Congenital mixed vascular deformities of the lower limb: the relevance of lymphatic abnormalities to their diagnosis and treatment.


:Nineteen patients with vascular deformities of the lower extremity were studied and were classified into three groups based on their clinical and angiographic findings. 1) The Klippel or Venous Dysplasia Group (n = 8) demonstrated: cutaneous nevi of metameric distribution, congenital varices (many of which were anomalous by phlebography), hypertrophy of bone and other tissues, but no evidence of arterial involvement by arteriography. 2) Congenital Arterio-Venous Fistulae Group (n = 7) showed: cutaneous angiomata, hypertrophy of bone and soft tissues, but arteriographic findings of single or multiple arterio-venous fistulae. 3) Scattered Angiomata Group (n = 4) had single or multiple angiomata involving the lower limb in particular. Arteriography was normal, while phlbography revealed venous abnormalities. Lymphography was performed on all patients. Six of 8 of the Klippel group demonstrated aplastic or hypoplastic lymphatics by lymphography. By contrast, all 7 of the patients in the Congenital Arterio-Venous Fistulae Group showed in their lymphographic findings-three of 4 of these patients had aplasia or hypoplasia. Fourteen of the 19 patients complained of painful swelling as a major symptom. Lymphatic fistulae and lymphoceles developed in several patients.Four patients underwent reduction operations for lymphedema. Lymphatic abnormalities as demonstrated by lymphography play a significant role in mixed vascular deformities of the lower extremities.


Ann Surg


Annals of surgery


O'Donnell TF Jr




Has Abstract


1977-02-01 00:00:00












  • Survival in Locally Advanced Pancreatic Cancer After Neoadjuvant Therapy and Surgical Resection.

    abstract:OBJECTIVE:The aim of the study was to identify the survival of patients with locally advanced pancreatic cancer (LAPC) and assess the effect of surgical resection after neoadjuvant therapy on patient outcomes. BACKGROUND:An increasing number of LAPC patients who respond favorably to neoadjuvant therapy undergo surgica...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Gemenetzis G,Groot VP,Blair AB,Laheru DA,Zheng L,Narang AK,Fishman EK,Hruban RH,Yu J,Burkhart RA,Cameron JL,Weiss MJ,Wolfgang CL,He J

    更新日期:2019-08-01 00:00:00

  • Adhesion prevention during laparotomy: long-term follow-up of a randomized clinical trial.

    abstract:OBJECTIVE:The objective of the study was to determine the long-term effect of the use of a hyaluronic acid-carboxymethylcellulose membrane (Seprafilm) on the incidence of adhesions and subsequent small-bowel obstruction and chronic abdominal complaints after colorectal surgery (Hartmann's procedure). BACKGROUND:Adhesi...

    journal_title:Annals of surgery

    pub_type: 杂志文章,随机对照试验


    authors: van der Wal JB,Iordens GI,Vrijland WW,van Veen RN,Lange J,Jeekel J

    更新日期:2011-06-01 00:00:00

  • Intratumoral Genetic Heterogeneity in Rectal Cancer: Are Single Biopsies representative of the entirety of the tumor?

    abstract:OBJECTIVE:Demonstrate intratumoral genetic heterogeneity in rectal cancer. BACKGROUND:Several clinical management decisions in rectal cancer may be influenced by pretreatment biopsy information. However, in the setting of significant intratumoral heterogeneity, biopsies may not be representative of the entirety of the...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Bettoni F,Masotti C,Habr-Gama A,Correa BR,Gama-Rodrigues J,Vianna MR,Vailati BB,São Julião GP,Fernandez LM,Galante PA,Camargo AA,Perez RO

    更新日期:2017-01-01 00:00:00

  • The Use of Caffeinated Substances by Surgeons for Cognitive Enhancement.

