Intranodal Lymphangiography and Embolization for the Treatment of Early Postoperative Lymphatic Leaks after Pelvic Surgery
DC Field | Value | Language |
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dc.contributor.author | Lee, Kyungmin | - |
dc.contributor.author | Chang, Suk-Joon | - |
dc.contributor.author | Won, Je Hwan | - |
dc.contributor.author | Kwon, Yohan | - |
dc.contributor.author | Kim, Seong Ho | - |
dc.contributor.author | Kim, Jeong Eun | - |
dc.contributor.author | Kim, Jinoo | - |
dc.date.accessioned | 2023-07-05T02:33:58Z | - |
dc.date.available | 2023-07-05T02:33:58Z | - |
dc.date.created | 2023-02-08 | - |
dc.date.issued | 2023-04 | - |
dc.identifier.issn | 1051-0443 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/186066 | - |
dc.description.abstract | Purpose: To assess outcome and predictors of outcome after lymphatic embolization (LE) for early postoperative lymphatic leak after pelvic surgery. Material and Methods: Lymphangiography (LG) procedures performed between May 2015 and February 2020 for postoperative intraperitoneal lymphatic leaks after pelvic surgery were reviewed. Treatment indication was lymphatic drainage of >500 mL/d persisting for >1 week. LE was performed by injecting glue into the iliac lymph node. Fisher exact and Wilcoxon rank-sum tests were used for comparative analysis, and logistic regression was used to assess predictors of outcome. Results: LG was performed in 71 patients. A leak was demonstrated in 69 patients who underwent LE. The mean drainage was 1,329 mL/d ± 773. Catheters were removed in 49 (69.0%) patients after 1 procedure and in 69 (97.2%) patients after a mean of 1.3 procedures. The mean drainage at the time of catheter removal was 157 mL/d ± 100. Failure occurred in 12 (16.9%) cases, including 2 (2.8%) cases of unsuccessful catheter removal and 10 (14.1%) cases of catheter reinsertion owing to recurrent ascites (n = 3) and lymphoceles (n = 7). Older age and drainage of >1,500 mL/d were associated with failure (P = .004). Drainage of >1,500 mL/d was associated with a post-LE catheter dwell time of longer than 1 week (P = .024). Minor adverse events were noted in 4 (5.6%) patients who presented with transient leg swelling. Conclusions: LE was effective for treating pelvic surgery-related lymphatic leaks. Reintervention may be required. Drainage of >1,500 mL/d was associated with clinical failure and a post-LE catheter dwell time of longer than 1 week. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER SCIENCE INC | - |
dc.title | Intranodal Lymphangiography and Embolization for the Treatment of Early Postoperative Lymphatic Leaks after Pelvic Surgery | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Jeong Eun | - |
dc.identifier.doi | 10.1016/j.jvir.2022.12.020 | - |
dc.identifier.scopusid | 2-s2.0-85145735775 | - |
dc.identifier.wosid | 000995005200001 | - |
dc.identifier.bibliographicCitation | JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, v.34, no.4, pp.591 - 599.e1 | - |
dc.relation.isPartOf | JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | - |
dc.citation.title | JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | - |
dc.citation.volume | 34 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 591 | - |
dc.citation.endPage | 599.e1 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalWebOfScienceCategory | Radiology, Nuclear Medicine & Medical Imaging | - |
dc.relation.journalWebOfScienceCategory | Peripheral Vascular Disease | - |
dc.subject.keywordPlus | CHYLOUS ASCITES | - |
dc.subject.keywordPlus | NODE DISSECTION | - |
dc.subject.keywordPlus | PERCUTANEOUS TREATMENT | - |
dc.subject.keywordPlus | LYMPHADENECTOMY | - |
dc.subject.keywordPlus | INTERVENTIONS | - |
dc.subject.keywordPlus | EXPERIENCE | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.identifier.url | https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S1051044322014178?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fretrieve%2Fpii%2FS1051044322014178%3Fshowall%3Dtrue&referrer= | - |
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