Modern surgical approaches to prevention of upper limb lymphedema after treatment of breast cancer
Журнал: Пластическая хирургия и эстетическая медицина. 2026;(3):43-49.
DOI: 10.17116/plast.hirurgia202603143
Read: 421 раз
Abstract
OBJECTIVE
To evaluate current surgical methods for preventing upper extremity lymphedema after breast cancer surgery with emphasis on immediate lymphatic reconstruction (ILR), including supermicrosurgical lymphovenous anastomosis (LVA) and other innovative approaches.
MATERIAL AND METHODS
We analyzed literature and clinical data on prevention of primary lymphedema including lymphatic microsurgical preventing healing approach (LYMPHA), LVA, lympholymphatic anastomosis (LLA), vascularized lymph node transplantation, and transplantation of lymphointerposition flap.
RESULTS
ILR reduced the incidence of lymphedema to 4-16% compared to control groups (up to 35%). LYMPHA is the most effective method. In our patients, there were no complications, and mean time of supermicrosurgical stage was 57 min.
CONCLUSION
Immediate lymphatic reconstruction is a safe and effective method for preventing lymphedema. However, further prospective studies with control group and long-term follow-up are needed to develop standard guidelines. Optimal use of these methods is possible with risk stratification and careful patient selection.
Keywords
- breast cancer
- upper limb lymphedema
- microsurgery
- supermicrosurgery
- immediate lymphatic reconstruction
- lymphovenous anastomosis
- LYMPHA
- prevention of complications
Дата поступления: 08.10.2025
Дата принятия в печать: 10.04.2026
Дата публикации: 21.09.2026
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