The lymphatics in the pathophysiology of thoracic and abdominal surgical pathology: immunological consequences and the unexpected role of microsurgery
| Autor: | Carlo Bellini, Alberto Macciò, Emanuela Benatti, Giuseppina Talamo, Mirko Campisi, Eugenio Bonioli, Francesco Boccardo, Davide Pertile, Corradino Campisi, Elisa Da Rin, Costantino Eretta, Corrado Campisi |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty Microsurgery Lymphangiectasis medicine.medical_treatment thoracic and abdominal surgical pathology Lymphatics Chylothorax Surgical pathology Mesenteric Veins Recurrence Chylous ascites Ascites medicine Humans Laparoscopy Child Chylous Ascites Ligation Lymphatic Vessels medicine.diagnostic_test business.industry Anastomosis Surgical Infant Lymphography Middle Aged medicine.disease Magnetic Resonance Imaging Surgery Lymphatic system Treatment Outcome Child Preschool Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Microsurgery. 27(4) |
| ISSN: | 0738-1085 |
| Popis: | The authors report their experience in the diagnosis and treatment of lymphatic and chylous disorders in the thoracic and abdominal areas. Sixteen patients (10 adults, 6 children) affected by primary chylous ascites with associated syndromes and consequent immunological incompetence were studied. Diagnostic investigations included abdominal sonography scans, lymphoscintigraphy, and lymphography combined with computed tomography and laparoscopy. Surgical treatment included laparoscopy, drainage of ascites and/or the chylothorax, treatment of abdominal and retroperitoneal chylous leaks, exeresis of lymphodysplastic tissues, ligation of incompetent lymph vessels also by CO2 LASER, and chylo-venous and lympho-venous microsurgical shunts. Eleven patients did not have a relapse of the ascites and four patients had a persistence of a small quantity of ascites with no protein imbalance. All patients had an improvement of their immunocompetence. Median follow-up was 5 years. We demonstrated that the use of microsurgery is remarkably advantageous for performing a causal treatment of the dysfunction. © 2007 Wiley-Liss, Inc. Microsurgery 2007. |
| Databáze: | OpenAIRE |
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