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子宫癌术后难治性淋巴性腹水行腹股沟淋巴管静脉吻合术1例。

A case of inguinal lymphaticovenular anastomosis for refractory lymphatic ascites after uterine cancer surgery.

作者信息

Iwao Atsuhiko, Ikari Noriko, Higashi Akihito, Moriuchi Yuki, Akashi Rina, Asabe Koumei, Kashiyama Kazuya, Kitajima Yuriko, Tanaka Katsumi

机构信息

Department of Plastic and Reconstructive Surgery, Nagasaki University Hospital, Nagasaki, Japan.

Department of Obstetrics and Gynecology, Nagasaki University Hospital, Nagasaki, Japan.

出版信息

Case Reports Plast Surg Hand Surg. 2024 Jan 18;11(1):2304617. doi: 10.1080/23320885.2024.2304617. eCollection 2024.

DOI:10.1080/23320885.2024.2304617
PMID:38250331
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10798289/
Abstract

We herein report a case of refractory lymphatic ascites after uterine cancer surgery treated with bilateral inguinal lymphaticovenular anastomosis (LVA). LVA was performed four months after the uterine cancer surgery in a patient with refractory ascites that had developed one month after the gynecologic surgery. One year and eight months after LVA, there was no recurrence of ascites accumulation.

摘要

我们在此报告一例子宫癌手术后难治性淋巴性腹水患者，采用双侧腹股沟淋巴管静脉吻合术（LVA）进行治疗。该患者在妇科手术后1个月出现难治性腹水，于子宫癌手术后4个月进行了LVA。LVA术后1年8个月，腹水未再复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/10798289/8ca9a625d57f/ICRP_A_2304617_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/10798289/00bb6695ee5a/ICRP_A_2304617_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/10798289/7d9b80c12f35/ICRP_A_2304617_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/10798289/8ca9a625d57f/ICRP_A_2304617_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/10798289/00bb6695ee5a/ICRP_A_2304617_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/10798289/7d9b80c12f35/ICRP_A_2304617_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67af/10798289/8ca9a625d57f/ICRP_A_2304617_F0003_C.jpg

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本文引用的文献

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Lymphatic-venous anastomosis for the treatment of refractory lymphatic ascites following radiation therapy: A case report.淋巴管-静脉吻合术治疗放疗后难治性淋巴性腹水：病例报告。
Microsurgery. 2022 May;42(4):376-380. doi: 10.1002/micr.30857. Epub 2021 Dec 30.
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Management of intractable post-adrenalectomy chylous ascites with microsurgical intra-abdominal lymphaticovenous anastomosis: A case report and literature review.采用显微腹腔内淋巴静脉吻合术治疗难治性肾上腺切除术后乳糜性腹水：病例报告及文献复习。
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Lymphaticovenular anastomosis for lymph vessel injury in the pelvis and groin.
盆腔和腹股沟淋巴管损伤的淋巴管静脉吻合术。
Microsurgery. 2021 Jul;41(5):421-429. doi: 10.1002/micr.30741. Epub 2021 Apr 3.
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Microsurgical lymphaticovenular anastomosis for refractory chylous ascites following para-aortic lymph nodes dissection in a patient with tubal cancer.输卵管癌患者腹主动脉旁淋巴结清扫术后难治性乳糜性腹水的显微外科淋巴管静脉吻合术
Gynecol Oncol Rep. 2018 Oct 1;26:53-55. doi: 10.1016/j.gore.2018.09.004. eCollection 2018 Nov.
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Successful Laparoscopic Treatment of Chylous Ascites after Pelvic Lymphadenectomy: A Case Report and Peanut Oil Application.成功治疗盆腔淋巴结清扫术后乳糜性腹水：病例报告及应用花生油。
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Ann Vasc Surg. 2015 Aug;29(6):1111-22. doi: 10.1016/j.avsg.2015.02.013. Epub 2015 May 27.
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Lymphatic ascites following pelvic and paraaortic lymphadenectomy procedures for gynecologic malignancies.妇科恶性肿瘤盆腔和腹主动脉旁淋巴结清扫术后淋巴腹水。
Gynecol Oncol. 2012 Apr;125(1):48-53. doi: 10.1016/j.ygyno.2011.11.012. Epub 2011 Nov 18.
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The effectiveness of lymphangiography as a treatment method for various chyle leakages.淋巴管造影术作为治疗各种乳糜漏的一种治疗方法的有效性。
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