Abstract：
:The management of lymphatic malformations (LMs) is challenging, particularly for large and complex lesions involving anatomical structures in the adjacent tissue. While lymphovenous anastomosis (LVA) has been reported as an effective treatment for lymphedema, it has hardly been described as a treatment for LM. Virtual reality has the ability to visualize human structures in three dimensions and can be used for the preoperative planning of complex cases. Here, we describe the first case of the management of an LM by LVA preoperatively planned with virtual reality. A young woman presented with an LM previously treated by gross excision. Following persistent complaints of swelling, a minimally invasive microsurgical intervention was planned. The results of the single photon emission tomography with computed tomography (SPECT-CT) and lymphoscintigraphy were analyzed using a virtual reality program, and a 3D patient-specific model was constructed. Based on the combined findings of this 3D model and lymphography with a fluorescent marker, a precise skin incision could be determined and one lymph vessel was anastomosed to a nearby vein. The swelling of the thigh reduced and the discomfort disappeared. Although more reports are needed to confirm its efficacy, LVA planned with virtual reality constructed images appears to be a valuable treatment option for complex lesions, including LMs.
journal_name
J Clin Medjournal_title
Journal of clinical medicineauthors
Giacalone G,Yamamoto T,Belva F,Hayashi A,Dori Y,Zviman MM,Gysen M,Nam HH,Jolley MA,Kato Mdoi
10.3390/jcm8030371subject
Has Abstractpub_date
2019-03-15 00:00:00issue
3issn
2077-0383pii
jcm8030371journal_volume
8pub_type
abstract：:Liver transplantation is increasingly dependent on the use of extended criteria donors (ECD) to increase the organ donor pool and address rising demand. This has necessitated the adoption of innovative technologies and strategies to protect these higher-risk grafts from the deleterious effects of traditional preservat...
journal_title：Journal of clinical medicine
pub_type： 杂志文章,评审
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abstract：:With this Editorial we want to present the Special Issue "Big Data and Precision Medicine Series I: Lung Cancer Early Diagnosis" to the scientific community, which aims to gather experts on the early detection of lung cancer in order to implement common efforts in the fight against cancer. ...
journal_title：Journal of clinical medicine
pub_type： 社论
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更新日期：2018-02-09 00:00:00
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更新日期：2020-09-25 00:00:00
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更新日期：2019-08-24 00:00:00
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更新日期：2020-03-10 00:00:00
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更新日期：2020-06-19 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2019-11-15 00:00:00
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更新日期：2020-03-30 00:00:00
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更新日期：2019-05-29 00:00:00
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更新日期：2020-06-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-05-04 00:00:00
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journal_title：Journal of clinical medicine
pub_type： 杂志文章,评审
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更新日期：2019-06-27 00:00:00
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更新日期：2019-05-09 00:00:00
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更新日期：2020-09-22 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2020-12-28 00:00:00
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更新日期：2021-01-10 00:00:00
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更新日期：2020-08-14 00:00:00
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更新日期：2020-01-20 00:00:00
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