{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:36:07Z","timestamp":1772969767641,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,6,27]],"date-time":"2019-06-27T00:00:00Z","timestamp":1561593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Background:<\/jats:bold> Vascularized submental lymph node (VSLN) transfer is an emerging approach for extremity lymphedema. This study investigated the long\u2010term outcome and venous complications of VSLN for unilateral lower extremity lymphedema.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> Between 2010 and 2018, patients who underwent VSLN for unilateral lower extremity lymphedema were retrospectively evaluated. Patient demographics, operative records, complications, circumferential improvement, and episodes of cellulitis were analyzed. Further comparisons were performed between different types, numbers, and techniques of venous anastomoses.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> A total of 75 VSLNs in 70 patients survived, giving a 100% success rate. Six flaps (8%) had venous complications (VC group) and 69 flaps (92%) did not (No\u2010VC group). There were no statistical differences in types, numbers, and techniques of anastomoses between two groups (<jats:italic>P<\/jats:italic>\u2009=\u2009.65, 1, and .56, respectively). At a mean follow\u2010up of 32.0\u2009\u00b1\u200923.0 months, mean circumferential improvement and episodes of cellulitis between two groups did not statistically differ significantly (<jats:italic>P<\/jats:italic>\u2009=\u2009.31 and .09, respectively).<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> VSLN is an effective treatment for lower extremity lymphedema. The types, numbers of veins, and techniques of venous anastomoses did not statistically affect the venous complication rates. Functional outcomes of the VSLNs were not compromised if venous complications were salvaged promptly.<\/jats:p>","DOI":"10.1002\/jso.25602","type":"journal-article","created":{"date-parts":[[2019,6,27]],"date-time":"2019-06-27T12:49:37Z","timestamp":1561639777000},"page":"129-137","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Long\u2010term outcome of lower extremity lymphedema treated with vascularized lymph node flap transfer with or without venous complications"],"prefix":"10.1002","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4263-8320","authenticated-orcid":false,"given":"Satomi","family":"Koide","sequence":"first","affiliation":[{"name":"Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital Chang Gung University and Medical College Taoyuan 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Gung Memorial Hospital Chang Gung University and Medical College Taoyuan Taiwan"},{"name":"Center for Tissue Engineering Chang Gung Memorial Hospital Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,6,27]]},"reference":[{"key":"e_1_2_8_1_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002917"},{"key":"e_1_2_8_1_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.25518"},{"key":"e_1_2_8_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2012.04.017"},{"issue":"5","key":"e_1_2_8_1_5_1","first-page":"573e9","article-title":"Comparison of vascularized supraclavicular lymph node transfer and lymphaticovenular anastomosis for advanced stage lower extremity lymphedema","volume":"74","author":"Akita S","year":"2015","journal-title":"Ann Past 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