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成果照片分享：
治療中度至重度淋巴水腫
顯微淋巴結皮瓣移植
(Vascularized Lymph Node Transfer, VLNT)
手部
案例一
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
This is a 61-year-old female who had suffered from breast cancer-related lymphedema of the right upper extremity for 10 years after mastectomy, axillary 19 lymph nodes dissection, and radiotherapy. With the combined use of compression garments and the treatment of complete decongestive therapy, she had developed 2 episodes of cellulitis per year.
At 2- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 27% and 10% above and below the elbow, respectively.
At 2- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 27% and 10% above and below the elbow, respectively.
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
At 12- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 36% and 15% above and below the elbow, respectively.
The skin paddle in the wrist was de-epithelialized and the left upper medial arm was subjected to liposuction at 14 and 27 months. At 36- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 60% and 10% above and below the elbow, respectively.
The skin paddle in the wrist was de-epithelialized and the left upper medial arm was subjected to liposuction at 14 and 27 months. At 36- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 60% and 10% above and below the elbow, respectively.
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
At 72- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 50% above and below the elbow, respectively.
At 75- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 40% above and below the elbow, respectively.
At 75- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 40% above and below the elbow, respectively.
案例二
顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手
這是一名53歲的女性，她在乳房切除術，腋窩淋巴結廓清術和放療後36個月內，患有右上肢乳腺癌相關淋巴水腫。使用壓力袖套和彈繃加壓治療，她每年發生2次蜂窩性組織炎。
接受顯微淋巴結皮瓣移植手術後，在3個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上38%和肘下25％。
接受顯微淋巴結皮瓣移植手術後，在3個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上38%和肘下25％。
顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手
術後6個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上32%和肘下15％。
術後12個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上30%和肘下15％。
術後12個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上30%和肘下15％。
顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手
術後14個月，右手腕淋巴結皮瓣進行外觀修整手術，同時進行肘上抽脂手術，術後18個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上90%和肘下40％。
術後22個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上100%和肘下35％。
術後22個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上100%和肘下35％。
顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手
術後36個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上100%和肘下85％。
案例三
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
A 56-year-old patient with grade IV breast cancer-related lymphedema of the left upper extremity for 36 months after modified radical mastectomy, axillary lymph node dissection, and radiation. She developed 5 episodes of cellulitis per year and was refractory to conservative decongestive therapy.
At 12- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 40% and 15% above and below the elbow, respectively.
At 12- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 40% and 15% above and below the elbow, respectively.
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
The skin paddle in the wrist was de-epithelialized and the left upper medial arm was subjected to liposuction at 14 months. At 21- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 70% and 30% above and below the elbow, respectively.
At 29- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 65% above and below the elbow, respectively.
At 29- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 65% above and below the elbow, respectively.
案例四
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
A 70-year-old patient with grade III breast cancer-related lymphedema of the left upper extremity for 36 months after modified radical mastectomy, axillary lymph node dissection, and radiation. She developed 1 episodes of cellulitis per year and was refractory to conservative decongestive therapy.
At the 6-months follow-up, vascularized submental lymph node flap transfer to the wrist had significantly improved the patient’s symptoms and extremity tightness. The circumferential reduction rate was 20% above the elbow and 15% below the elbow without the use of a compression garment.
At the 6-months follow-up, vascularized submental lymph node flap transfer to the wrist had significantly improved the patient’s symptoms and extremity tightness. The circumferential reduction rate was 20% above the elbow and 15% below the elbow without the use of a compression garment.
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
At the 24-months follow-up, the reduction rate was 60% above the elbow and 50% below the elbow without the use of a compression garment.
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
At the 33-months follow-up, the reduction rate was 50% above the elbow and 25% below the elbow without the use of a compression garment.
案例五
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
A 59-year-old patient with grade II breast cancer-related lymphedema of the left upper extremity for 12 months after modified radical mastectomy, axillary lymph node dissection, and radiation. She developed 2 episodes of cellulitis per year and was refractory to conservative decongestive therapy.
At the 3-months follow-up, vascularized submental lymph node flap transfer to the wrist had significantly improved the patient’s symptoms and extremity tightness. The circumferential reduction rate was 22% above the elbow and 25% below the elbow without the use of a compression garment.
At the 3-months follow-up, vascularized submental lymph node flap transfer to the wrist had significantly improved the patient’s symptoms and extremity tightness. The circumferential reduction rate was 22% above the elbow and 25% below the elbow without the use of a compression garment.
