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超显微淋巴管静脉吻合术。

Supermicrosurgical lymphovenous anastomosis.

机构信息

Division of Plastic and Reconstructive Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

Department of Surgery, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.

出版信息

J Chin Med Assoc. 2024 May 1;87(5):455-462. doi: 10.1097/JCMA.0000000000001088. Epub 2024 Mar 22.

DOI:10.1097/JCMA.0000000000001088
PMID:38517403
Abstract

Lymphedema impairs patients' function and quality of life. Currently, supermicrosurgical lymphovenous anastomosis (LVA) is regarded as a significant and effective treatment for lymphedema. This article aims to review recent literature on this procedure, serving as a reference for future research and surgical advancements. Evolving since the last century, LVA has emerged as a pivotal domain within modern microsurgery. It plays a crucial role in treating lymphatic disorders. Recent literature discusses clinical imaging, surgical techniques, postoperative care, and efficacy. Combining advanced tools, precise imaging, and surgical skills, LVA provides a safer and more effective treatment option for lymphedema patients, significantly enhancing their quality of life. This procedure also presents new challenges and opportunities in the realm of microsurgery.

摘要

淋巴水肿会影响患者的功能和生活质量。目前,超显微淋巴管静脉吻合术(LVA)被认为是治疗淋巴水肿的一种重要且有效的方法。本文旨在回顾该手术的最新文献,为未来的研究和手术进展提供参考。自上个世纪以来,LVA 不断发展,已成为现代显微外科的一个重要领域。它在治疗淋巴疾病方面发挥着关键作用。最近的文献讨论了临床影像学、手术技术、术后护理和疗效。LVA 将先进的工具、精确的影像学和手术技能相结合,为淋巴水肿患者提供了更安全、更有效的治疗选择,显著提高了他们的生活质量。该手术也为显微外科领域带来了新的挑战和机遇。

相似文献

1
Supermicrosurgical lymphovenous anastomosis.超显微淋巴管静脉吻合术。
J Chin Med Assoc. 2024 May 1;87(5):455-462. doi: 10.1097/JCMA.0000000000001088. Epub 2024 Mar 22.
2
Supermicrosurgical lymphovenous anastomosis.超显微外科淋巴静脉吻合术。
Cir Esp (Engl Ed). 2019 May;97(5):291. doi: 10.1016/j.ciresp.2018.10.004. Epub 2018 Dec 9.
3
How to Get Started Performing Supermicrosurgical Lymphaticovenular Anastomosis to Treat Lymphedema.如何开始进行超显微淋巴管静脉吻合术治疗淋巴水肿。
Ann Plast Surg. 2018 Dec;81(6S Suppl 1):S15-S20. doi: 10.1097/SAP.0000000000001610.
4
Successful treatment of breast cancer-related breast lymphedema by lymphovenous anastomosis in a male patient.男性乳腺癌患者淋巴管静脉吻合术治疗乳腺癌相关性上肢淋巴水肿的成功经验
Microsurgery. 2019 May;39(4):360-363. doi: 10.1002/micr.30447. Epub 2019 Mar 19.
5
Determining factors in relation to lymphovascular characteristics and anastomotic configuration in supermicrosurgical lymphaticovenous anastomosis - A retrospective cohort study.与超显微淋巴管静脉吻合术中淋巴管血管特征和吻合构型相关的决定因素 - 一项回顾性队列研究。
Int J Surg. 2020 Sep;81:39-46. doi: 10.1016/j.ijsu.2020.07.011. Epub 2020 Jul 30.
6
A Systematic Stepwise Method to Perform a Supermicrosurgical Lymphovenous Anastomosis.一种行之有效的超显微淋巴管静脉吻合术的系统分步方法。
Ann Plast Surg. 2022 May 1;88(5):524-532. doi: 10.1097/SAP.0000000000003023. Epub 2021 Oct 8.
7
Supermicrosurgical Lymphaticovenous Anastomosis as Alternative Treatment Option for Moderate-to-Severe Lower Limb Lymphedema.超显微淋巴管静脉吻合术作为中重度下肢淋巴水肿的治疗选择。
J Am Coll Surg. 2020 Feb;230(2):216-227. doi: 10.1016/j.jamcollsurg.2019.10.007. Epub 2019 Oct 23.
8
Supermicrosurgical T-shaped lymphaticovenular anastomosis for the treatment of peripheral lymphedema: Bypassing lymph fluid maximizing lymphatic collector continuity.超显微外科T形淋巴管静脉吻合术治疗周围性淋巴水肿:使淋巴液分流,最大限度保持淋巴管连续性。
Microsurgery. 2016 Nov;36(8):714-715. doi: 10.1002/micr.30019. Epub 2016 Jan 5.
9
Practical solutions for lymphaticovenous anastomosis.淋巴静脉吻合术的实用解决方案。
J Reconstr Microsurg. 2013 Jan;29(1):1-4. doi: 10.1055/s-0032-1315763. Epub 2012 Aug 29.
10
Supermicrosurgical deep lymphatic vessel-to-venous anastomosis for a breast cancer-related arm lymphedema with severe sclerosis of superficial lymphatic vessels.超显微深部淋巴管-静脉吻合术治疗伴有浅表淋巴管严重硬化的乳腺癌相关上肢淋巴水肿
Microsurgery. 2017 Feb;37(2):156-159. doi: 10.1002/micr.22382. Epub 2015 Jan 17.

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1
High-frequency ultrasound combined with shear wave elastography to evaluate the efficacy of lymphaticovenular anastomosis in patients with secondary lymphedema.高频超声联合剪切波弹性成像评估继发性淋巴水肿患者淋巴管静脉吻合术的疗效。
Front Surg. 2025 Aug 29;12:1578436. doi: 10.3389/fsurg.2025.1578436. eCollection 2025.
2
The emerging role of biomaterial applications in cerebral lymphatic surgical interventions: A narrative review.生物材料应用在脑淋巴手术干预中的新兴作用:一项叙述性综述。
Biomater Biosyst. 2025 Aug 9;19:100117. doi: 10.1016/j.bbiosy.2025.100117. eCollection 2025 Sep.
3
Robotic-assisted lymphovenous anastomosis to treat periorbital lymphedema and systematic review of lymphatic reconstruction of face and neck lymphedema.
机器人辅助淋巴管静脉吻合术治疗眶周淋巴水肿及面部和颈部淋巴水肿淋巴重建的系统评价
J Robot Surg. 2025 Jul 12;19(1):380. doi: 10.1007/s11701-025-02552-6.
4
Supermicrosurgical lymphaticovenous anastomosis for breast cancer related lymphedema in low resources settings.在资源匮乏地区针对乳腺癌相关淋巴水肿的超显微淋巴管静脉吻合术
World J Surg Oncol. 2025 Apr 24;23(1):156. doi: 10.1186/s12957-025-03756-8.
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Gastroepiploic Vascularized Lymph Node Transfer for Extremity Lymphedema: Tips and Insights from Extensive Clinical Experience.胃网膜血管化淋巴结转移治疗肢体淋巴水肿:丰富临床经验的技巧与见解
Medicina (Kaunas). 2025 Mar 15;61(3):503. doi: 10.3390/medicina61030503.