Caso
Anastomoses linfovenosas para um caso em fase muito inicial de linfedema secundário na perna esquerda após câncer de próstata
PRS Insights 2024
27 março 2026
· 22 MIN. PARA ASSISTIR
![Retrato de Christian Taeger usando óculos, com um fundo desfocado.]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/christian_taeger.jpeg/_jcr_content/renditions/original.image_file.100.100.0,16,853,869.file/christian_taeger.jpeg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/christian_taeger.jpeg/_jcr_content/renditions/original.image_file.360.360.0,16,853,869.file/christian_taeger.jpeg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/christian_taeger.jpeg/_jcr_content/renditions/original.image_file.768.768.0,16,853,869.file/christian_taeger.jpeg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/christian_taeger.jpeg/_jcr_content/renditions/original.image_file.853.853.0,16,853,869.file/christian_taeger.jpeg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/christian_taeger.jpeg/_jcr_content/renditions/original.image_file.853.853.0,16,853,869.file/christian_taeger.jpeg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/christian_taeger.jpeg/_jcr_content/renditions/original.image_file.853.853.0,16,853,869.file/christian_taeger.jpeg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/christian_taeger.jpeg/_jcr_content/renditions/original.image_file.853.853.0,16,853,869.file/christian_taeger.jpeg"})
AUTOR
Christian Taeger, MD
Especialista em cirurgia plástica e da mão, clínica particular, Munique, Alemanha
RESUMO
Anastomoses linfovenosas para um caso em fase muito inicial de linfedema secundário na perna esquerda após câncer de próstata
Este é um caso muito precoce de linfedema secundário na perna esquerda decorrente de câncer de próstata. As condições eram consideradas favoráveis, e o exame pré-operatório com ICG realizado no dia anterior à cirurgia evidenciou múltiplos vasos linfáticos de padrão linear. No entanto, na altura do joelho, todos os vasos linfáticos já estavam esclerosados. Mais distalmente, na parte inferior da perna, as condições eram excelentes. Inicialmente, observou-se refluxo de sangue venoso para os vasos linfáticos, mas, após várias revisões, esse fenômeno não foi mais observado.
![Imagem em close-up de uma pinça cirúrgica manuseando um pedaço de fita cirúrgica azul-clara posicionado sobre o tecido durante um procedimento.]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.100.56.0,0,1920,1080.file/lva_s_for_primary_lymphedema_1.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.360.203.0,0,1920,1080.file/lva_s_for_primary_lymphedema_1.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.768.432.0,0,1920,1080.file/lva_s_for_primary_lymphedema_1.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.1024.576.0,0,1920,1080.file/lva_s_for_primary_lymphedema_1.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.1280.720.0,0,1920,1080.file/lva_s_for_primary_lymphedema_1.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.1440.810.0,0,1920,1080.file/lva_s_for_primary_lymphedema_1.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.1920.1080.0,0,1920,1080.file/lva_s_for_primary_lymphedema_1.jpg"})
![Imagem em close-up de uma pinça cirúrgica manuseando um pedaço de fita cirúrgica azul-clara posicionado sobre o tecido durante um procedimento.]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.100.56.file/lva_s_for_primary_lymphedema_1.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.360.203.file/lva_s_for_primary_lymphedema_1.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.768.432.file/lva_s_for_primary_lymphedema_1.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.1024.576.file/lva_s_for_primary_lymphedema_1.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.1280.720.file/lva_s_for_primary_lymphedema_1.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original.image_file.1440.810.file/lva_s_for_primary_lymphedema_1.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/lva_s_for_primary_lymphedema_1.jpg/_jcr_content/renditions/original./lva_s_for_primary_lymphedema_1.jpg"})
Para desbloquear, faça login
Cadastre-se no MyZEISS para ter acesso totalVídeo – Som original: EN | Legendas: nenhuma
![Pré-visualizar imagem de PENTERO 800 S LVA early secondary left leg lymphedema, Taeger MD Casebook]({"max":"https://asset-downloads.zeiss.com/catalogs/preview/med2/81588ccc-0352-4a03-804d-27502c87fc9a/PENTERO_800_S_LVA_early_secondary_left_leg_lymphedema%2C_Taeger_MD_Casebook.pdf.jpg"} "Baixar PENTERO 800 S LVA early secondary left leg lymphedema, Taeger MD Casebook")
