ヤマシタ シュウジ
Shuji Yamashita
山下 修二 所属 川崎医科大学 医学部 臨床医学 形成外科学 職種 教授 |
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論文種別 | 原著 |
言語種別 | 英語 |
査読の有無 | 査読あり |
表題 | Combined Lymphovenous Anastomosis and Great Saphenous Vein Stripping for Comorbid Lymphedema and Varicose Veins. |
掲載誌名 | 正式名:Lymphatic research and biology 略 称:Lymphat Res Biol ISSNコード:15578585/15396851 |
掲載区分 | 国外 |
巻・号・頁 | 20(2),pp.213-219 |
著者・共著者 | Yoshida Shuhei, Koshima Isao, Imai Hirofumi, Uchiki Toshio, Sasaki Ayano, Fujioka Yumio, Nagamatsu Shogo, Yokota Kazunori, Harima Mitsunobu, Yamashita Shuji |
担当区分 | 最終著者 |
発行年月 | 2022/04 |
概要 | Background: Treatment for patients with comorbid lymphedema and varicose veins is controversial. Surgical options for these patients are limited. The study was aimed to investigate the validity of combined lymphovenous anastomosis (LVA) and great saphenous vein stripping (GSVS) for comorbid lymphedema and varicose veins. Methods: Thirteen patients were involved in the study, and the detail was 21 edematous lower limbs (with coexisting varicose veins and lymphedema; the varicose vein and lymphedema [VL] group) who underwent combined GSVS and LVA therapy. Fifteen patients (with 30 edematous lower limbs and lymphedema only; the lymphedema [L] group) who underwent LVA only were included as a control group. GSVS was performed before LVA in the VL group. Results: No significant differences were seen between the groups at baseline. There were no cases indocyanine green (ICG) lymphography pattern deteriorated after GSVS. No significant difference was seen in lymphatic detection rate; 129.71% ± 58.27% (67%-333%) in the VL group and 122.27% ± 39.47% (50%-250%) in the L group (p = 0.59 > 0.05), respective lymphatic diameters 0.66 ± 0.13 (0.45-0.9) mm and 0.75 ± 0.17 (0.45-1.0) mm (p = 0.07 > 0.05), and respective lymphedema improvement rate 12.17% ± 7.35% (0%-27.4%) and 12.65% ± 7.43% (3.7%-22.3%) (p = 0.86 > 0.05). Discussion: In this study, stripping surgery does not cause lymphatic impairment, at least to the extent that would impede the success of an LVA procedure. Comorbid varicose veins and lymphedema can be treated surgically by a combination of LVA and GSVS. |
DOI | 10.1089/lrb.2019.0076 |
PMID | 33794104 |