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[荧光淋巴管造影在医源性淋巴管病变的诊断及导航显微外科治疗中的应用]

[Fluorescence lymphangiography in the diagnosis and navigated microsurgical treatment of iatrogenic lymph vessel lesion].

作者信息

Wellkamp Lukas, Dellmann Niklas-Chris, Bushart Sebastian, Al-Shakhanbeh Mutaz, Kirchhoff Pascal, Ring Andrej

机构信息

Klinik für Plastische Chirurgie und Handchirurgie, Zentrum für Rekonstruktive Lymphchirurgie, St. Rochus-Hospital, Glückaufstr. 10, 44575, Castrop-Rauxel, Deutschland.

出版信息

Hautarzt. 2021 Dec;72(12):1094-1097. doi: 10.1007/s00105-021-04795-4. Epub 2021 Mar 15.

DOI:10.1007/s00105-021-04795-4
PMID:33721049
Abstract

Injuries of lymph vessels can occur due to trauma or surgery and may result in significant difficulties for patients. Wound healing is often severely impaired and patients may need extensive surgical treatment. A case of iatrogenic lymph vessel injury after excision of a skin tumor in the axillary region is reported, as is the reconstructive procedure by lymphaticovenous anastomosis.

摘要

淋巴管损伤可因创伤或手术引起,给患者带来极大困扰。伤口愈合常严重受损,患者可能需要广泛的手术治疗。本文报告了1例腋窝区皮肤肿瘤切除术后医源性淋巴管损伤病例,以及通过淋巴管静脉吻合术进行的重建手术。

相似文献

1
[Fluorescence lymphangiography in the diagnosis and navigated microsurgical treatment of iatrogenic lymph vessel lesion].[荧光淋巴管造影在医源性淋巴管病变的诊断及导航显微外科治疗中的应用]
Hautarzt. 2021 Dec;72(12):1094-1097. doi: 10.1007/s00105-021-04795-4. Epub 2021 Mar 15.
2
Navigation lymphatic supermicrosurgery for iatrogenic lymphorrhea: supermicrosurgical lymphaticolymphatic anastomosis and lymphaticovenular anastomosis under indocyanine green lymphography navigation.导航淋巴超微外科治疗医源性淋巴漏:吲哚菁绿淋巴造影导航下的超微淋巴管-淋巴管吻合术和淋巴管-静脉吻合术。
J Plast Reconstr Aesthet Surg. 2014 Nov;67(11):1573-9. doi: 10.1016/j.bjps.2014.06.007. Epub 2014 Jun 25.
3
Preoperative planning of lymphaticovenous anastomosis: The use of magnetic resonance lymphangiography as a complement to indocyanine green lymphography.淋巴静脉吻合术的术前规划:磁共振淋巴造影术作为吲哚菁绿淋巴造影术的补充。
J Plast Reconstr Aesthet Surg. 2019 Jun;72(6):884-891. doi: 10.1016/j.bjps.2019.02.024. Epub 2019 Mar 2.
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Microsurgical lymphaticovenous implantation targeting dermal lymphatic backflow using indocyanine green fluorescence lymphography in the treatment of postmastectomy lymphedema.应用吲哚菁绿荧光淋巴造影引导皮下游离淋巴管静脉吻合术治疗乳腺癌术后淋巴水肿
Plast Reconstr Surg. 2011 May;127(5):1804-1811. doi: 10.1097/PRS.0b013e31820cf2e2.
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Lymphovenous anastomosis (LVA) for treatment of iatrogenic lymphocele in the thigh.淋巴管静脉吻合术(LVA)治疗大腿医源性淋巴囊肿。
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Lymphaticovenous anastomosis for facial lymphoedema after multiple courses of therapy for head-and-neck cancer.头颈部癌症多次治疗后面部淋巴水肿的淋巴管静脉吻合术。
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Axillary reverse mapping and lymphaticovenous bypass: Lymphedema prevention through enhanced lymphatic visualization and restoration of flow.腋窝反向映射与淋巴静脉搭桥术:通过增强淋巴可视化和恢复淋巴流动预防淋巴水肿。
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Assessment and follow-up of patency after lymphovenous microsurgery for treatment of secondary lymphedema in external male genital organs.评估和随访在外生殖器继发性淋巴水肿的淋巴静脉显微手术后的通畅情况。
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本文引用的文献

1
Treatment of Lymphatic Complications after Common Femoral Artery Endarterectomy.股总动脉内膜切除术后淋巴并发症的治疗
Ann Vasc Surg. 2020 Jan;62:382-386. doi: 10.1016/j.avsg.2019.06.011. Epub 2019 Aug 23.
2
Deep lymphatic anatomy of the upper limb: An anatomical study and clinical implications.上肢深部淋巴管解剖:解剖学研究及临床意义。
Ann Anat. 2019 May;223:32-42. doi: 10.1016/j.aanat.2019.01.005. Epub 2019 Feb 1.
3
Lymphatic vessel mapping in the upper extremities of a healthy Korean population.健康韩国人群上肢淋巴管造影
Arch Plast Surg. 2018 Mar;45(2):152-157. doi: 10.5999/aps.2017.00983. Epub 2018 Mar 15.
4
A review of the postoperative lymphatic leakage.术后淋巴漏的综述。
Oncotarget. 2017 Apr 20;8(40):69062-69075. doi: 10.18632/oncotarget.17297. eCollection 2017 Sep 15.
5
[Management of lymphatic fistulas in the groin from a surgeon's perspective].[从外科医生角度看腹股沟区淋巴瘘的管理]
Chirurg. 2017 Jul;88(7):582-586. doi: 10.1007/s00104-017-0378-3.
6
Lymph vessels: the forgotten second circulation in health and disease.淋巴管:健康与疾病中被遗忘的第二循环。
Virchows Arch. 2016 Jul;469(1):3-17. doi: 10.1007/s00428-016-1945-6. Epub 2016 May 12.
7
Navigation lymphatic supermicrosurgery for iatrogenic lymphorrhea: supermicrosurgical lymphaticolymphatic anastomosis and lymphaticovenular anastomosis under indocyanine green lymphography navigation.导航淋巴超微外科治疗医源性淋巴漏:吲哚菁绿淋巴造影导航下的超微淋巴管-淋巴管吻合术和淋巴管-静脉吻合术。
J Plast Reconstr Aesthet Surg. 2014 Nov;67(11):1573-9. doi: 10.1016/j.bjps.2014.06.007. Epub 2014 Jun 25.
8
Management of lymphatic fistulas after arterial reconstruction in the groin.腹股沟动脉重建术后淋巴瘘的处理
Ann Vasc Surg. 2013 Nov;27(8):1207-15. doi: 10.1016/j.avsg.2013.01.003. Epub 2013 Jul 10.
9
Novel lymphography using indocyanine green dye for near-infrared fluorescence labeling.使用吲哚菁绿染料进行近红外荧光标记的新型淋巴造影术。
Ann Plast Surg. 2007 Jun;58(6):652-5. doi: 10.1097/01.sap.0000250896.42800.a2.
10
The lymphatic territories of the upper limb: anatomical study and clinical implications.上肢的淋巴区域:解剖学研究及临床意义
Plast Reconstr Surg. 2007 May;119(6):1813-1822. doi: 10.1097/01.prs.0000246516.64780.61.