Evidence map›Paper›PMID 38826811›Full record

ArticleFrontiers in surgery2024

Microsurgical central lymphatic reconstruction-the role of thoracic duct lymphovenous anastomoses at different anatomical levels.

Andrea Weinzierl, Lisanne Grünherz, Gilbert Dominique Puippe, Ralph Gnannt, Donata von Reibnitz, Pietro Giovanoli, Diana Vetter, Ueli Möhrlen, Moritz Wildgruber, Andreas Müller and 3 more

Abstract read
In one paragraph

Article in Frontiers in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Thoracic duct stenting as a treatment for chylothorax and chylous ascites in patient with Yellow Nail Syndrome.Biomedical papers of the Medical Faculty of the University Palacky, Olomouc, Czechoslovakia · 2026
    Article
  3. Article
  4. Review
  5. The first total robotic-assisted lymphovenous anastomosis: prospects for innovation and future development.International journal of computer assisted radiology and surgery · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. [The lymphatic system-an interdisciplinary challenge].Radiologie (Heidelberg, Germany) · 2025
    Review
  10. [Lymphatic malformations in childhood and adolescence].Radiologie (Heidelberg, Germany) · 2025
    Article
  11. Article
  12. Robotic-assisted Lymphovenous Anastomosis of the Central Lymphatic System.Plastic and reconstructive surgery. Global open · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Andrea WeinzierlDepartment of Plastic Surgery and Hand Surgery, University Hospital Zurich (USZ), Zurich, Switzerland.
Lisanne GrünherzDepartment of Plastic Surgery and Hand Surgery, University Hospital Zurich (USZ), Zurich, Switzerland.
Gilbert Dominique PuippeInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich (USZ), Zurich, Switzerland.
Ralph GnanntInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich (USZ), Zurich, Switzerland.
Donata von ReibnitzDepartment of Plastic Surgery and Hand Surgery, University Hospital Zurich (USZ), Zurich, Switzerland.
Pietro GiovanoliDepartment of Plastic Surgery and Hand Surgery, University Hospital Zurich (USZ), Zurich, Switzerland.
Diana VetterDepartment of Visceral and Transplant Surgery, University Hospital Zurich (USZ), Zurich, Switzerland.
Ueli MöhrlenFaculty of Medicine, University of Zurich (UZH), Zürich, Switzerland.
Moritz WildgruberDepartment of Radiology, LMU University Hospital, LMU Munich, Munich, Germany.
Andreas MüllerDepartment of Neonatology and Pediatric Intensive Care, Children's Hospital, University of Bonn, Bonn, Germany.
Claus Christian PieperDepartment of Radiology, University of Bonn, Bonn, Germany.
Christian Alexander GutschowDepartment of Visceral and Transplant Surgery, University Hospital Zurich (USZ), Zurich, Switzerland.
Nicole LindenblattDepartment of Plastic Surgery and Hand Surgery, University Hospital Zurich (USZ), Zurich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In recent years advances have been made in the microsurgical treatment of congenital or acquired central lymphatic lesions. While acquired lesions can result from any surgery or trauma of the central lymphatic system, congenital lymphatic lesions can have a variety of manifestations, ranging from singular thoracic duct abnormalities to complex multifocal malformations. Both conditions may cause recurrent chylous effusions and downstream lymphatic congestion depending on the anatomical location of the thoracic duct lesion and are associated with an increased mortality due to the permanent loss of protein and fluid. Methods: We present a case series of eleven patients undergoing central lymphatic reconstruction, consisting of one patient with a cervical iatrogenic thoracic duct lesion and eleven patients with different congenital thoracic duct lesions or thrombotic occlusions. Results: Anastomosis of the thoracic duct and a nearby vein was performed on different anatomical levels depending on the underlying central lymphatic pathology. Cervical ( Conclusion: The presented case series illustrates the current rapid advances in the field of central microsurgical reconstruction of lymphatic lesions alongside the relevant literature.

Indexed as

central lymphatic reconstructionlymphatic surgerylymphovenous bypassmicrosurgeryrobotic microsurgerythoracic duct anastomosisthoracic duct lymphovenous bypass

Identifiers

PMID38826811
PMCPMC11140048

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.