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
At the 6-months follow-up, the reduction rate was 35% above the elbow and 25% below the elbow without the use of a compression garment.
At the 12-months follow-up, the reduction rate was 30% above the elbow and 20% below the elbow without the use of a compression garment.
At the 12-months follow-up, the reduction rate was 30% above the elbow and 20% below the elbow without the use of a compression garment.
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
The patient received a revision surgery consisting of the de-epithelialization of the skin paddle in the wrist and liposuction for the left upper medial arm 14 months after surgery. At the 24-months follow-up, the reduction rate was 35% above the elbow and 30% below the elbow without the use of a compression garment.
At the 38-months follow-up, the reduction rate was 35% above the elbow and 30% below the elbow. The patient was satisfied with the functional and cosmetic outcomes and did not wear a compression garment.
At the 38-months follow-up, the reduction rate was 35% above the elbow and 30% below the elbow. The patient was satisfied with the functional and cosmetic outcomes and did not wear a compression garment.
案例六
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
A 51-year-old patient with grade II breast cancer-related lymphedema of the left upper extremity for 6 months after mastectomy, axillary lymph node dissection, and radiation. She developed 1 episodes of cellulitis per year and was refractory to conservative decongestive therapy.
At the 12-months follow-up, the reduction rate was 50% above the elbow and 33% below the elbow without the use of a compression garment.
At the 12-months follow-up, the reduction rate was 50% above the elbow and 33% below the elbow without the use of a compression garment.
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
At the 12-months follow-up, the reduction rate was 50% above the elbow and 33% below the elbow without the use of a compression garment.
At the 20-months follow-up, the reduction rate was 50% above the elbow and 77% below the elbow without the use of a compression garment.
At the 20-months follow-up, the reduction rate was 50% above the elbow and 77% below the elbow without the use of a compression garment.
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
At the 20-months follow-up, the reduction rate was 50% above the elbow and 77% below the elbow without the use of a compression garment.
The patient received a revision surgery consisting of the de-epithelialization of the skin paddle in 24 months after surgery. At the 36-months follow-up, the reduction rate was 50% above the elbow and 50% below the elbow without the use of a compression garment.
The patient received a revision surgery consisting of the de-epithelialization of the skin paddle in 24 months after surgery. At the 36-months follow-up, the reduction rate was 50% above the elbow and 50% below the elbow without the use of a compression garment.
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
The patient received a revision surgery consisting of the de-epithelialization of the skin paddle in 24 months after surgery. At the 36-months follow-up, the reduction rate was 50% above the elbow and 50% below the elbow without the use of a compression garment.
At the 40-months follow-up, the reduction rate was 70% above the elbow and 75% below the elbow without the use of a compression garment.
At the 40-months follow-up, the reduction rate was 70% above the elbow and 75% below the elbow without the use of a compression garment.
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
At the 40-months follow-up, the reduction rate was 70% above the elbow and 75% below the elbow without the use of a compression garment.
案例七
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
A 59-year-old patient with grade II breast cancer-related lymphedema of the left upper extremity for 18 months after modified radical mastectomy, axillary lymph node dissection, and radiation. She developed 2 episodes of cellulitis per year and was received non-vascularized lymph node transfer by other doctor on left elbow, and refractory to conservative decongestive therapy.
At the 3-months follow-up, the reduction rate was 10% above the elbow and 23% below the elbow without the use of a compression garment.
At the 3-months follow-up, the reduction rate was 10% above the elbow and 23% below the elbow without the use of a compression garment.
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
At the 10-months follow-up, the reduction rate was 20% above the elbow and 30% below the elbow without the use of a compression garment.
The skin paddle in the middle forearm was de-epithelialized and the left upper medial arm was subjected to liposuction at 14 months. At the 20-months follow-up, the reduction rate was 100% above the elbow and 42% below the elbow without the use of a compression garment.
The skin paddle in the middle forearm was de-epithelialized and the left upper medial arm was subjected to liposuction at 14 months. At the 20-months follow-up, the reduction rate was 100% above the elbow and 42% below the elbow without the use of a compression garment.
案例八
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
This is a 46-year-old female who had suffered from breast cancer-related lymphedema of the right upper extremity for 2 years after mastectomy, axillary lymph node dissection, and radiotherapy. She developed one episode of cellulitis per year with the use of compression garments.
At 3- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 20% and 15% above and below the elbow, respectively.
At 3- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 20% and 15% above and below the elbow, respectively.
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
At 24- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 37% and 20% above and below the elbow, respectively.
At 38- month follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 40% and 25% above and below the elbow, respectively.
