Ann Ital Chir. 2020 Nov 30;91:S2239253X20033198.
Lymphocele (or cystic lymphangioma) is a typical disease of the lymphatic vascukarization caused by lymphatic fluid leakage. Lymphatic leakage can result from traumas or as a complication of surgical procedures. Clinic is vague and surgical resection is still considered the most effective approach. Thereby, a standpoint should be the identification and treatment of afferent lymphatic channels which can be addressed by LVA.
The authors describe a rare case of a giant lymphocele occurred in a 56-year-old Caucasian woman treated for endometrial carcinoma. Lymphocele was refractory to percutaneous drainage and compressive treatment. Therefore surgical excision in combination with supramicrosurgical lymphatico-venular anastomosis (LVA) was scheduled.
The aim of the report is to offer an overview on the main therapeutic options to treat lymphocele and to demonstrate the effectiveness of combining excision with lymphatic microsurgery.
Inguinal lymphocele, LVA, Supramicrosurgery.
淋巴囊肿（或囊性淋巴管瘤）是一种由淋巴液漏出引起的典型淋巴血管疾病。淋巴液漏出可由创伤或手术并发症引起。临床表现不明确，手术切除仍然被认为是最有效的方法。因此，应该确定和治疗淋巴液的输入淋巴管，这可以通过 LVA 来解决。
作者描述了一例罕见的 56 岁白人女性巨大淋巴囊肿病例，该患者患有子宫内膜癌。淋巴囊肿对经皮引流和压迫治疗有抗性。因此，计划进行手术切除，并结合超显微淋巴管-静脉吻合术（LVA）。
本报告旨在概述治疗淋巴囊肿的主要治疗选择，并展示切除联合淋巴显微外科的有效性。
腹股沟淋巴囊肿、LVA、超显微外科。
