淋巴脂肪抽吸术:治疗效果仅限于治疗的肢体吗?

IF 2 3区 医学 Q3 ONCOLOGY Journal of Surgical Oncology Pub Date : 2024-11-11 DOI:10.1002/jso.27985
Shih-Lun Lo, Melis Salman, Wei F Chen
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引用次数: 0

摘要

背景和目的:淋巴水肿治疗历来侧重于针对特定区域的干预措施。然而,最近的证据表明并非如此。本研究旨在评估抽脂治疗淋巴水肿的益处是否仅限于治疗过的肢体,还是会扩展到身体的其他部位:研究对象包括2023年1月至6月期间在克利夫兰诊所接受肢体淋巴水肿吸脂术的患者。随访时间不足1年或术后追踪研究不完整的患者排除在外。术前和术后评估包括患者报告、三维容积测量和吲哚菁绿淋巴造影(ICGL)。抽脂手术在全身麻醉下进行,并对病理肿块进行环形切除:36 名患者(33 名女性,3 名男性,平均年龄 58 岁)的 38 个肢体接受了手术。所有患者都报告说病情明显好转,其中一些人称这种好转 "改变了生活"。所有接受手术的肢体(38 例)和未接受手术的对侧肢体(38 例)的淋巴功能都得到了改善,平均体积分别减少了 30.0% 和 19.5%。ICGL 进一步证实所有肢体的淋巴引流均得到改善(76):结论:传统上认为淋巴水肿吸脂术是一种针对特定区域的淋巴水肿治疗方法,但它的治疗效果超出了手术部位,这表明它具有更广泛的全身性益处。
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Debulking Lymphatic Liposuction: Are the Therapeutic Effects Limited to the Treated Limb?

Background and objectives: Lymphedema treatment has traditionally focused on region-specific interventions. However, recent evidence suggests otherwise. This study aims to evaluate whether the benefits of liposuction for lymphedema are confined to the treated limb or extend to other areas of the body.

Methods: Patients who underwent liposuction for extremity lymphedema between January and June 2023 at Cleveland Clinic were included in the study. Patients with less than 1-year follow-up or incomplete post-operative tracking studies were excluded. Pre- and post-operative evaluations included patient report, 3D volumetric measurements, and indocyanine green lymphography (ICGL). Liposuction was performed under general anesthesia with circumferential removal of pathological bulk.

Results: Thirty-eight limbs in 36 patients (33 females, 3 males, mean age 58 years) underwent surgery. All reported marked improvements, with some noting the improvements as "life-changing." Improvements in lymphatic functions were observed in all operative limbs (38) and non-operative contralateral limbs (38), with an average volume reduction of 30.0% and 19.5%, respectively. ICGL further confirmed improved lymphatic drainage in all limbs (76).

Conclusions: Liposuction, traditionally considered a region-specific treatment for lymphedema, exerts therapeutic effects beyond the surgical site, suggesting broader systemic benefits.

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来源期刊
CiteScore
4.70
自引率
4.00%
发文量
367
审稿时长
2 months
期刊介绍: The Journal of Surgical Oncology offers peer-reviewed, original papers in the field of surgical oncology and broadly related surgical sciences, including reports on experimental and laboratory studies. As an international journal, the editors encourage participation from leading surgeons around the world. The JSO is the representative journal for the World Federation of Surgical Oncology Societies. Publishing 16 issues in 2 volumes each year, the journal accepts Research Articles, in-depth Reviews of timely interest, Letters to the Editor, and invited Editorials. Guest Editors from the JSO Editorial Board oversee multiple special Seminars issues each year. These Seminars include multifaceted Reviews on a particular topic or current issue in surgical oncology, which are invited from experts in the field.
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About the Cover. Collagen Density Is Associated With Pathological Complete Response to Neoadjuvant Chemotherapy in Triple-Negative Breast Cancer Patients. Predictors Based on the Radiologic Characteristics for Aggressiveness of Small (< 20 mm) Nonfunctioning Pancreatic Neuroendocrine Tumors. Addressing Breast Cancer Disparities: A Comprehensive Approach to Health Equity. Letter to "Body Mass Index and Breast Cancer-Related Lymphedema: A Retrospective Cohort Study".
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