Predictive lymphatic mapping: a method for mapping lymphatic channels in patients with advanced unilateral lymphedema using indocyanine green lymphography.
In severe lymphedema, indocyanine green lymphography cannot be used to map lymphatic channels before lymphaticovenular anastomosis (LVA) because linear lymphatics cannot be detected in a severely affected leg. Here, we describe a new method, which we refer to as predictive lymphatic mapping, to pred...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
Lippincott Williams and Wilkins
2014
|
| _version_ | 1797105106279202816 |
|---|---|
| author | Mihara, M Seki, Y Hara, H Iida, T Oka, A Kikuchi, K Narushima, M Haragi, M Furniss, D Hin-Lun, L Mitsui, K Murai, N Koshima, I |
| author_facet | Mihara, M Seki, Y Hara, H Iida, T Oka, A Kikuchi, K Narushima, M Haragi, M Furniss, D Hin-Lun, L Mitsui, K Murai, N Koshima, I |
| author_sort | Mihara, M |
| collection | OXFORD |
| description | In severe lymphedema, indocyanine green lymphography cannot be used to map lymphatic channels before lymphaticovenular anastomosis (LVA) because linear lymphatics cannot be detected in a severely affected leg. Here, we describe a new method, which we refer to as predictive lymphatic mapping, to predict the location of lymphatics for anastomosis in unilateral lymphedema, thereby improving surgical accuracy and efficiency. The approach consists of marking anatomical landmarks and joining selected landmarks with fixed lines. The distance from these fixed lines to lymphatic channels mapped by indocyanine green lymphography in the unaffected leg is then measured, scaled up based on the difference in circumference between the legs, and transposed to the affected leg. To date, we have used this method in 5 cases of unilateral or asymmetric lymphedema of the lower extremities. In no cases have we failed to find a lymphatic channel suitable for LVA within a 2-cm incision. These results suggest that predictive lymphatic mapping is a useful additional tool for surgeons performing LVA under local anesthesia, which will help to improve the accuracy of incisions and the efficiency of surgery. |
| first_indexed | 2024-03-07T06:42:47Z |
| format | Journal article |
| id | oxford-uuid:f9dbad33-a943-49df-887f-d7946810e758 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T06:42:47Z |
| publishDate | 2014 |
| publisher | Lippincott Williams and Wilkins |
| record_format | dspace |
| spelling | oxford-uuid:f9dbad33-a943-49df-887f-d7946810e7582022-03-27T13:01:21ZPredictive lymphatic mapping: a method for mapping lymphatic channels in patients with advanced unilateral lymphedema using indocyanine green lymphography.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f9dbad33-a943-49df-887f-d7946810e758EnglishSymplectic Elements at OxfordLippincott Williams and Wilkins2014Mihara, MSeki, YHara, HIida, TOka, AKikuchi, KNarushima, MHaragi, MFurniss, DHin-Lun, LMitsui, KMurai, NKoshima, IIn severe lymphedema, indocyanine green lymphography cannot be used to map lymphatic channels before lymphaticovenular anastomosis (LVA) because linear lymphatics cannot be detected in a severely affected leg. Here, we describe a new method, which we refer to as predictive lymphatic mapping, to predict the location of lymphatics for anastomosis in unilateral lymphedema, thereby improving surgical accuracy and efficiency. The approach consists of marking anatomical landmarks and joining selected landmarks with fixed lines. The distance from these fixed lines to lymphatic channels mapped by indocyanine green lymphography in the unaffected leg is then measured, scaled up based on the difference in circumference between the legs, and transposed to the affected leg. To date, we have used this method in 5 cases of unilateral or asymmetric lymphedema of the lower extremities. In no cases have we failed to find a lymphatic channel suitable for LVA within a 2-cm incision. These results suggest that predictive lymphatic mapping is a useful additional tool for surgeons performing LVA under local anesthesia, which will help to improve the accuracy of incisions and the efficiency of surgery. |
| spellingShingle | Mihara, M Seki, Y Hara, H Iida, T Oka, A Kikuchi, K Narushima, M Haragi, M Furniss, D Hin-Lun, L Mitsui, K Murai, N Koshima, I Predictive lymphatic mapping: a method for mapping lymphatic channels in patients with advanced unilateral lymphedema using indocyanine green lymphography. |
| title | Predictive lymphatic mapping: a method for mapping lymphatic channels in patients with advanced unilateral lymphedema using indocyanine green lymphography. |
| title_full | Predictive lymphatic mapping: a method for mapping lymphatic channels in patients with advanced unilateral lymphedema using indocyanine green lymphography. |
| title_fullStr | Predictive lymphatic mapping: a method for mapping lymphatic channels in patients with advanced unilateral lymphedema using indocyanine green lymphography. |
| title_full_unstemmed | Predictive lymphatic mapping: a method for mapping lymphatic channels in patients with advanced unilateral lymphedema using indocyanine green lymphography. |
| title_short | Predictive lymphatic mapping: a method for mapping lymphatic channels in patients with advanced unilateral lymphedema using indocyanine green lymphography. |
| title_sort | predictive lymphatic mapping a method for mapping lymphatic channels in patients with advanced unilateral lymphedema using indocyanine green lymphography |
| work_keys_str_mv | AT miharam predictivelymphaticmappingamethodformappinglymphaticchannelsinpatientswithadvancedunilaterallymphedemausingindocyaninegreenlymphography AT sekiy predictivelymphaticmappingamethodformappinglymphaticchannelsinpatientswithadvancedunilaterallymphedemausingindocyaninegreenlymphography AT harah predictivelymphaticmappingamethodformappinglymphaticchannelsinpatientswithadvancedunilaterallymphedemausingindocyaninegreenlymphography AT iidat predictivelymphaticmappingamethodformappinglymphaticchannelsinpatientswithadvancedunilaterallymphedemausingindocyaninegreenlymphography AT okaa predictivelymphaticmappingamethodformappinglymphaticchannelsinpatientswithadvancedunilaterallymphedemausingindocyaninegreenlymphography AT kikuchik predictivelymphaticmappingamethodformappinglymphaticchannelsinpatientswithadvancedunilaterallymphedemausingindocyaninegreenlymphography AT narushimam predictivelymphaticmappingamethodformappinglymphaticchannelsinpatientswithadvancedunilaterallymphedemausingindocyaninegreenlymphography AT haragim predictivelymphaticmappingamethodformappinglymphaticchannelsinpatientswithadvancedunilaterallymphedemausingindocyaninegreenlymphography AT furnissd predictivelymphaticmappingamethodformappinglymphaticchannelsinpatientswithadvancedunilaterallymphedemausingindocyaninegreenlymphography AT hinlunl predictivelymphaticmappingamethodformappinglymphaticchannelsinpatientswithadvancedunilaterallymphedemausingindocyaninegreenlymphography AT mitsuik predictivelymphaticmappingamethodformappinglymphaticchannelsinpatientswithadvancedunilaterallymphedemausingindocyaninegreenlymphography AT murain predictivelymphaticmappingamethodformappinglymphaticchannelsinpatientswithadvancedunilaterallymphedemausingindocyaninegreenlymphography AT koshimai predictivelymphaticmappingamethodformappinglymphaticchannelsinpatientswithadvancedunilaterallymphedemausingindocyaninegreenlymphography |