    abstract:OBJECTIVE:To investigate the use of coffee, caffeinated drinks, and caffeine tablets for pharmacological cognitive enhancement (CE) among surgeons. BACKGROUND:Surgeons have demanding workloads, and the resulting fatigue and concentration deficits can lead to medical errors. Some surgeons use substances that promote wa...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Franke AG,Bagusat C,McFarlane C,Tassone-Steiger T,Kneist W,Lieb K

    更新日期:2015-06-01 00:00:00

  • Acute bleeding varices: a five-year prospective evaluation of tamponade and sclerotherapy.

    abstract::In a five-year study of massive upper gastrointestinal hemorrhage, 143 patients had esophageal varices diagnosed on emergency endoscopic examination. Seventy-one patients had active bleeding from varices and required Sengstaken tube tamponade during at least one hospital admission. The remaining patients included 33 w...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Terblanche J,Yakoob HI,Bornman PC,Stiegmann GV,Bane R,Jonker M,Wright J,Kirsch R

    更新日期:1981-10-01 00:00:00

  • Long-term follow-up of brachial artery ligation in children.

    abstract::Ligation of the brachial artery in the antecubital fossa in children can be performed without limb loss, but the effect on subsequent limb growth is unknown. From 1969 to 1974, brachial artery ligation for insertion of a Scribner shunt was performed in 27 patients with a mean age of 8.4 years (range, 3 to 15 years). W...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Lally KP,Foster CE 3rd,Chwals WJ,Brennan LP,Atkinson JB

    更新日期:1990-08-01 00:00:00

  • Preoperative Gemcitabine-based Chemoradiation Therapy for Borderline Resectable Pancreatic Cancer: Impact of Venous and Arterial Involvement Status on Surgical Outcome and Pattern of Recurrence.

    abstract:OBJECTIVE:To evaluate the outcome of preoperative gemcitabine-based chemoradiation therapy (CRT) for borderline resectable pancreatic cancer (BRPC), focusing on the associations among the tumor-vascular relationship, surgical outcomes, and pattern of recurrence. SUMMARY BACKGROUND DATA:Among the various multimodal tre...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Takahashi H,Akita H,Tomokuni A,Kobayashi S,Ohigashi H,Fijiwara Y,Yano M,Sakon M,Ishikawa O

    更新日期:2016-12-01 00:00:00

  • Innovation in surgery: a historical perspective.

    abstract:OBJECTIVE:To describe the field of surgical innovation from a historical perspective, applying new findings from research in technology innovation. BACKGROUND:While surgical innovation has a rich tradition, as a field of study it is embryonic. Only a handful of academic centers of surgical innovation exist, all of whi...

    journal_title:Annals of surgery

    pub_type: 历史文章,杂志文章,评审


    authors: Riskin DJ,Longaker MT,Gertner M,Krummel TM

    更新日期:2006-11-01 00:00:00

  • Epidural electrical stimulation in severe limb ischemia. Pain relief, increased blood flow, and a possible limb-saving effect.

    abstract::Peripheral vascular disease of the extremities causes ischemic pain and, at times, skin ulcerations and gangrene. It has been suggested that epidural spinal electrical stimulation (ESES) could improve peripheral circulation. Since 1978 we have used ESES in 34 patients with severe limb ischemia; all had resting pain an...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Augustinsson LE,Carlsson CA,Holm J,Jivegård L

    更新日期:1985-07-01 00:00:00

  • Career decisions and the structure of training: an American Board Of Colon and Rectal Surgery survey of colorectal residents.

    abstract:OBJECTIVE:To investigate potential impacts of restructuring general surgery training on colorectal (CR) surgery recruitment and expertise. SUMMARY BACKGROUND DATA:In response to the American Surgical Association Blue Ribbon Committee report on surgical education (2004), the American Board of Colon and Rectal Surgery, ...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Schmitz CC,Rothenberger DA,Trudel JL,Wolff BG

    更新日期:2009-07-01 00:00:00

  • Weight Loss, Satiety, and the Postprandial Gut Hormone Response After Esophagectomy: A Prospective Study.

