Yoshimatsu Hidehiko, Yamamoto Takumi, Narushima Mitsunaga, Iida Takuya, Koshima Isao
From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan.
Ann Plast Surg. 2014 Aug;73(2):231-3. doi: 10.1097/SAP.0b013e318276d99a.
Lymphaticovenular anastomosis has become one of the treatment options for lymphedema. Among several types of anastomosis, side-to-end anastomosis in which a window is made on the wall of a lymphatic vessel is considered to be the most effective, because it creates bidirectional bypasses through 1 anastomosis. However, making a side-to-end anastomosis with a small lymphatic vessel and a venule can be technically challenging. We developed a new technique using an intravascular stenting that significantly facilitates the procedure.
淋巴管静脉吻合术已成为治疗淋巴水肿的选择之一。在几种吻合方式中，在淋巴管壁上开窗的端侧吻合术被认为是最有效的，因为它通过一次吻合创造了双向旁路。然而，对小淋巴管和小静脉进行端侧吻合在技术上具有挑战性。我们开发了一种使用血管内支架的新技术，该技术显著简化了手术过程。
