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Donor defects after lymph vessel transplantation and free vascularized lymph node transfer:A comparison and evaluation of complications

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World Journal of Transplantation 2021年第4期11卷 129-137页

作者： Gunther Felmerer Dominik Behringer Nadine Emmerich Marian Grade Adam Stepniewski Division of Plastic Surgery Department for Trauma SurgeryOrthopedics and Plastic SurgeryUniversity Medical Center GoettingenGoettingen 37075Lower SaxonyGermany Georg-August University Goettingen University Medical Center GoettingenGoettingen 37075Lower SaxonyGermany Department of General Visceral and Pediatric SurgeryUniversity Medical Center GoettingenGoettingen 37075Lower SaxonyGermany

BACKGROUND Secondary lymphedema after surgical interventions is a progressive,chronic disease that is still not completely *** the past years,a multitude of surgical therapy options have been *** To summarize the single-center complications in lymph vessel(LVTx)and free vascularized lymph node transfer(VLNT).METHODS In total,the patient collective consisted of 87 patients who were undergoing treatment for secondary leg lymphedema during the study period from March 2010 to April *** data collection was performed preoperatively during consultations,as well as three weeks,six months and twelve months after surgical *** the event of complications,more detailed follow-up checks were carried *** total n=18 robot-assisted omental lymph node transplantations,n=33 supraclavicular lymph node transplantations and n=36 lymph vessel transplantations were *** exemplary drawing is shown in Figure 1.A graphical representation of patient selection is shown in Figure *** harvest was performed with the Da Vinci Xi Robot Systems(Intuitive Surgical,CA,United States).RESULTS In total,11 male and 76 female patients were operated *** mean age of the patients at study entry was:omental VLNT:57.45±8.02 years;supraclavicular VLNT:49.76±4.16 years and LVTx:49.75±4.95 *** average observation time postoperative was:omental VLNT:18±3.48 mo;supraclavicular VLNT:14.15±4.9 and LVTx:14.84±4.46 *** our omental VLNT,three patients showed a slight abdominal sensation of tension within the first 12 postoperative *** other donor side morbidities *** intraoperative conversion to open technique was *** supraclavicular VLNT collective showed 10 lift defect morbidities with one necessary surgical *** our LVTx collective,12 cases of donor side morbidity were *** one case,surgical intervention was *** Concerning donor side morbidity,robot-assisted omental VLNT is clearly superior to supraclavic

关键词： lymph surgery Vascularized lymph node transfer lymph vessel transfer Robot-assisted surgery Da Vinci Xi Donor side morbidity

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