    abstract:OBJECTIVE:To prospectively characterize changes in body weight, satiety, and postprandial gut hormone profiles following esophagectomy. BACKGROUND:With improved oncologic outcomes in esophageal cancer, there is an increasing focus on functional status and health-related quality of life in survivorship. Early satiety a...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Elliott JA,Docherty NG,Eckhardt HG,Doyle SL,Guinan EM,Ravi N,Reynolds JV,Roux CWL

    更新日期:2017-07-01 00:00:00

  • Changing paradigm in the management of hepatocellular carcinoma improves the survival benefit of early detection by screening.

    abstract:OBJECTIVE:To evaluate the impact of improved surgical management of hepatocellular carcinoma (HCC) on the survival of patients with screened HCC. SUMMARY BACKGROUND DATA:It is unclear whether the advent of new treatment modalities such as liver transplantation and radiofrequency ablation (RFA) in recent years have imp...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Chan AC,Poon RT,Ng KK,Lo CM,Fan ST,Wong J

    更新日期:2008-04-01 00:00:00

  • Subtotal versus total gastrectomy for gastric cancer: five-year survival rates in a multicenter randomized Italian trial. Italian Gastrointestinal Tumor Study Group.

    abstract:OBJECTIVE:To evaluate the impact of subtotal (SG) versus total (TG) gastrectomy on the oncologic outcome of patients with cancer of the distal stomach from 28 Italian institutions. SUMMARY BACKGROUND DATA:There is controversy over whether SG and TG have a different impact on the 5-year survival probability of patients...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Bozzetti F,Marubini E,Bonfanti G,Miceli R,Piano C,Gennari L

    更新日期:1999-08-01 00:00:00

  • Distal splenorenal shunt (DSS) in children: analysis of the first 21 consecutive cases.

    abstract::Twenty-one children from the ages of 4 to 12 years old were treated for esophageal hemorrhage by distal splenorenal shunt (DSS). In four patients, thrombosis of the shunt occurred within the first 24 hours after operation. In the other 17 children, long-term shunt patency was verified. Only one thrombosis has occurred...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Maksoud JG,Mies S

    更新日期:1982-04-01 00:00:00

  • Comparison of Postoperative Outcomes Between Donation After Circulatory Death and Donation After Brain Death Liver Transplantation Using the Comprehensive Complication Index.

    abstract:OBJECTIVE:To test the total burden of complications in the early postoperative period after liver transplantation (LT) between donation after circulatory death (DCD) and donation after brain death (DBD) grafts with the novel Comprehensive Complication Index (CCI). BACKGROUND:LT is complex surgery and the increasing us...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Kalisvaart M,de Haan JE,Polak WG,Metselaar HJ,Wijnhoven BPL,IJzermans JNM,de Jonge J

    更新日期:2017-11-01 00:00:00

  • Variation in Bariatric Surgery Episode Costs in the Commercially Insured: Implications for Bundled Payments in the Private Sector.

    abstract:OBJECTIVE:To describe hospital-level variation in roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) in Michigan. BACKGROUND:Bariatric surgery is an increasingly prevalent elective surgical procedure that will likely be considered for future bundled payment programs, both public and private. Past research in ...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Kelsall AC,Cassidy R,Ghaferi AA

    更新日期:2018-12-01 00:00:00

  • Effects of allogeneic red blood cell transfusions on clinical outcomes in patients undergoing colorectal cancer surgery: a systematic review and meta-analysis.

    abstract:OBJECTIVE:To determine the effect of allogeneic blood transfusion (ABT) on clinical outcomes in patients with colorectal cancer undergoing surgery. BACKGROUND:Perioperative ABTs may be associated with adverse clinical outcomes. METHODS:Systematic review of the literature with odds ratio (OR) and incidence rate ratio ...

    journal_title:Annals of surgery

    pub_type: 杂志文章,meta分析,评审


    authors: Acheson AG,Brookes MJ,Spahn DR

    更新日期:2012-08-01 00:00:00

  • Short-term surgical outcomes from a randomized controlled trial to evaluate laparoscopic and open D3 dissection for stage II/III colon cancer: Japan Clinical Oncology Group Study JCOG 0404.

    abstract:OBJECTIVE:A randomized controlled trial to confirm the non-inferiority of laparoscopic surgery to open surgery in terms of overall survival was conducted, and short-term surgical outcomes are demonstrated. BACKGROUND:The efficacy and safety outcome of laparoscopic surgery for clinical stages II/III colon cancer underg...

