A comprehensive review of the natural lymphaticovenous communications and their role in lymphedema surgery

J Surg Oncol. 2016 Mar;113(4):374-80. doi: 10.1002/jso.24158. Epub 2016 Jan 19.

Abstract

Cancer-related lymphedema is a progressive, chronic condition that impairs quality of life. Its pathophysiology and the mechanisms of action of current reconstructive surgical treatments are not fully understood but lymphaticovenous communications may play a key role. We review the available literature on lymphaticovenous communications and their implications in lymphedema surgery, and propose a subclassification of lymphaticovenous communications. J. Surg. Oncol. 2016;113:374-380. © 2016 Wiley Periodicals, Inc.

Keywords: cancer-related lymphedema; lymphaticovenous communications; lymphedema; lymphedema surgery; pathophysiology.

Publication types

  • Review

MeSH terms

  • Breast Neoplasms / pathology
  • Breast Neoplasms / surgery
  • Female
  • Humans
  • Lymph Node Excision
  • Lymphatic Metastasis
  • Lymphatic System / anatomy & histology
  • Lymphatic System / pathology*
  • Lymphatic System / surgery
  • Lymphedema / pathology*
  • Lymphedema / surgery*