![Uma imagem em close-up de um procedimento cirúrgico, destacando os tecidos e os instrumentos no interior de um espaço anatômico.]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/va_s_for_leg_1.jpg/_jcr_content/renditions/original.image_file.100.56.file/va_s_for_leg_1.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/va_s_for_leg_1.jpg/_jcr_content/renditions/original.image_file.360.203.file/va_s_for_leg_1.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/va_s_for_leg_1.jpg/_jcr_content/renditions/original.image_file.768.432.file/va_s_for_leg_1.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/va_s_for_leg_1.jpg/_jcr_content/renditions/original.image_file.1024.576.file/va_s_for_leg_1.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/va_s_for_leg_1.jpg/_jcr_content/renditions/original.image_file.1280.720.file/va_s_for_leg_1.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/va_s_for_leg_1.jpg/_jcr_content/renditions/original.image_file.1440.810.file/va_s_for_leg_1.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5322-lva-on-the-leg-in-patient-with-primary-lymphedema/va_s_for_leg_1.jpg/_jcr_content/renditions/original./va_s_for_leg_1.jpg"})
![Uma imagem em close-up de um procedimento cirúrgico, exibindo a aplicação de uma fita cirúrgica azul com instrumentos de precisão.]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5321---lva-for-early-stage-lower-extremity-secondary-lymphedema/single_lymphovenous.jpg/_jcr_content/renditions/original.image_file.100.56.file/single_lymphovenous.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5321---lva-for-early-stage-lower-extremity-secondary-lymphedema/single_lymphovenous.jpg/_jcr_content/renditions/original.image_file.360.203.file/single_lymphovenous.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5321---lva-for-early-stage-lower-extremity-secondary-lymphedema/single_lymphovenous.jpg/_jcr_content/renditions/original.image_file.768.432.file/single_lymphovenous.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5321---lva-for-early-stage-lower-extremity-secondary-lymphedema/single_lymphovenous.jpg/_jcr_content/renditions/original.image_file.1024.576.file/single_lymphovenous.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5321---lva-for-early-stage-lower-extremity-secondary-lymphedema/single_lymphovenous.jpg/_jcr_content/renditions/original.image_file.1280.720.file/single_lymphovenous.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5321---lva-for-early-stage-lower-extremity-secondary-lymphedema/single_lymphovenous.jpg/_jcr_content/renditions/original.image_file.1440.810.file/single_lymphovenous.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5321---lva-for-early-stage-lower-extremity-secondary-lymphedema/single_lymphovenous.jpg/_jcr_content/renditions/original./single_lymphovenous.jpg"})
![Uma imagem em close-up de instrumentos cirúrgicos posicionados sobre uma sutura cirúrgica azul colocada no tecido durante um procedimento médico.]({"xsmall":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5320-deep-lva-at-medical-knee-for-stage-1-lymphedema/deep-single-lymphovenous.jpg/_jcr_content/renditions/original.image_file.100.56.file/deep-single-lymphovenous.jpg","small":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5320-deep-lva-at-medical-knee-for-stage-1-lymphedema/deep-single-lymphovenous.jpg/_jcr_content/renditions/original.image_file.360.203.file/deep-single-lymphovenous.jpg","medium":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5320-deep-lva-at-medical-knee-for-stage-1-lymphedema/deep-single-lymphovenous.jpg/_jcr_content/renditions/original.image_file.768.432.file/deep-single-lymphovenous.jpg","large":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5320-deep-lva-at-medical-knee-for-stage-1-lymphedema/deep-single-lymphovenous.jpg/_jcr_content/renditions/original.image_file.1024.576.file/deep-single-lymphovenous.jpg","xlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5320-deep-lva-at-medical-knee-for-stage-1-lymphedema/deep-single-lymphovenous.jpg/_jcr_content/renditions/original.image_file.1280.720.file/deep-single-lymphovenous.jpg","xxlarge":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5320-deep-lva-at-medical-knee-for-stage-1-lymphedema/deep-single-lymphovenous.jpg/_jcr_content/renditions/original.image_file.1440.810.file/deep-single-lymphovenous.jpg","max":"https://www.zeiss.com/content/dam/med-hcp/reference-master/myzeiss/peer-insights/free/p-r-surgery/5320-deep-lva-at-medical-knee-for-stage-1-lymphedema/deep-single-lymphovenous.jpg/_jcr_content/renditions/original./deep-single-lymphovenous.jpg"})