수술 후 림프 흐름의 변화: 서술적 검토

황창호¹^,^*

Post-Operative Change of Lymphatic Flow: A Narrative Review

Chang Ho Hwang¹^,^*

¹울산대학교 공과대학 전기공학부 의공학과, 충남대학교 의과대학 세종 충남대학교병원 재활의학과

¹Department of Biomedical Engineering, University of Ulsan, Ulsan, Korea and Department of Physical and Rehabilitation Medicine, Chungnam National University Sejong Hospital, Chungnam National University College of Medicine, Sejong, Korea

^*Corresponding Author : Chang Ho Hwang, MD, PhD, Department of Biomedical Engineering, University of Ulsan, Ulsan, Department of Physical and Rehabilitation Medicine, Chungnam National University Sejong Hospital, Chungnam National University School of Medicine, 20, Bodeum 7-ro, Sejong 30099, Korea, Tel: +82-44-995-4715, Fax: +82-44-995-4715, E-mail: chhwang1220@cnu.ac.kr/chhwang1220ciba@gmail.com

ⓒ Copyright 2020 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: May 22, 2020; Accepted: May 27, 2020

Published Online: May 30, 2020

Abatract

Apart from lymph node dissection or not, any kinds of soft tissue-injuring operation can make lymphatic system be modified during postoperative period. These kinds of lymphatic system changes have dynamically progressed over the whole body, including internal organs, in gross level as times goes on. In terms of homeostatic maintenance trial, either of regeneration and aggravation occurs simultaneously. The wider is degree of operation or lymphatic system injury, the more powerful is regeneration trial induced. The postoperational state of lymphatic system can be affected by external factors such as rehabilitation or drugs as well as by whether success or failure of regeneration. Because postoperational regeneration commonly occurs during acute or subacute period following surgery, any sorts of regeneration-aiming treatments should be provided to patients in accordance with time-strategy. However, newly developed collateral lymphatic pathways can be used as a metastatic pathway of cancer cells following operation.

Keywords: Lymphatics; Lymphedema; Surgery