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@article{2424097,
author = {Knoz, Martin and Wang, YuandMing and Luo, ShengandDean and Wu, ShaoandChun and Lin, WeiandChe and Tsai, PeiandYu and Chien, PengandChen and Hsieh, ChingandHua and Yang, Johnson ChiaandShen},
article_location = {PHILADELPHIA},
article_number = {4},
doi = {http://dx.doi.org/10.1097/JS9.0000000000001106},
keywords = {contraction-type; lymphatic vessels; lymphaticovenous anastomosis; lymphedema; NECST classification; noncontraction type; supermicrosurgery},
language = {eng},
issn = {1743-9191},
journal = {INTERNATIONAL JOURNAL OF SURGERY},
title = {Comparison of contraction-type and noncontraction-type lymphatic vessels in lymphaticovenous anastomosis for cancer-related unilateral lower limb lymphedema: a retrospective cohort propensity-score-matched outcome analysis},
url = {https://journals.lww.com/international-journal-of-surgery/fulltext/2024/04000/comparison_of_contraction_type_and.5.aspx},
volume = {110},
year = {2024}
}
TY - JOUR
ID - 2424097
AU - Knoz, Martin - Wang, Yu-Ming - Luo, Sheng-Dean - Wu, Shao-Chun - Lin, Wei-Che - Tsai, Pei-Yu - Chien, Peng-Chen - Hsieh, Ching-Hua - Yang, Johnson Chia-Shen
PY - 2024
TI - Comparison of contraction-type and noncontraction-type lymphatic vessels in lymphaticovenous anastomosis for cancer-related unilateral lower limb lymphedema: a retrospective cohort propensity-score-matched outcome analysis
JF - INTERNATIONAL JOURNAL OF SURGERY
VL - 110
IS - 4
SP - 1913-1918
EP - 1913-1918
PB - LIPPINCOTT WILLIAMS & WILKINS
SN - 17439191
KW - contraction-type
KW - lymphatic vessels
KW - lymphaticovenous anastomosis
KW - lymphedema
KW - NECST classification
KW - noncontraction type
KW - supermicrosurgery
UR - https://journals.lww.com/international-journal-of-surgery/fulltext/2024/04000/comparison_of_contraction_type_and.5.aspx
N2 - Background:Contraction-type lymphatic vessels (LV) are considered suboptimal for lymphaticovenous anastomosis (LVA). However, despite these pathological changes, their functionality and link to outcomes have not been fully elucidated. The aim of this study was to determine the impact on outcomes when contraction-type LVs were used for LVA compared to the noncontraction-type (normal + ectatic) counterpart for treating lower limb lymphedema. Study design:Eighty-three patients with gynecologic cancer-related unilateral lower-limb lymphedema who underwent LVA as their primary treatment were enrolled in this study. The study group included 20 patients who used only contraction-type LVs. An additional 63 patients (control group) received noncontraction-type LVs only. Patients with a history of LVA, liposuction, or excisional therapy were excluded. Patient characteristics, intraoperative findings, functional parameters, and pre-LVA and post-LVA volume changes were recorded and matched using propensity scores. The primary endpoint was the volume change at 6/12 months after LVA. Results:After matching, 20 patients were included in each group. All parameters were matched, except that the study group still had a significantly inferior indocyanine green (ICG)-positive ratio, lymph flow-positive ratio, and washout-positive ratios (P<0.001, P=0.003, and P<0.001, respectively) when compared to the control group after matching. However, at 1-year follow-up, the postoperative percentage volume reduction was comparable between the groups (P=0.619). Conclusion:The use of contraction-type LVs for LVA is encouraged when no other LVs are available.
ER -
KNOZ, Martin, Yu-Ming WANG, Sheng-Dean LUO, Shao-Chun WU, Wei-Che LIN, Pei-Yu TSAI, Peng-Chen CHIEN, Ching-Hua HSIEH and Johnson Chia-Shen YANG. Comparison of contraction-type and noncontraction-type lymphatic vessels in lymphaticovenous anastomosis for cancer-related unilateral lower limb lymphedema: a retrospective cohort propensity-score-matched outcome analysis. \textit{INTERNATIONAL JOURNAL OF SURGERY}. PHILADELPHIA: LIPPINCOTT WILLIAMS \&{} WILKINS, 2024, vol.~110, No~4, p.~1913-1918. ISSN~1743-9191. Available from: https://dx.doi.org/10.1097/JS9.0000000000001106.
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