Comparison of leg volume ratio between inguinal lymphadenectomy and inguino-pelvic lymphadenectomy in patients with skin cancer of the lower extremity

Maeda, Taku; Ishikawa, Kosuke; Hayashi, Toshihiko; Furukawa, Hiroshi; Miura, Takahiro; Hojo, Masahiro; Funayama, Emi; Yamamoto, Yuhei

Comparison of leg volume ratio between inguinal lymphadenectomy and inguino-pelvic lymphadenectomy in patients with skin cancer of the lower extremity

Maeda, Taku; Ishikawa, Kosuke; Hayashi, Toshihiko et al.

Journal of plastic, reconstructive & aesthetic surgery, 2024, 99, 397-405

Permalink : https://hdl.handle.net/2115/97305

このアイテムのアクセス数:29件（2026-07-15 01:42 集計）

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アクセス権	open access
URI	https://hdl.handle.net/2115/97305
タイトル	Comparison of leg volume ratio between inguinal lymphadenectomy and inguino-pelvic lymphadenectomy in patients with skin cancer of the lower extremity
著者	Maeda, Taku ; Ishikawa, Kosuke ; Hayashi, Toshihiko ; Furukawa, Hiroshi ; Miura, Takahiro ; Hojo, Masahiro ; Funayama, Emi ; Yamamoto, Yuhei
e-Rad_Researcher 80813542 著者名 Maeda, Taku
e-Rad_Researcher 60791374 著者名 Ishikawa, Kosuke
著者名 Hayashi, Toshihiko
著者名 Furukawa, Hiroshi
e-Rad_Researcher 90829433 著者名 Miura, Takahiro
著者名 Hojo, Masahiro
e-Rad_Researcher 10533630 著者名 Funayama, Emi
e-Rad_Researcher 70271674 著者名 Yamamoto, Yuhei
言語	英語
キーワード	Lymphedema
	Inguinal lymphadenectomy
	Inguino-pelvic lymphadenectomy
	Skin cancer
	Melanoma
発行日	2024-12
出版者	Elsevier
収録物名	Journal of plastic, reconstructive & aesthetic surgery
巻(号)	99
ページ	397-405
抄録	Background The timing of intervention to treat lymphedema differs among facilities. Understanding differences in the prevalence and severity of lymphedema following different surgical procedures for lymphadenectomy could promote early intervention to treat lymphedema. There is currently little evidence to support the notion that inguino-pelvic lymphadenectomy is associated with greater morbidity than inguinal lymphadenectomy, although it is believed that the difference in the extent of surgery results in a difference in the severity of lymphedema. In this study, we compared volume percentage change between inguinal lymphadenectomy and inguino-pelvic lymphadenectomy in patients with skin cancer of the lower extremity. Patients and methods A total of 29 patients with skin cancer of a lower extremity who underwent lymphadenectomy were classified into an inguinal lymphadenectomy group and an inguino-pelvic lymphadenectomy group. The increase in the volume of the affected side compared with that of the unaffected side in the whole lower extremity, thigh, and lower leg was calculated on volume-rendered computed tomography images. Results The mean volume percentage increase in the inguinal lymphadenectomy group and the inguino-pelvic lymphadenectomy group was, respectively, 6.72% and 11.18% in the whole lower extremity and 7.30% and 2.55% in the lower leg, showing no statistically significant differences. In contrast, the mean volume percentage increase in the respective groups was 7.03% and 19.78% in the thigh, showing a statistically significant difference (p = 0.0275 < 0.05). Conclusions The findings of this study indicate that the leg volume of the whole lower extremity may not have worse outcomes in inguino-pelvic lymphadenectomy compared with inguinal lymphadenectomy.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
権利情報	© 2024. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
PISSN	1748-6815
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1016/j.bjps.2024.10.003