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澳大利亚的淋巴水肿手术:一项叙述性综述。

Lymphoedema surgery in Australia: a narrative review.

作者信息

Cevik Jevan, Rozen Warren M

机构信息

Department of Plastic and Reconstructive Surgery, Peninsula Health, Frankston, VIC, Australia.

Peninsula Clinical School, Central Clinical School, Faculty of Medicine, Monash University, Frankston, VIC, Australia.

出版信息

Gland Surg. 2023 Dec 26;12(12):1823-1834. doi: 10.21037/gs-23-181. Epub 2023 Dec 12.

Abstract

BACKGROUND AND OBJECTIVE

Lymphoedema is a chronic condition that affects millions of people worldwide. It is often caused by the damage or removal of lymph nodes during cancer treatment. One of the most effective management options for lymphoedema is surgery, which can reduce swelling and potentially improve lymphatic drainage. Throughout history, Australia has been at the forefront of research and development in this field. In this review, we aim to examine the contributions of Australian research to lymphoedema surgery.

METHODS

We conducted a search in the PubMed and Embase databases to identify Australian research relating to lymphoedema surgery from inception to the present day. Studies that met the inclusion criteria were reviewed and analysed, and the results were presented.

KEY CONTENT AND FINDINGS

After reviewing the literature, it was apparent that the field of lymphoedema surgery owes much to the contributions of Australian research. Early work from famous Australian surgeons such as Bernard O'Brien and Geoffrey Ian Taylor laid the bedrock for modern surgical techniques. Furthermore, more recently, Australia has seen a resurgence of clinical research contributing to the international evidence for lymphoedema surgery.

CONCLUSIONS

Australia has made significant contributions to the field of lymphoedema surgery, particularly in the development of modern microsurgical techniques such as lymphovenous anastomosis or vascularised lymph node transfer. These contributions have led to improved patient outcomes and quality of life. Going forward, Australia will hopefully continue to be a leader in research and innovation in this field.

摘要

背景与目的

淋巴水肿是一种影响全球数百万人的慢性疾病。它通常由癌症治疗期间淋巴结的损伤或切除引起。淋巴水肿最有效的治疗选择之一是手术,手术可以减轻肿胀并可能改善淋巴引流。纵观历史,澳大利亚在该领域的研究与开发中一直处于前沿。在本综述中,我们旨在研究澳大利亚的研究对淋巴水肿手术的贡献。

方法

我们在PubMed和Embase数据库中进行检索,以识别从开始到现在与淋巴水肿手术相关的澳大利亚研究。对符合纳入标准的研究进行了综述和分析,并呈现了结果。

关键内容与发现

在回顾文献后,很明显淋巴水肿手术领域在很大程度上归功于澳大利亚的研究贡献。澳大利亚著名外科医生如伯纳德·奥布赖恩和杰弗里·伊恩·泰勒的早期工作为现代手术技术奠定了基础。此外,最近澳大利亚的临床研究再度兴起,为淋巴水肿手术的国际证据做出了贡献。

结论

澳大利亚在淋巴水肿手术领域做出了重大贡献,特别是在淋巴静脉吻合术或带血管蒂淋巴结转移等现代显微外科技术的发展方面。这些贡献改善了患者的治疗效果和生活质量。展望未来,澳大利亚有望继续成为该领域研究与创新的领导者。

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