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Intranodal Lymphangiography and Embolization for the Treatment of Early Postoperative Lymphatic Leaks after Pelvic Surgery

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dc.contributor.authorLee, K-
dc.contributor.authorChang, SJ-
dc.contributor.authorWon, JH-
dc.contributor.authorKwon, Y-
dc.contributor.authorKim, SH-
dc.contributor.authorKim, JE-
dc.contributor.authorKim, J-
dc.date.accessioned2023-05-23T04:04:17Z-
dc.date.available2023-05-23T04:04:17Z-
dc.date.issued2023-
dc.identifier.issn1051-0443-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/25531-
dc.description.abstractPurpose: 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.isoen-
dc.subject.MESHEmbolization, Therapeutic-
dc.subject.MESHHumans-
dc.subject.MESHLymphatic Vessels-
dc.subject.MESHLymphocele-
dc.subject.MESHLymphography-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTreatment Outcome-
dc.titleIntranodal Lymphangiography and Embolization for the Treatment of Early Postoperative Lymphatic Leaks after Pelvic Surgery-
dc.typeArticle-
dc.identifier.pmid36526076-
dc.contributor.affiliatedAuthorLee, K-
dc.contributor.affiliatedAuthorChang, SJ-
dc.contributor.affiliatedAuthorWon, JH-
dc.contributor.affiliatedAuthorKim, J-
dc.type.localJournal Papers-
dc.identifier.doi10.1016/j.jvir.2022.12.020-
dc.citation.titleJournal of vascular and interventional radiology : JVIR-
dc.citation.volume34-
dc.citation.number4-
dc.citation.date2023-
dc.citation.startPage591-
dc.citation.endPage599.e1-
dc.identifier.bibliographicCitationJournal of vascular and interventional radiology : JVIR, 34(4). : 591-599.e1, 2023-
dc.embargo.liftdate9999-12-31-
dc.embargo.terms9999-12-31-
dc.identifier.eissn1535-7732-
dc.relation.journalidJ010510443-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Radiology
Journal Papers > School of Medicine / Graduate School of Medicine > Obstetrics & Gynecology
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