At 38- month follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 40% and 25% above and below the elbow, respectively.
Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs
At 70- month follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 75% and 50% above and below the elbow, respectively.
顯微淋巴結皮瓣移植
(Vascularized Lymph Node Transfer, VLNT)
腳部
案例一
Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs
A 65-year-old female with grade IV left lower limb lymphedema for 3 years after cervical cancer and radiation.
At the 3 months of follow-up, vascularized submental lymph node flap transfer to the right ankle had significantly improved the symptoms. The circumferential reduction rate was 30% above the knee and 40% below the knee without the use of a compression garment.
At the 3 months of follow-up, vascularized submental lymph node flap transfer to the right ankle had significantly improved the symptoms. The circumferential reduction rate was 30% above the knee and 40% below the knee without the use of a compression garment.
Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs
At the 9 months of follow-up, vascularized submental lymph node flap transfer to the right ankle had significantly improved the symptoms. The circumferential reduction rate was 10% above the knee and 85% below the knee without the use of a compression garment.
案例二
Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs
A 67-year-old female with grade IV right lower limb lymphedema for 8 years after cervical cancer and radiation. She was refractory to conservative decongestive therapy.
At the 6 months of follow-up, vascularized submental lymph node flap transfer to the right ankle had significantly improved the symptoms. The circumferential reduction rate was 15% above the knee and 5% below the knee without the use of a compression garment.
At the 6 months of follow-up, vascularized submental lymph node flap transfer to the right ankle had significantly improved the symptoms. The circumferential reduction rate was 15% above the knee and 5% below the knee without the use of a compression garment.
Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs
At the 67 months of follow-up, after flap revision and right lower limb liposuction. The circumferential reduction rate was 62% above the knee and 50% below the knee without the use of a compression garment.
案例三
Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs
This is a 15-year-old patient with left lower limb congenital lymphedema for 2 years.
At the 24 months of follow-up, vascularized submental lymph node flap transfer to the left ankle had significantly improved the symptoms. The circumferential reduction rate was 10% above the knee and 30% below the knee without the use of a compression garment.
At the 24 months of follow-up, vascularized submental lymph node flap transfer to the left ankle had significantly improved the symptoms. The circumferential reduction rate was 10% above the knee and 30% below the knee without the use of a compression garment.
Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs
At the 36 months of follow-up, after flap revision. The circumferential reduction rate was 10% above the knee and 30% below the knee without the use of a compression garment.
案例四
Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs
This is a 5-year-old patient with right lower limb congenital lymphedema for 2 years.
At the 15 months of follow-up, vascularized submental lymph node flap transfer to the right ankle had significantly improved the symptoms. The circumferential reduction rate was 20% above the knee and 15% below the knee without the use of a compression garment.
At the 15 months of follow-up, vascularized submental lymph node flap transfer to the right ankle had significantly improved the symptoms. The circumferential reduction rate was 20% above the knee and 15% below the knee without the use of a compression garment.
Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs
At the 13 months of follow-up, after flap revision. The circumferential reduction rate was 25% above the knee and 20% below the knee without the use of a compression garment.
案例五
顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 腳
這是一位40歲男性，先天性淋巴水腫，左腳淋巴水腫症15年，長期穿壓力襪。
接受顯微淋巴結皮瓣移植術後，術後的6個月追蹤，患者大腿水腫改善 5%，小腿改善23%，術後不需要穿壓力套。
接受顯微淋巴結皮瓣移植術後，術後的6個月追蹤，患者大腿水腫改善 5%，小腿改善23%，術後不需要穿壓力套。
顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 腳
接受皮瓣減積術後，術後的36個月追蹤，患者大腿水腫改善55%，小腿改善56%，術後不需要穿壓力套。
案例六
Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs
This is a 52-year-old female with grade II left lower limb lymphedema and grade I right lower limb lymphedema for 5 years after cervical cancer and radiation.
At the 1 month of follow-up, vascularized submental lymph node flap transfer to the left ankle had significantly improved the symptoms and extremity tightness. right lower limb was received lymphaticovenous anastomosis without the use of a compression garment.
At the 1 month of follow-up, vascularized submental lymph node flap transfer to the left ankle had significantly improved the symptoms and extremity tightness. right lower limb was received lymphaticovenous anastomosis without the use of a compression garment.
Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs
At the 19 months of follow-up, vascularized submental lymph node flap transfer to the left ankle had significantly improved the symptoms and extremity tightness. right lower limb was received lymphaticovenous anastomosis without the use of a compression garment.
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