림프부종에 대한 수술적 치료의 최신 동향

차한규¹^,^*

Emerging Issues and Breakthroughs of Surgical Treatment for Lymphedema

Han Gyu Cha¹^,^*

¹순천향대학교 의과대학 순천향대학교부천병원 성형외과

¹Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea

^*Corresponding Author : Han Gyu Cha, MD, PhD Department of Plastic and Reconstructive Surgery, Soonchunhyang University Bucheon Hospital, College of Medicine, 170 Jomaru-ro, Bucheon, Gyeonggi-do 14584, Republic of Korea, Tel: +82-32-621-5320, Fax: +82-32-621-6950, E-mail: prs.cha@schmc.ac.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 06, 2021; Accepted: Nov 08, 2021

Published Online: Nov 30, 2021

Abatract

Surgical treatment options for lymphedema consist of non-physiologic and physiologic surgeries. Along with evolution of supermicrosurgery, physiologic surgeries including lymphovenous bypass and vascularized lymph node transfer become popular among both patients and surgeons. In addition, immediate lymphovenous bypass after lymph node dissection also have demonstrated its preventive effect for lymphedema. Combination of complex decongestive physical therapy and physiologic surgery with proper patient selection may result in further improvement in both early and advanced stage lymphedema.

Keywords: Lymphedema; Surgical Anastomosis; Lymph Node; Microsurgery