Primary intrapelvic lymphaticovenular anastomosis following lymph node dissection.

Abstract

Lymphedema of lower extremities occurs following surgical resection of malignant tumors and intrapelvic lymph node dissection and is a long-term problem for patients. We performed primary intrapelvic lymphaticovenular anastomosis to prevent postoperative leg lymphedema. The procedures were conducted in 7 patients (aged 35-61 years) with cancer of the uterine body. After completion of hystero-oophorectomy and intrapelvic lymph node dissection, the afferent lymphatics entering internal and external iliac lymph nodes were end-to-end anastomosed with branches of the deep inferior epigastric veins. The time taken for constructing 4 anastomoses was 100 to 120 minutes. The follow-up period ranged from 10 to 18 months (mean, 14 months). All patients were discharged and are independent in daily living. Apart from mild leg lymphedema in 1 patient, no lymphedema was observed in other patients up to the last follow-up. This surgical modality is effective in preventing lymphedema in lower extremities after intrapelvic para-aortic lymph node dissection.

• Authors: Meisei Takeishi, Masahiro Kojima, Katuya Mori, Kunihiro Kurihara, Hiroshi Sasaki
• Journal: Annals of plastic surgery (Ann Plast Surg) Vol. 57 Issue 3 Pg. 300-4 (Sep 2006) ISSN: 0148-7043 [Print] United States
• PMID: 16929199 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Anastomosis, Surgical (methods)
• Female
• Humans
• Lymph Node Excision (adverse effects)
• Lymphatic Vessels (surgery)
• Lymphedema (etiology, surgery)
• Middle Aged
• Uterine Neoplasms (surgery)
• Veins (surgery)