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ICG Fluorescence Lymphography for Confirming Mid- to Long-term Patency of Lymphatic Venous Side-to-End Anastomosis in the Treatment of Peripheral Lymphedema

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ICG Fluorescence Imaging and Navigation Surgery

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Abstract

Since indocyanine green (ICG) fluorescence lymphography was introduced in 2007, lymphatic venous anastomosis has been widely adopted for the treatment of chronic lymphedema. However, the results and other features remain unclear. In this chapter, I demonstrate the primary outcomes of ICG fluorescence lymphography to evaluate the patency of lymphatic venous anastomosis (LVA), particularly lymphaticovenous side-to-end anastomosis (LVSEA), peri- and postoperatively. The cumulative patency rate of LVSEA decreased over time, but I observed long-term patency (>5 years after surgery) and good clinical results in microsurgical treatment of peripheral lymphedema. Through this study, I recognized the usefulness, importance, and limitations of ICG fluorescence lymphography to evaluate superficial lymph flow and patency of LVSEA in patients with peripheral lymphedema.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, School of Medicine, Yokohama City University, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan

    Jiro Maegawa

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  1. Jiro Maegawa
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Correspondence to Jiro Maegawa .

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Editors and Affiliations

  1. Department of Surgery, Seiwa Memorial Hospital, Sapporo, Hokkaido, Japan

    Mitsuo Kusano

  2. Hepato-Biliary-Pancreatic Surgery Divisi, University of Tokyo, TOKYO 113-8655, Tokyo, Japan

    Norihiro Kokudo

  3. Department of Breast Surgery Graduate Sc, Kyoto University, Kyoto, Kyoto, Japan

    Masakazu Toi

  4. Department of Surgery, Hirakata Hospital, Kansai Medical University, Hirakata, Osaka, Japan

    Masaki Kaibori

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Maegawa, J. (2016). ICG Fluorescence Lymphography for Confirming Mid- to Long-term Patency of Lymphatic Venous Side-to-End Anastomosis in the Treatment of Peripheral Lymphedema. In: Kusano, M., Kokudo, N., Toi, M., Kaibori, M. (eds) ICG Fluorescence Imaging and Navigation Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55528-5_43

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  • DOI: https://doi.org/10.1007/978-4-431-55528-5_43

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  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-55527-8

  • Online ISBN: 978-4-431-55528-5

  • eBook Packages: MedicineMedicine (R0)

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