{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T19:31:29Z","timestamp":1793475089457,"version":"4.5.0"},"reference-count":21,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Plast Surg (Oakv)"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:p>\n                    <jats:bold>Introduction:<\/jats:bold>\n                    Immediate lymphatic reconstruction (ILR) during axillary lymph node dissection (ALND) has been shown to reduce breast cancer-related lymphedema (BCRL). However, some authors report many \u201cnon-reconstructable\u201d patients, meaning that there were no suitable lymphatics or veins available in the axilla to complete the reconstructive procedure once the extirpative portion was complete. In contrast, almost all of our patients planned for ALND\/ILR have had appropriate donor and recipient vessels. The purpose of our study was to contrast the incidence of \u201cnon-reconstructable\u201d patients in the literature with our experience and highlight tips to improve the reconstructable rate.\n                    <jats:bold>Methods:<\/jats:bold>\n                    Step 1: A systematic review identified publications on ILR during ALND, which reported the number of \u201cnon-reconstructable\u201d patients. Step 2: A chart review of ILR cases at the University of Calgary was conducted. From both data sets, patient demographics, cancer stage, node dissection results, treatment details and operative details were collected. The data was then analyzed to identify factors that could contribute to the number of \u201cnon-reconstructable\u201d patients.\n                    <jats:bold>Results:<\/jats:bold>\n                    11 studies were identified in the review, which included 949 patients planned for ILR during ALND. One hundred and thirty-three (14%) were deemed \u201cnon-reconstructable,\u201d and did not undergo ILR. Analysis of 68 consecutive ALND\/ILR cases at the University of Calgary identified 4 (5.9%,\n                    <jats:italic toggle=\"yes\">p\u2009=\u2009.<\/jats:italic>\n                    03) \u201cnon-reconstructable\u201d patients. A similar method of lymphatic mapping was used in the review studies as at the University of Calgary. The patients\u2019 demographics and treatment details were similar in the review and our prospective series: average age (49 vs 54,\n                    <jats:italic toggle=\"yes\">p\u2009=\u2009.<\/jats:italic>\n                    07, BMI (27 vs. 27,\n                    <jats:italic toggle=\"yes\">p\u2009=\u2009.<\/jats:italic>\n                    47) and receipt of radiation (76.5% vs. 69%,\n                    <jats:italic toggle=\"yes\">p\u2009=\u2009.<\/jats:italic>\n                    79). The only difference noted was the presence and the level of involvement of a plastic surgeon throughout the extirpative portion of the procedure, in order to identify and preserve vessels. At our institution, the plastic surgeon attends throughout and participates in a well-coordinated \u201cdance\u201d between the oncologic surgeon and the plastic surgeon. This coordination was not described in any of the studies reviewed.\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    For ILR, coordinated plastic surgical involvement during ALND may reduce the number of \u201cnon-reconstructable\u201d patients.\n                  <\/jats:p>","DOI":"10.1177\/22925503251404050","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T18:51:43Z","timestamp":1766170303000},"page":"718-726","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Women Planned for Immediate Lymphatic Reconstruction During Axillary Lymph Node Dissection Should Be Reconstructable: Improving Intraoperative Team Collaboration"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8446-910X","authenticated-orcid":false,"given":"Spencer","family":"Yakaback","sequence":"first","affiliation":[{"name":"University of Calgary"},{"name":"Cumming School of Medicine, University of Calgary, Calgary, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1420-4699","authenticated-orcid":false,"given":"Rosalie","family":"Morrish","sequence":"additional","affiliation":[{"name":"Cumming School of Medicine, University of Calgary, Calgary, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0354-6490","authenticated-orcid":false,"given":"Golpira","family":"Elmi Assadzadeh","sequence":"additional","affiliation":[{"name":"University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Bouchard-Fortier","sequence":"additional","affiliation":[{"name":"University of Calgary"},{"name":"Department of Oncology, University of Calgary, Calgary, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1536-0282","authenticated-orcid":false,"given":"Alexandra","family":"Hatchell","sequence":"additional","affiliation":[{"name":"University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Matthews","sequence":"additional","affiliation":[{"name":"University of Calgary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Temple-Oberle","sequence":"additional","affiliation":[{"name":"University of Calgary"},{"name":"Department of Oncology, University of Calgary, Calgary, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/gox.0000000000004291"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-018-4334-7"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-008-0270-y"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0000000000005952"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/gox.0000000000006543"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0000000000010381"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-009-0554-x"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/sap.0000000000003457"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0000000000007636"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-015-4721-y"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/prs.0000000000009857"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13193-018-0731-0"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.22254"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.25513"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/tbj.13667"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/gox.0000000000003431"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol30020119"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-151-4-200908180-00135"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol30040306"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0000000000003746"},{"issue":"4","key":"e_1_3_2_22_2","first-page":"161","article-title":"Minimal limb volume change has a significant impact on breast cancer survivors","volume":"42","author":"Cormier JN","year":"2009","unstructured":"Cormier JN, Xing Y, Zaniletti I, Askew RL, Stewart BR, Armer JM. Minimal limb volume change has a significant impact on breast cancer survivors. 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