{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T14:59:51Z","timestamp":1780930791964,"version":"3.54.1"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","issue":"2","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO  Objetivo: analisar a experi\u00eancia terap\u00eautica inicial do transplante de linfonodos vascularizados em pacientes portadoras de linfedema de membros superiores secund\u00e1rio ao tratamento do c\u00e2ncer de mama e verificar se o posicionamento do transplante influencia o resultado cir\u00fargico.  M\u00e9todos: ensaio prospectivo, comparativo, de duas modalidades terap\u00eauticas em 24 pacientes portadoras de linfedema de membro superior ap\u00f3s tratamento de c\u00e2ncer mam\u00e1rio, classificados como graus 2 e 3, segundo a Sociedade Internacional de Linfedema. Os dois tipos de procedimentos realizados foram: 1) reconstru\u00e7\u00e3o total da mama com retalho de perfurante da art\u00e9ria epig\u00e1strica inferior (DIEP- deep inferior epigastric perforator flap) associado ao retalho linfonodal, em pacientes sem reconstru\u00e7\u00e3o mam\u00e1ria pr\u00e9via ou com hist\u00f3rico de perda da reconstru\u00e7\u00e3o (posicionamento axilar); 2) retalho linfonodal inguinal isolado foi realizado em pacientes com reconstru\u00e7\u00e3o mam\u00e1ria finalizada ou sem o desejo de realizar a reconstru\u00e7\u00e3o da mama (posicionamento no punho).  Resultados: a porcentagem de redu\u00e7\u00e3o do volume do membro afetado foi de 20,1% (p=0,0370). O n\u00famero de epis\u00f3dios infecciosos (celulites) tamb\u00e9m sofreu redu\u00e7\u00e3o significativa, de 41% no per\u00edodo pr\u00e9-operat\u00f3rio para 12,5% no p\u00f3s-operat\u00f3rio (p=0,004). N\u00e3o foram observadas diferen\u00e7as entre os grupos proximal e distal.  Conclus\u00e3o: o transplante de linfonodos afetou positivamente a evolu\u00e7\u00e3o p\u00f3s-operat\u00f3ria de pacientes portadoras de linfedema secund\u00e1rio ao c\u00e2ncer de mama. N\u00e3o foram observadas diferen\u00e7as em rela\u00e7\u00e3o ao posicionamento do retalho.<\/jats:p>","DOI":"10.1590\/0100-6991e-20192156","type":"journal-article","created":{"date-parts":[[2019,5,25]],"date-time":"2019-05-25T15:32:59Z","timestamp":1558798379000},"source":"Crossref","is-referenced-by-count":21,"title":["Influ\u00eancia do posicionamento do retalho linfonodal vascularizado na resposta ao tratamento cir\u00fargico do linfedema secund\u00e1rio ao c\u00e2ncer de mama."],"prefix":"10.1590","volume":"46","author":[{"given":"Eduardo","family":"Montag","sequence":"first","affiliation":[{"name":"Instituto do C\u00e2ncer do Estado de S\u00e3o Paulo (ICESP),  Brasil; Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto Yoshikazu","family":"Okada","sequence":"additional","affiliation":[{"name":"Instituto do C\u00e2ncer do Estado de S\u00e3o Paulo (ICESP),  Brasil; Universidade de S\u00e3o Paulo,  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Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e1bio Freitas","family":"Busnardo","sequence":"additional","affiliation":[{"name":"Instituto do C\u00e2ncer do Estado de S\u00e3o Paulo (ICESP),  Brasil; Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rolf","family":"Gemperli","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.soncn.2012.11.007","article-title":"Psychosocial impact of living with cancer-related lymphedema","volume":"29","author":"Fu MR","year":"2013","journal-title":"Semin Oncol Nurs"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1016\/j.jpainsymman.2009.04.030","article-title":"Breast 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