Sapountzis Stamatis, Singhal Dhruv, Rashid Abid, Ciudad Pedro, Meo Domenico, Chen Hung-Chi
From the Department of Plastic Surgery, China Medical University Hospital, Taichung, Taiwan.
Ann Plast Surg. 2014 Oct;73(4):398-401. doi: 10.1097/SAP.0b013e31827fb39e.
Lymph node transfer is a novel technique in lymphedema surgery. In this study, we present our experience in harvesting lymph nodes flap based on the right transverse cervical artery. In a period of 7 months, we harvested 11 cervical lymph node flaps based on the right transverse cervical artery (TCA). The reliable anatomy of the TCA and the low complication rate of the donor site make this lymph node flap ideal for transfer in the treatment of lymphedema. Knowledge of the regional anatomy and the anatomic variations of the TCA are mandatory for safe dissection of this flap. We also present the preliminary results of our first 2 cases in which we performed cervical lymph node transfer for secondary lower extremity lymphedema.
淋巴结转移是淋巴水肿手术中的一项新技术。在本研究中,我们介绍了基于右侧颈横动脉采集淋巴结皮瓣的经验。在7个月的时间里,我们基于右侧颈横动脉(TCA)采集了11个颈部淋巴结皮瓣。颈横动脉可靠的解剖结构以及供区低并发症发生率使这种淋巴结皮瓣成为治疗淋巴水肿转移的理想选择。了解该区域解剖结构和颈横动脉的解剖变异对于安全解剖此皮瓣至关重要。我们还展示了我们最初2例对继发性下肢淋巴水肿进行颈部淋巴结转移的初步结果。