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Indocyanine green‐enhanced fluorescence‐guided video‐assisted axillary surgery for chronic lymphocele
Author(s) -
Mazza Marco,
Sommariva Antonio
Publication year - 2019
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12662
Subject(s) - lymphocele , medicine , indocyanine green , lymphadenectomy , surgery , ligation , axilla , groin , seroma , lymph node , lymphatic system , axillary dissection , axillary lymph node dissection , dissection (medical) , sentinel lymph node , breast cancer , complication , cancer , pathology
Lymphocele occurs frequently after regional lymph node dissection. Surgery with multiple lymphatic ligation represents the only reliable treatment for long‐standing chronic lymphocele. Materials and Surgical Technique We report the case of a man with chronic axillary seroma after axillary lymphadenectomy for melanoma. The lymphocele was unresponsive to conservative management and successfully treated with indocyanine green lymphography‐guided video‐assisted axillary surgery. Discussion Indocyanine green‐enhanced fluorescence video‐assisted identification and ligation of lymph vessels can simply and effectively treat recurrent chronic lymphocele after axillary or groin lymphadenectomy.