Cas
Anastomose lympho-veineuse pour un cas très précoce de lymphœdème secondaire de la jambe gauche après un cancer de la prostate
PRS Insights 2024
27 mars 2026
· 22 MIN VISIONNAGE
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AUTEUR
Christian Taeger, MD
Spécialiste en chirurgie plastique et de la main, clinique privée, Munich, Allemagne
RÉSUMÉ
Anastomose lympho-veineuse pour un cas très précoce de lymphœdème secondaire de la jambe gauche après un cancer de la prostate
Il s'agit d'un cas très précoce de lymphœdème secondaire à la jambe gauche qui s’est déclaré suite à un cancer de la prostate. Les conditions prévues étaient bonnes, et le scan ICG préopératoire réalisé la veille de l'intervention a révélé de nombreux vaisseaux lymphatiques linéaires. Cependant, au niveau du genou, tous les vaisseaux lymphatiques étaient déjà sclérosés. Les conditions plus distales sur le bas de la jambe étaient excellentes. Au départ, un léger reflux de sang veineux dans le système lymphatique a été observé, mais après un examen répété, ce phénomène n'a plus été constaté.
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