Chu Carrie K, Schaverien Mark V, Chang Edward I, Hanson Summer E, Hanasono Matthew M, Selber Jesse C
Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Tex.
Plast Reconstr Surg Glob Open. 2020 Mar 27;8(3):e2673. doi: 10.1097/GOX.0000000000002673. eCollection 2020 Mar.
A variety of donor options for vascularized lymph node transfer for the surgical treatment of lymphedema have been described. Intra-abdominal harvest sites including the gastroepiploic nodes within the omental flap and the mesenteric node flap are distinguished from their extra-abdominal counterparts by the absent risk of iatrogenic donor site lymphedema and discrete scar location, as well as the ability to harvest up to 3 vascularized nodal packets from 1 donor site. However, there are also potential morbidities including hernia and intra-abdominal visceral injuries. Patient selection and flap harvest techniques are reviewed.
已经描述了用于手术治疗淋巴水肿的多种带血管蒂淋巴结转移的供体选择。腹腔内供区，包括网膜瓣内的胃网膜淋巴结和肠系膜淋巴结瓣，与腹腔外供区的区别在于不存在医源性供区淋巴水肿风险、瘢痕位置不明显，以及能够从1个供区获取多达3个带血管蒂的淋巴结包。然而，也存在包括疝气和腹腔内脏器损伤在内的潜在并发症。本文对患者选择和皮瓣切取技术进行了综述。
