{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:57:30Z","timestamp":1790740650899,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T00:00:00Z","timestamp":1728518400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>This study evaluated the effectiveness of a pocket\u2010sized ultrasound device in preoperative planning for lymphaticovenular anastomosis (LVA) to enhance lymphedema treatment outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis was performed on 24 patients who underwent LVA for secondary upper extremity lymphedema between June 2020 and August 2022. Patients were categorized into two groups: the ultrasound group, which used a pocket\u2010sized device (Vscan Air), for preoperative vein identification, and a control group that did not. Preoperative lymphatic mapping was performed using indocyanine green lymphography, and suitable veins for anastomosis were identified using ultrasound. Upper extremity lymphedema index and incision length were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants in the ultrasound group had a shorter average incision length (2.85\u2009\u00b1\u20090.48\u2009cm) than those in the control group (3.23\u2009\u00b1\u20090.78\u2009cm, <jats:italic>p<\/jats:italic>\u2009=\u20090.038), indicating a more targeted and minimally invasive approach. Although volume reduction rates were not significantly different, the pocket ultrasound device facilitated more precise vein selection, enhancing surgical planning.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pocket\u2010sized ultrasound devices provide a cost\u2010effective and practical solution for vein identification during LVA, particularly in resource\u2010limited settings. While high\u2010frequency ultrasound offers superior resolution, portable devices could become standard tools for lymphatic surgery with continued technological advancement.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.27943","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T14:53:04Z","timestamp":1728571984000},"page":"72-76","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Usefulness of Portable Echo in the Preoperative Mapping of Lymphaticovenular Anastomosis"],"prefix":"10.1002","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7721-4908","authenticated-orcid":false,"given":"Mayuko","family":"Okura","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Keio University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1674-4090","authenticated-orcid":false,"given":"Yushi","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Keio University School of Medicine  Tokyo Japan"},{"name":"Department of Plastic and Reconstructive Surgery Ofuna Chuo Hospital  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukie","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Ofuna Chuo Hospital  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mai","family":"Uehira","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Ofuna Chuo Hospital  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuo","family":"Kishi","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Keio University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31820cf5df"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3182275d23"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12282-018-0830-3"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.20772"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.12110229"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182a97edc"},{"key":"e_1_2_9_8_1","first-page":"072","article-title":"Indocyanine Green Lymphography Findings in Limb Lymphedema","volume":"32","author":"Narushima M.","year":"2016","journal-title":"Journal of Reconstructive Microsurgery"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2203010090"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.24337"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22414"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1311691"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.24812"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1750123"}],"container-title":["Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jso.27943","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T10:36:14Z","timestamp":1747132574000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jso.27943"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,10]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1002\/jso.27943"],"URL":"https:\/\/doi.org\/10.1002\/jso.27943","archive":["Portico"],"relation":{},"ISSN":["0022-4790","1096-9098"],"issn-type":[{"value":"0022-4790","type":"print"},{"value":"1096-9098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,10]]},"assertion":[{"value":"2024-08-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}