Steinbacher Johannes, Tinhofer Ines E, Meng Stefan, Reissig Lukas F, Placheta Eva, Roka-Palkovits Julia, Rath Thomas, Cheng Ming-Huei, Weninger Wolfgang J, Tzou Chieh Han
Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Department of Systematic Anatomy, Institute of Anatomy, Center for Anatomy and Cell Biology, Medical University of Vienna, Austria.
J Surg Oncol. 2017 Jan;115(1):60-62. doi: 10.1002/jso.24346. Epub 2016 Jun 28.
Vascularized lymph node transfer is an effective surgical method in reducing lymphedema. This study provides the first detailed description of the surgical anatomy of the supraclavicular lymph node flap in regard to pedicle length, pedicle diameter, and the number of lymph nodes and their exact location inside the flap.
Bilateral supraclavicular dissections of nine fresh cadavers (five female) were performed. Before the dissection, the exact number of lymph nodes was determined sonographically by an experienced radiologist, and their distance from the jugular notch was measured. After anatomic dissection, the vascular pedicle's diameter and length were measured.
The mean number of lymph nodes was 1.5 ± 1.85 on the right side and 3 ± 2.26 on the left. Their mean distance from the jugular notch was 8.29 ± 2.15 cm on the right and 6.10 ± 1.21 cm on the left. The pedicle's length was 4.72 ± 1.03 cm on the right and 4.86 ± 0.99 cm on the left, and its diameter 2.03 ± 0.83 on the right and 1.80 ± 0.77 on the left.
The pedicle length and diameter of the supraclavicular lymph node flap are suitable for a microvascular tissue transfer. J. Surg. Oncol. 2017;115:60-62. © 2016 Wiley Periodicals, Inc.
带血管蒂淋巴结转移术是减轻淋巴水肿的一种有效手术方法。本研究首次详细描述了锁骨上淋巴结皮瓣的手术解剖结构,包括蒂的长度、蒂的直径、淋巴结数量及其在皮瓣内的确切位置。
对9具新鲜尸体(5具女性)进行双侧锁骨上解剖。解剖前,由经验丰富的放射科医生通过超声确定淋巴结的确切数量,并测量其与颈静脉切迹的距离。解剖后,测量血管蒂的直径和长度。
右侧淋巴结平均数量为1.5±1.85个,左侧为3±2.26个。它们与颈静脉切迹的平均距离右侧为8.29±2.15cm,左侧为6.10±1.21cm。蒂的长度右侧为4.72±1.03cm,左侧为4.86±0.99cm,直径右侧为2.03±0.83,左侧为1.80±0.77。
锁骨上淋巴结皮瓣的蒂长度和直径适合进行微血管组织转移。《外科肿瘤学杂志》2017年;第115卷:60 - 62页。©2016威利期刊公司。
原文中“J. Surg. Oncol. 2017;115:60 - 62.”部分的“115”疑似有误,根据排版推测可能是“105”,已按原文翻译。