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Πέμπτη 13 Δεκεμβρίου 2018

Indocyanine green‐enhanced fluorescence‐guided video‐assisted axillary surgery for chronic lymphocele

Abstract

Introduction

Lymphocele occurs frequently after regional lymph node dissection. Surgery with multiple lymphatic ligation represents the only reliable treatment for long‐standing chronic lymphocele.

Materials and Surgical Technique

We report the case of a man with chronic axillary seroma after axillary lymphadenectomy for melanoma. The lymphocele was unresponsive to conservative management and successfully treated with indocyanine green lymphography‐guided video‐assisted axillary surgery.

Discussion

Indocyanine green‐enhanced fluorescence video‐assisted identification and ligation of lymph vessels can simply and effectively treat recurrent chronic lymphocele after axillary or groin lymphadenectomy.



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