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我的做法：下肢终末期淋巴水肿的根治性减容手术。

How I do it: Radical debulking of lower extremity end-stage lymphedema.

作者信息

Singh Kuldeep, Kania Thomas, Kimyaghalam Ali, Breier Yuli, Cooper Michael

机构信息

Division of Vascular and Endovascular Surgery, Staten Island University Hospital, Staten Island, NY.

Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.

出版信息

J Vasc Surg Cases Innov Tech. 2023 May 29;9(3):101238. doi: 10.1016/j.jvscit.2023.101238. eCollection 2023 Sep.

DOI:10.1016/j.jvscit.2023.101238
PMID:37520169
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10372319/
Abstract

Debulking procedures have been a last-resort therapy for end-stage lymphedema for more than a century. Multiple techniques have been described, and the approach as a whole has fallen in and out of favor as providers have tried to maximize quality of life outcomes. We describe our technique for radical debulking of the lower extremity for the treatment of severe end-stage lymphedema.

摘要

一个多世纪以来，减容手术一直是终末期淋巴水肿的一种终极治疗手段。已经描述了多种技术，随着医疗人员试图将生活质量结果最大化，作为一个整体的治疗方法曾流行一时，又失宠了。我们描述了用于治疗严重终末期下肢淋巴水肿的根治性减容技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/f36b0cfc1881/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/83c571548aeb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/25cc6721acc8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/14444e05462f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/cd4e82bd3e1c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/a3860fc5c32e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/b8fdf4f5658e/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/7b0cd0668c66/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/accd262463b9/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/e5a42344374a/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/85483d3feb79/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/c6dd94f4ee69/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/f36b0cfc1881/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/83c571548aeb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/25cc6721acc8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/14444e05462f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/cd4e82bd3e1c/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/a3860fc5c32e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/b8fdf4f5658e/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/7b0cd0668c66/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/accd262463b9/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/e5a42344374a/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/85483d3feb79/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/c6dd94f4ee69/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5ca/10372319/f36b0cfc1881/gr12.jpg

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A prospective study on combined lymphedema surgery: Gastroepiploic vascularized lymph nodes transfer and lymphaticovenous anastomosis followed by suction lipectomy.前瞻性研究联合淋巴水肿手术：胃网膜血管化淋巴结转移和淋巴管静脉吻合术，随后行吸脂切除术。
Microsurgery. 2021 Jan;41(1):34-43. doi: 10.1002/micr.30641. Epub 2020 Aug 26.
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The diagnosis and treatment of peripheral lymphedema: 2020 Consensus Document of the International Society of Lymphology.
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Lymphology. 2020;53(1):3-19.
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Surgical management of lymphedema: a review of current literature.淋巴水肿的外科治疗：当前文献综述
Gland Surg. 2020 Apr;9(2):503-511. doi: 10.21037/gs.2020.03.14.
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A comprehensive overview on the surgical management of secondary lymphedema of the upper and lower extremities related to prior oncologic therapies.关于与先前肿瘤治疗相关的上肢和下肢继发性淋巴水肿手术管理的全面综述。
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