ArticleJournal of clinical medicine2022
Correlation between Lymphatic Surgery Outcome and Lymphatic Image-Staging or Clinical Severity in Patients with Lymphedema.
Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Pooled it
- Article
- Preoperative Assessment of Lymphatic-Venous Anastomosis Using Indocyanine Green Angiography Combined with Contrast-Enhanced Ultrasound with Perflubutane.Journal of plastic and reconstructive surgery · 2026Article
- Lymphatic Ultrasound in Longitudinal Decision-making for Lymphedema: A Narrative Review Integrating Conservative and Surgical Management.Plastic and reconstructive surgery. Global open · 2026Article
- Comparative analysis of the International Society of Lymphology and Taiwan Lymphoscintigraphy Staging systems: correlation, reliability, and a quantitative severity index in extremity lymphedema.Quantitative imaging in medicine and surgery · 2025Article
- A Contrast-enhanced Ultrasound Grading of Lymphatic Vessels: A Correlative Study and A Therapeutic Suggestion to Secondary Limb LymphoedemaCurrent medical imaging · 2025Article
- Advantages of the intradermal lymphoscintigraphy.World journal of radiology · 2024Article
- Supermicrosurgical lymphovenous anastomosis.Journal of the Chinese Medical Association : JCMA · 2024Review
- Utilization of Noncontrast Magnetic Resonance Lymphangiography for Selection of Effective Surgical Method in Breast Cancer-Related Lymphedema.Medicina (Kaunas, Lithuania) · 2023Article
- Clinical application of magnetic resonance lymphangiography in the vascularized omental lymph nodes transfer with or without lymphaticovenous anastomosis for cancer-related lower extremity lymphedema.Quantitative imaging in medicine and surgery · 2023Article
- Article
- Diagnosis and Treatment of Post-Prostatectomy Lymphedema: What's New?Current oncology (Toronto, Ont.) · 2023Review
- Comparison of the Effectiveness of Liposuction for Lower Limb versus Upper Limb Lymphedema.Journal of clinical medicine · 2023Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
Lymphoscintigraphy and indocyanine green (ICG) lymphography reveal the severity of extremity lymphedema. Lower extremity lymphedema (LEL) index and NECST classification are related to the clinical severity of lymphedema. We aimed to investigate the correlation between lymphatic surgery, lymphatic imaging, and clinical severity in patients with lymphedema. Thirty-five patients with lower-extremity lymphedema who underwent lymphatic venous anastomosis (LVA) were evaluated. Ten of the thirty-five patients underwent multi-surgery (additional vascularized lymphatic transfer and/or liposuction). We investigated the correlation between the LEL index, NECST classification, lymphoscintigraphy staging, ICG lymphography staging, and rate of improvement (RI: [preoperative LEL index − postoperative LEL index]/[preoperative LEL index] × 100). The LEL index in 35 patients after LVA and all procedures decreased significantly compared to that of preoperative (272.4 vs. 256.2 vs. 243.5, p < 0.05). RI after LVA and all procedures showed positive correlations with the preoperative LEL index; however, there was no correlation with any other lymphatic image or clinical severity. LVA can reduce lymphedema circumference at any stage. Additional surgery improved the circumference. Hence, LVA as the first line of treatment, and vascularized lymphatic transfer and liposuction as additional procedures, should be considered as the standard treatment for lymphedema.
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