The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.
A Prospective Analysis of 100 Consecutive Lymphovenous Bypass Cases for Treatment of Extremity Lymphedema
Abstract
BACKGROUND: The authors prospectively evaluated the efficacy of lymphovenous bypass in patients with lymphedema secondary to cancer treatment. METHODS: The authors prospectively enrolled 100 consecutive patients with extremity lymphedema secondary to cancer treatment. Sixty-five patients underwent lymphovenous bypass with indocyanine green fluorescent lymphangiography. Evaluation included qualitative assessment and quantitative volumetric analysis before and 3, 6, and 12 months after bypass. RESULTS: Lymphovenous bypass was performed in 89 upper extremities and 11 lower extremities. For upper extremity lymphedemas, the mean preoperative volume differential was 32 percent. Symptom improvement was reported by 96 percent of patients and quantitative improvement was noted by 74 percent. The overall mean volume differential reduction was 33 percent at 3 months, 36 percent at 6 months, and 42 percent at 12 months after surgery. The mean volume differential reductions at 3, 6, and 12 months after lymphovenous bypass in patients with stage 1 or 2 lymphedema (58, 52, and 61 percent, respectively) were significantly larger than those in the patients with stage 3 or 4 lymphedema (12, 16, and 17 percent, respectively). Eleven bypasses were performed in seven patients with lower extremity lymphedema, with a mean preoperative volume differential of 38 percent. Only four (57 percent) of these patients reported symptom improvement; postoperative volume measurements were available for only two of these four. CONCLUSIONS: Lymphovenous bypass can be effective in reducing lymphedema severity, particularly in patients with early-stage upper extremity lymphedema. Indocyanine green lymphangiography accurately identified functional lymphatic vessels and may have a role in objectively assessing lymphedema severity and patient selection. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
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A Randomized Comparison of Sentinel-Node Biopsy with Routine Axillary Dissection in Breast Cancer
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Lucci, A., McCall, L. M., Beitsch, P. D., Whitworth, P. W., Reintgen, D. S., Blumencranz, P. W., Leitch, A. M., Saha, S., Hunt, K. K., & Giuliano, A. E. (2007) · Journal of Clinical Oncology · doi:10.1200/jco.2006.07.4062 · Cited by 920
Risk of lymphoedema following the treatment of breast cancer
Kissin, M. W., Della Rovere, G. Q., Easton, D., & Westbury, G. (1986) · Journal of British Surgery · doi:10.1002/bjs.1800730723 · Cited by 716
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Kitai, T., Inomoto, T., Miwa, M., & Shikayama, T. (2005) · Breast Cancer · doi:10.2325/jbcs.12.211 · Cited by 640
Wilke, L. G., McCall, L. M., Posther, K. E., Whitworth, P. W., Reintgen, D. S., Leitch, A. M., Gabram, S. G. A., Lucci, A., Cox, C. E., Hunt, K. K., et al. (2006) · Annals of Surgical Oncology · doi:10.1245/aso.2006.05.013 · Cited by 580
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Cited by
Nagaya, T., Nakamura, Y. A., Choyke, P. L., & Kobayashi, H. (2017) · Frontiers in Oncology · doi:10.3389/fonc.2017.00314 · Cited by 398
Breast cancer-related lymphedema: risk factors, precautionary measures, and treatments
Gillespie, T. C., Sayegh, H. E., Brunelle, C. L., Daniell, K. M., & Taghian, A. G. (2018) · Gland Surgery · doi:10.21037/gs.2017.11.04 · Cited by 361
The vicious circle of stasis, inflammation, and fibrosis in lymphedema
Brown, S., Dayan, J. H., Kataru, R. P., & Mehrara, B. J. (2023) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000009866 · Cited by 93
Metadata
- Authors
- Chang, D. W., Suami, H., & Skoracki, R.
- Venue
- Plastic and Reconstructive Surgery
- Published
- 2013-11
- Volume
- 132
- Issue
- 5
- Pages
- 1305-1314
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W1965730097
- Cited by
- 525
- References
- 25
- FWCI
- 9.64
- Type
- journal article
- Language
- en
- Open access
- closed
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- Chang, D. W., Suami, H., & Skoracki, R. (2013). A Prospective Analysis of 100 Consecutive Lymphovenous Bypass Cases for Treatment of Extremity Lymphedema. Plastic and Reconstructive Surgery. https://doi.org/10.1097/prs.0b013e3182a4d626
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