关键词: Lymph node level I lymphatic tissue transfer lymphedema neck quantification

来  源:   DOI:10.21037/gs-23-23   PDF(Pubmed)

Abstract:
UNASSIGNED: Vascularized lymph node transfer (VLNT) is an effective microsurgical method for the treatment of lymphedema. Knowledge of lymph node quantity and regional anatomy of donor sites are essential for surgery optimization. The aim of the study was to quantify the level I lymph nodes of the neck (submental and submandibular lymph nodes), describe the regional anatomy and review the current literature.
UNASSIGNED: Level I lymph nodes were identified from pathology specimens of 73 patients in Melbourne, Australia who underwent radical, modified, and selective neck dissection were quantified. Level I was further subcategorized into levels IA (submental) and IB (submandibular), with data assessed qualitatively and quantitatively. PubMed, Google Scholar, Science Direct, Cochrane CENTRAL, and trial registries (http://clinicialtrials.gov/) were searched for relevant studies published from infinity to December 2021.
UNASSIGNED: A mean of 5.2±2.9 lymph nodes were identified in the level I neck region. Subcategorization into level IA and level IB showed means of 3.7±1.6 and 4.7±3.0 lymph nodes, respectively. No statistical differences were detected regarding patients\' gender (P=0.8) and age (P=0.5). Current literature shows level I neck VLNT is a suitable treatment for lymphedema.
UNASSIGNED: Level I of the neck offers a consistent quantity of lymph nodes and is suitable for free lymph node transfer. Current literature states VLNT is an effective technique for lymphedema treatment. This study details the regional anatomy of the level I neck lymph nodes, which will assist surgeons to optimize their surgeries and prevent donor-site morbidity.
摘要:
血管化淋巴结转移(VLNT)是治疗淋巴水肿的有效显微外科方法。了解淋巴结数量和供体部位的局部解剖结构对于手术优化至关重要。该研究的目的是量化颈部的I级淋巴结(下颌下淋巴结),描述区域解剖学并回顾当前文献。
从墨尔本73例患者的病理标本中鉴定出I级淋巴结,经历了激进的澳大利亚,已修改,并对选择性颈清扫术进行了量化。I级进一步细分为IA级(下颌下)和IB级(下颌下),对数据进行定性和定量评估。PubMed,谷歌学者,科学直接,科克伦中部,和试验登记处(http://clinicialtrials.gov/)进行了搜索,以查找从无限到2021年12月发表的相关研究。
在I级颈部区域确定平均5.2±2.9个淋巴结。亚分类为IA级和IB级显示平均3.7±1.6和4.7±3.0淋巴结,分别。患者性别(P=0.8)和年龄(P=0.5)无统计学差异。目前的文献显示,I级颈部VLNT是淋巴水肿的合适治疗方法。
颈部的I级提供了一致数量的淋巴结,适用于游离淋巴结转移。目前的文献表明VLNT是治疗淋巴水肿的有效技术。本研究详细介绍了I级颈部淋巴结的局部解剖,这将有助于外科医生优化他们的手术和防止供体部位的发病率。
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