Baumeister R G, Siuda S, Bohmert H, Moser E
Scand J Plast Reconstr Surg. 1986;20(1):141-6. doi: 10.3109/02844318609006311.
Refinements in microsurgery have made it possible to perform causal therapy on lymphedemas due to a local blockade of lymphatic pathways through transplantation of the patient's lymph collectors. End-to-end anastomoses with lymphatics before and after the blockade or crossing to the opposite side are performed under 40-fold magnification. Between July 1980 and February 1985 32 patients received this treatment. 23 patients had postmastectomy edema, and 9 patients had unilateral edema of the lower limb (2 primary, 7 secondary edemas). The lasting result was that the volume difference between the affected and the healthy limb decreased to about 65%. Lymphatic scintiscans showed improved lymphatic transport capacity with increasing time from surgery and long patency of the grafts.
显微外科技术的改进使得通过移植患者的淋巴管对因局部淋巴通路阻塞引起的淋巴水肿进行病因治疗成为可能。在40倍放大倍数下进行阻塞前后淋巴管的端端吻合或交叉至对侧。1980年7月至1985年2月期间，32例患者接受了这种治疗。23例患者有乳房切除术后水肿，9例患者有下肢单侧水肿（2例原发性，7例继发性水肿）。持久的结果是患侧与健侧肢体的体积差异降至约65%。淋巴闪烁扫描显示，随着手术时间的延长，淋巴转运能力得到改善，移植血管长期通畅。
