lymphedema is difficult to control with conservative treatment and the patient's quality of life (QOL) is compromised due to swelling of the arms, surgical treatment should be considered. We used omental transposition to improve the status of lymphedema in the present patient whose left arm and hand had been swollen for 5 years, which thus prevented her from being able to lift her arm. After the operation, she was able to lift her left arm herself and perform tasks with her left hand, thereby obtaining a better QOL than before the operation regarding her left arm movement.
手臂和手部淋巴水肿是乳腺癌切除术后的主要并发症之一。对于这些病例,采用保守治疗方法治疗淋巴水肿,如使用压力衣和向心按摩,非常重要。然而,如果淋巴水肿难以通过保守治疗得到控制,并且患者的生活质量(QOL)因手臂肿胀而受到影响,则应考虑手术治疗。我们采用网膜移位术改善了本例患者的淋巴水肿状况,该患者的左臂和手部已经肿胀5年,导致她无法抬起手臂。手术后,她能够自己抬起左臂并用左手完成任务,从而在左臂活动方面获得了比手术前更好的生活质量。