Morihisa Yoichiro, Inoue Yojiro, Kiyokawa Kensuke, Nishi Yukiko, Fujita Hiromasa, Sueyoshi Susumu
Department of Plastic and Reconstructive Surgery and Maxillofacial Surgery, Kurume University School of Medicine, Kurume, Japan.
J Reconstr Microsurg. 2008 Jan;24(1):29-32. doi: 10.1055/s-2008-1064928.
Supermicrosurgical lymphaticovenous anastomosis and microsurgical lymphaticovenous implantation are procedures currently used to treat lymphedema. However, because in most cases concomitant conservative treatments are included, it is difficult to objectively assess the direct effect of the procedures. The present report is a case in which supermicrosurgical lymphaticovenous anastomosis and microsurgical lymphaticovenous implantation were performed to treat axillary lymphorrhea that developed after the treatments for lymph node metastases of esophageal carcinoma. Prior to surgery, the volume of lymphorrhea was approximately 300 mL/d, but from postoperative day 1, this amount decreased by half, and healing was obtained by postoperative day 20. This result objectively indicates that creating new lymphatic routes with these two procedures is clearly effective.
超显微外科淋巴管静脉吻合术和显微外科淋巴管静脉植入术是目前用于治疗淋巴水肿的手术方法。然而，由于在大多数情况下都包含了伴随的保守治疗，因此很难客观地评估这些手术的直接效果。本报告是一例通过超显微外科淋巴管静脉吻合术和显微外科淋巴管静脉植入术治疗食管癌淋巴结转移治疗后出现的腋窝淋巴漏的病例。术前，淋巴漏量约为300 mL/天，但从术后第1天起，该量减少了一半，并在术后第20天实现愈合。这一结果客观地表明，通过这两种手术方法建立新的淋巴通路显然是有效的。
