Functional lymphatic reconstruction with the "Selected Lymph Node" technique guided by a SPECT-CT lymphoscintigraphy.
Adult
Aged
Breast Neoplasms
/ pathology
Female
Follow-Up Studies
Groin
/ surgery
Humans
Lymph Nodes
/ diagnostic imaging
Lymphatic Vessels
/ surgery
Lymphedema
/ diagnostic imaging
Lymphoscintigraphy
/ methods
Male
Mastectomy
/ adverse effects
Middle Aged
Prognosis
Plastic Surgery Procedures
/ methods
Retrospective Studies
Tomography, Emission-Computed, Single-Photon
/ methods
Tomography, X-Ray Computed
/ methods
Selected Lymph Node
functional lymphatic reconstruction
groin lymph nodes
lymph node transplantation
lymphedema
Journal
Journal of surgical oncology
ISSN: 1096-9098
Titre abrégé: J Surg Oncol
Pays: United States
ID NLM: 0222643
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
received:
17
01
2019
accepted:
18
07
2019
pubmed:
4
8
2019
medline:
24
10
2019
entrez:
4
8
2019
Statut:
ppublish
Résumé
A new technique named "Selected Lymph Node" ("SeLyN") was evaluated, aiming to identify the most functional groin lymph nodes (LNs) for an effective LN transplantation. Bilateral lower-limb SPECT-CT was performed in the upper-limb lymphedema patients, to select the most radioactive inguinal LN. Recorded data included demographics, stage, etiology of lymphedema, flap consistency in accordance to preoperative findings, flap size, number of LN, and harvesting time. Infection episodes per year and volume changes of the upper limbs were documented. Donor-site complications were recorded and lower-limb evaluation was performed through clinical examination, volume analysis, and lymphoscintigraphy. A total of 41 patients underwent a "SeLyN" transfer technique. The mean flap size was 28.34 cm "SeLyN" is a safe and effective technique in selecting the most suitable LNs, minimizing the donor-site morbidity, and decreasing the overall operating time.
Sections du résumé
BACKGROUND
BACKGROUND
A new technique named "Selected Lymph Node" ("SeLyN") was evaluated, aiming to identify the most functional groin lymph nodes (LNs) for an effective LN transplantation.
METHODS
METHODS
Bilateral lower-limb SPECT-CT was performed in the upper-limb lymphedema patients, to select the most radioactive inguinal LN. Recorded data included demographics, stage, etiology of lymphedema, flap consistency in accordance to preoperative findings, flap size, number of LN, and harvesting time. Infection episodes per year and volume changes of the upper limbs were documented. Donor-site complications were recorded and lower-limb evaluation was performed through clinical examination, volume analysis, and lymphoscintigraphy.
RESULTS
RESULTS
A total of 41 patients underwent a "SeLyN" transfer technique. The mean flap size was 28.34 cm
CONCLUSIONS
CONCLUSIONS
"SeLyN" is a safe and effective technique in selecting the most suitable LNs, minimizing the donor-site morbidity, and decreasing the overall operating time.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
911-918Informations de copyright
© 2019 Wiley Periodicals, Inc.