期刊
CHIRURGIE
卷 94, 期 2, 页码 130-137出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00104-022-01736-2
关键词
Lymph Node Excision; Lymphedema; Lymphocele; Lymphatic fistula; Wound healing disorders
类别
Lymphadenectomy is an essential part of surgical tumor therapy despite potential complications, and conservative or surgical treatments are available for secondary lymphedema.
Irrespective of numerous technical developments, lymphadenectomy remains a necessary component of surgical tumor therapy. Depending on the extent and anatomical localization, complications associated with the lymph vessels such as lymphoceles, lymphatic fistulas or secondary lymphedema can occur with varying frequency, despite a meticulous dissection technique. Chronic lymph fistulas or lymphoceles often require interventional or surgical procedures. Pedicled or free microsurgical flaps are often required in the case of coexisting wound healing disorders or skin soft tissue defects, especially in an irradiated area. For secondary lymphedema a number of conservative and surgical treatment methods have been established. Adequate guideline-based conservative treatment is the method of first choice. If this does not lead to the desired result, microsurgical reconstructive, deviating or resecting procedures are available.
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