Feins N R, Rubin R, Crais T, O'Connor J F
J Pediatr Surg. 1977 Jun;12(3):471-6. doi: 10.1016/0022-3468(77)90026-4.
Thirty-nine children underwent staged excisional surgery for lymphedema. The procedures are described in detail. All the children operated on have improved and have a more normal appearance. The decrease in attacks of cellulitis and lymphangitis is striking. The morbidity of this simple procedure is negligible. The operation is tedious, fatiguing, anatomically unexciting, and has a vague end-point. At this time, staged subcutaneous excision appears to be the procedure of choice in moderate to severe lymphedema in children regardless of etiology or classification. The procedure is not a cure.
39名儿童接受了分期切除手术治疗淋巴水肿。手术过程已详细描述。所有接受手术的儿童病情均有改善，外观也更趋正常。蜂窝织炎和淋巴管炎发作次数的减少十分显著。这种简单手术的发病率可忽略不计。该手术操作繁琐、令人疲惫、在解剖学上缺乏吸引力，且终点不明确。目前，分期皮下切除术似乎是治疗儿童中重度淋巴水肿的首选手术方式，无论其病因或分类如何。该手术并非治愈方法。