    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Yamamoto S,Inomata M,Katayama H,Mizusawa J,Etoh T,Konishi F,Sugihara K,Watanabe M,Moriya Y,Kitano S,Japan Clinical Oncology Group Colorectal Cancer Study Group.

    更新日期:2014-07-01 00:00:00

  • Analysis of reduced death and complication rates after esophageal resection.

    abstract:OBJECTIVE:To identify factors that have contributed to reduced rates of death and complications after esophageal resection in a 17-year period at a tertiary referral center. SUMMARY BACKGROUND DATA:There has been an evolving refinement in surgical technique and perioperative management of patients undergoing esophagea...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Whooley BP,Law S,Murthy SC,Alexandrou A,Wong J

    更新日期:2001-03-01 00:00:00

  • Invasive intraductal papillary mucinous carcinomas of the pancreas: predictors of survival and the role of lymph node ratio.

    abstract:INTRODUCTION:Intraductal papillary mucinous neoplasms (IPMNs) are being increasingly recognized, and often harbor cancer. Lymph node metastases are an important prognostic factor for patients with invasive intraductal papillary carcinoma (I-IPMC), but the role of lymph node ratio (LNR) in predicting survival after surg...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Partelli S,Fernandez-Del Castillo C,Bassi C,Mantovani W,Thayer SP,Crippa S,Ferrone CR,Falconi M,Pederzoli P,Warshaw AL,Salvia R

    更新日期:2010-03-01 00:00:00

  • Predictive factors for postoperative pulmonary complications and mortality after esophagectomy for cancer.

    abstract:OBJECTIVE:This study aimed at: (1) documenting the evolution of surgical results of esophagectomy in a high-volume center, (2) identifying predictive factors of pulmonary complications and mortality, and (3) examining whether preoperative chemoradiation therapy would complicate postoperative recovery. SUMMARY BACKGROU...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Law S,Wong KH,Kwok KF,Chu KM,Wong J

    更新日期:2004-11-01 00:00:00

  • Thoracoscopic surgery for diseases of the lung and pleura. Effectiveness, changing indications, and limitations.

    abstract:OBJECTIVE:This study compared the results of video-assisted thoracic surgery (VATS) with thoracoscopic surgery (TS) for diseases of the lung and pleura. SUMMARY BACKGROUND DATA:No studies exist that compare the capabilities of VATS with advanced video systems and instrumentation to that of TS which has been done for 8...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Daniel TM,Kern JA,Tribble CG,Kron IL,Spotnitz WB,Rodgers BM

    更新日期:1993-05-01 00:00:00

  • Main pancreatic ductal anatomy can direct choice of modality for treating pancreatic pseudocysts (surgery versus percutaneous drainage).

    abstract:OBJECTIVE:To test the hypothesis that pancreatic ductal anatomy may predict the likely success of percutaneous drainage of pseudocysts of the pancreas. SUMMARY BACKGROUND DATA:Various modalities are currently applied to pseudocysts, with little or no data to aid in the choice of management strategy. Pancreatic ductal ...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Nealon WH,Walser E

    更新日期:2002-06-01 00:00:00

  • Long-term (>10 Yrs) Outcome of the Laparoscopic Biliopancreatic Diversion With Duodenal Switch.

