림프부종 수술의 원리와 이에 관련된 림프 생리

명유진¹^,^*

Physiologic Backgrounds of Lymphedema Surgery

Yujin Myung¹^,^*

¹서울대학교 의과대학 분당서울대학교병원 성형외과

¹Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University, Seongnam, Republic of Korea

^*Corresponding Author : Yujin Myung, MD, PhD, Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Gumi-ro 173, Bundang-gu, Seongnam-si, Gyeonggi-do 16499, Republic of Korea, Tel: +82-31-787-2568, Fax: +82-31-787-4055, E-mail: surgene@snu.aac.kr

ⓒ Copyright 2021 Korean Society of Lymphology and Lymphedema. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Oct 25, 2021; Accepted: Nov 02, 2021

Published Online: Nov 30, 2021

Abatract

Three main methods of lymphedema surgery are liposuction, lymphovenous anastomosis (LVA), and vascularized lymph node transfer (VLNT). Although liposuction alone cannot improve the lymphatic circulation, it can reduce the volume of the affected limb. Selection of appropriate lymphatic vessel is important in performing LVA, and the pressure gradient between the lymphatic vessel and the vein is also critical. When performing VLNT, the location of the recipient site should be decided discreetly.

Keywords: Lymphedema; Microsurgery; Lipectomy; Surgical Anastomosis