Campisi C, Boccardo F, Alitta P, Tacchella M
University of Genoa, Department of Emergency Surgery, Italy.
Microsurgery. 1995;16(7):463-8. doi: 10.1002/micr.1920160706.
Microsurgical derivative procedures to treat chronic lymphedemas of the limbs are reported here. Techniques used consisted of lymphatic capsule-venous anastomoses (in pediatric patients) and end-to-side lymphatic-venous anastomoses. Results after more than 5 years showed improvement in about 70% of the cases. The importance of an accurate preoperative diagnostic evaluation and the precise indications for these microsurgical procedures are discussed. Some personal modifications of derivative microsurgical techniques and their advantages are also pointed out.
本文报道了用于治疗四肢慢性淋巴水肿的显微外科衍生手术。所采用的技术包括淋巴管-静脉吻合术（用于儿科患者）和端侧淋巴管-静脉吻合术。5年以上的结果显示，约70%的病例有改善。讨论了准确的术前诊断评估的重要性以及这些显微外科手术的精确适应症。还指出了衍生显微外科技术的一些个人改进及其优点。
