{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T09:33:46Z","timestamp":1649064826646},"reference-count":38,"publisher":"Hogrefe Publishing Group","issue":"24","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Praxis"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:p> Zusammenfassung. Das Lymph\u00f6dem ist eine h\u00e4ufige, chronisch fortschreitende und potenziell invalidisierende Erkrankung. In den entwickelten L\u00e4ndern ist das Extremit\u00e4tenlymph\u00f6dem am h\u00e4ufigsten iatrogen nach Krebstherapien erworben. Meist geh\u00f6ren die radikale Lymphadenektomie sowie die Radiotherapie als essenzielle Bestandteile zum Therapiekonzept bei Krebserkrankungen. Diese sind stark assoziiert mit dem Extremit\u00e4tenlymph\u00f6dem. Resezierende Verfahren sollten nur im Endstadium der Erkrankung evaluiert werden, wobei die Liposuktion als Ausnahme und weniger invasives resezierendes Verfahren zu einer effektiven Gewebereduktion f\u00fchren kann. Lymphoven\u00f6se Anastomosen und der mikrovaskul\u00e4re Lymphknotentransfer haben das experimentelle Stadium verlassen und stellen f\u00fcr ein korrekt auserw\u00e4hltes Patientenkollektiv echte therapeutische Optionen dar, um die Hautqualit\u00e4t zu verbessern und das Fortschreiten der Erkrankung aufzuhalten. Die Kosten daf\u00fcr werden zurzeit nur teilweise auf Antrag von den Krankenkassen \u00fcbernommen. F\u00fcr Betroffene er\u00f6ffnen sich mit den mikrochirurgischen Methoden neue Aussichten auf ein besseres Leben. Um das geeignete Patientenkollektiv noch genauer zu definieren und die guten Resultate zu best\u00e4tigen, sind prospektive Studien mit h\u00f6heren Fallzahlen und Langzeitstudien notwendig. <\/jats:p>","DOI":"10.1024\/1661-8157\/a002834","type":"journal-article","created":{"date-parts":[[2017,11,29]],"date-time":"2017-11-29T08:53:48Z","timestamp":1511945628000},"page":"1331-1338","source":"Crossref","is-referenced-by-count":0,"title":["Chirurgische Therapie des Lymph\u00f6dems \u2013 M\u00f6glichkeiten und Grenzen"],"prefix":"10.1024","volume":"106","author":[{"given":"Semra","family":"Uyulmaz","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Plastische Chirurgie und Handchirurgie, Universit\u00e4tsspital Z\u00fcrich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario F.","family":"Scaglioni","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische Chirurgie und Handchirurgie, Universit\u00e4tsspital Z\u00fcrich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Lindenblatt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Plastische Chirurgie und Handchirurgie, Universit\u00e4tsspital Z\u00fcrich"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X9700200408"},{"key":"c2","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1413.014"},{"key":"c3","author":"F\u00f6ldi M","year":"2010","journal-title":"Urban & Fischer\/Elsevier"},{"key":"c4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1529-8019.2009.01271.x"},{"key":"c5","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.25458"},{"key":"c6","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.22684"},{"key":"c7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1438.2006.00601.x"},{"key":"c8","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(13)70076-7"},{"key":"c9","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(20010915)92:6<1368::AID-CNCR1459>3.0.CO;2-9"},{"key":"c10","doi-asserted-by":"publisher","DOI":"10.1245\/ASO.2006.05.013"},{"key":"c11","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2008.16.3725"},{"key":"c12","doi-asserted-by":"publisher","DOI":"10.2147\/OTT.S117830"},{"key":"c13","doi-asserted-by":"publisher","DOI":"10.1002\/cmmi.116"},{"key":"c14","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182268da8"},{"key":"c15","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2013.02.023"},{"key":"c16","doi-asserted-by":"publisher","DOI":"10.1002\/jso.24337"},{"key":"c17","unstructured":"S2k-Leitlinie \u2013 Diagnostik und Therapie der Lymph\u00f6deme. 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