Barcelona lymphedema algorithm for surgical treatment (BLAST)
Rodríguez-Bauzà, Elena (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Pons, Gemma (Institut de Recerca Sant Pau)
Masià, Jaume (Institut de Recerca Sant Pau)
Universitat Autònoma de Barcelona

Fecha:	2024
Resumen:	Upper limb lymphedema after breast cancer treatment is a progressive and disabling condition that can significantly impair the quality of life of affected individuals. Consequently, managing breast cancer-related lymphedema (BCRL) is a major challenge for patients and healthcare professionals. In the last few decades, various techniques have been developed for the treatment of BCRL, but the surgical approach to this condition remains in a state of constant evolution. Currently, the three main pillars for the surgical treatment of BCRL are lymphatic-venous anastomosis (LVA), functional vascularized lymphatic tissue transfer (FVLTT), and liposuction. The choice of one or other of these techniques usually depends on the presence or absence of a functional lymphatic system of the upper limb and axilla, and the degree of hypertrophy of the subcutaneous adipose tissue. A combination of techniques may sometimes be employed, either in the same intervention or in stages. However, the most recent trend is to identify transected lymphatic channels during axillary lymph node dissection and to immediately restore lymphatic drainage through LVA at the axillary level to prevent the development of BCRL. This article provides an overview of the clinical diagnosis and staging of BCRL, the imaging techniques used to assess the lymphatic system, a brief description of surgical techniques, and an update of the Barcelona lymphedema algorithm for surgical treatment (BLAST).
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Lengua:	Anglès
Documento:	Article de revisió ; recerca ; Versió publicada
Materia:	Breast cancer-related lymphedema (BCRL) ; Lymphatic-venous anastomosis (LVA) ; Functional vascularized lymphatic tissue transfer (FVLTT) ; Liposuction ; Targeted-lymphatic axillary repair (T-LAR)
Publicado en:	Annals of Breast Surgery, Vol. 8 (30 2024) , ISSN 2616-2776

DOI: 10.21037/abs-22-10
PMID: 26975564

9 p, 1.1 MB

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