    abstract:OBJECTIVE:The aim of the study was to report 10+ year outcome of laparoscopic biliopancreatic diversion with duodenal switch (LDS), with special focus on quality of life. BACKGROUND::Reports on long-term morbidity and quality of life after LDS are rare. METHODS:Records of all patients who underwent LDS 10+ years ago ...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Bolckmans R,Himpens J

    更新日期:2016-12-01 00:00:00

  • Extended Molecular Profiling Improves Stratification and Prediction of Survival After Resection of Colorectal Liver Metastases.

    abstract:OBJECTIVE:The aim of this study was to assess the effect of cancer-related genes and their mutations analyzed by next-generation sequencing (NGS) on the oncological outcome after resection of colorectal liver metastases (CRLM). BACKGROUND:Traditional prognostic scores include clinical and pathological parameters of pr...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Lang H,Baumgart J,Heinrich S,Tripke V,Passalaqua M,Maderer A,Galle PR,Roth W,Kloth M,Moehler M

    更新日期:2019-11-01 00:00:00

  • Barrett's esophagus with high-grade dysplasia. An indication for prophylactic esophagectomy.

    abstract:OBJECTIVE:The authors review the results and outcomes of esophagectomy (prophylactic esophagectomy) for patients with Barrett's esophagus and high-grade epithelial dysplasia (HGD). SUMMARY BACKGROUND DATA:The role of prophylactic esophagectomy for Barrett's esophagus with HGD is controversial, with some authors recomm...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Heitmiller RF,Redmond M,Hamilton SR

    更新日期:1996-07-01 00:00:00

  • Prolonged Air Leak After Pulmonary Resection Increases Risk of Noncardiac Complications, Readmission, and Delayed Hospital Discharge: A Propensity Score-adjusted Analysis.

    abstract:OBJECTIVE:The aim of the study was to determine whether prolonged air leak (PAL) is associated with postoperative morbidity and mortality following pulmonary resection after adjusting for differences in baseline characteristics using propensity score analysis. SUMMARY BACKGROUND DATA:Patients with PAL after lung resec...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Attaar A,Luketich JD,Schuchert MJ,Winger DG,Sarkaria IS,Nason KS

    更新日期:2021-01-01 00:00:00

  • Optimization of staging of the neck with prophylactic central and lateral neck dissection for papillary thyroid carcinoma.

    abstract:OBJECTIVE:To analyze the yield and rate of node metastases (pN1) for prophylactic central (CND) and lateral neck dissection (LND) for papillary thyroid carcinoma, the risk factors for pN1, and outcomes. BACKGROUND:Prophylactic CND and LND are not routinely employed. Adjuvant radioiodine treatment may be modulated, how...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Hartl DM,Leboulleux S,Al Ghuzlan A,Baudin E,Chami L,Schlumberger M,Travagli JP

    更新日期:2012-04-01 00:00:00

  • Cholecystokinin/Cholecystokinin-1 receptor-mediated peripheral activation of the afferent vagus by enteral nutrients attenuates inflammation in rats.

    abstract:OBJECTIVE:The current study investigates activation of the nutritional anti-inflammatory pathway by lipid-rich nutrition. BACKGROUND:Enteral nutrition activates humoral and neural pathways to regulate food intake and sustain energy balance. Recently, we demonstrated that enteral nutrition and in particular lipid-rich ...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Lubbers T,de Haan JJ,Luyer MD,Verbaeys I,Hadfoune M,Dejong CH,Buurman WA,Greve JW

    更新日期:2010-08-01 00:00:00

  • Staging laparotomy in Hodgkin's disease.

    abstract::Staging laparotomy (multiple liver and lymph node biopsies and splenectomy) was performed at the North Carolina Baptist Hospital in 123 patients with Hodgkin's disease. There were no deaths. Wound, pulmonary, intra-abdominal or urinary tract complications developed in 17 patients. Of those complications, one case each...

    journal_title:Annals of surgery

    pub_type: 杂志文章


    authors: Sterchi JM,Myers RT

    更新日期:1980-05-01 00:00:00