Gastroepiploic Lymph Node Flap Harvest for Patients With Lymphedema: Minimally Invasive Versus Open Approach.

Annals of Plastic Surgery
Oscar J ManriqueHung-Chi Chen

Abstract

Vascularized gastroepiploic lymph node flaps have become a popular option to treat patients with extremity lymphedema. Overall, 2 surgical approaches to harvest this flap have been described: laparoscopic and open. In this study, we analyzed complications, harvesting time, and patient satisfaction scores, comparing these 2 techniques. Between 2012- and 2018, all patients with extremity lymphedema and candidates for the gastroepiploic flap harvest were included. Two groups were compared: open and laparoscopic approaches. Flap harvest time, postoperative pain, complications, return of gastrointestinal motility, time to discharge, and patient satisfaction scores were assessed. A total of 177 patients were included, of which 126 underwent laparoscopic harvest and 51 patients underwent open approach. Only 2 patients in the laparoscopic group had prior abdominal surgery not related to cancer treatment compared with 7 patients in the open approach (P < 0.01). Average surgical completion time for the laparoscopic versus open approach was 136 and 102 minutes, respectively (P < 0.02). Postoperative complications for the laparoscopic versus open were as follows: 1 patient developed pancreatitis and 2 developed ileus in the laparoscopic ap...Continue Reading

References

Jul 1, 1990·British Journal of Plastic Surgery·B M O'BrienJ J Pribaz
Oct 1, 1967·Annals of Surgery·H S GoldsmithE J Beattie
Nov 22, 2005·Mayo Clinic Proceedings·Rosalyn M MorrellBarbara A Pockaj
Sep 29, 2007·Annals of Plastic Surgery·Anne G WarrenSumner A Slavin
Jul 22, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Sandra C HayesBeth Newman
Mar 18, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Ya-Chen Tina ShihLinda S Elting
Jan 13, 1906·British Medical Journal·R Morison
Dec 6, 2012·Journal of Cancer Survivorship : Research and Practice·Andrea L PusicBabak Mehrara
Jun 20, 2015·Plastic and Reconstructive Surgery. Global Open·Jose M LassoMichele Castellano
Jun 26, 2015·Plastic and Reconstructive Surgery·Alexander T Nguyen, Hiroo Suami
Jul 19, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Cemile Nurdan OzturkRaffi Gurunluoglu
Feb 25, 2017·Journal of Reconstructive Microsurgery·Hannah M CarlJustin M Sacks
May 17, 2017·Plastic and Reconstructive Surgery. Global Open·Yu-Ying ChuMing-Huei Cheng
Oct 4, 2017·Microsurgery·Mario F ScaglioniPietro Giovanoli
Nov 15, 2017·Journal of the American Academy of Dermatology·Ayman A Grada, Tania J Phillips
Mar 9, 2018·Journal of Surgical Oncology·Elizabeth O KenworthyJoseph H Dayan
Apr 11, 2018·Seminars in Plastic Surgery·Mark V SchaverienMing-Huei Cheng
Apr 18, 2018·Health Economics Review·Henrike SchulzeCatarina Hadamitzky
Mar 19, 2019·Plastic and Reconstructive Surgery. Global Open·Olivia A HoMing-Huei Cheng

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