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Indocyanine green-enhanced fluorescence-guided video-assisted axillary surgery for chronic lymphocele.
Asian Journal of Endoscopic Surgery 2018 December 14
INTRODUCTION: Lymphocele occurs frequently after regional lymph node dissection. Surgery with multiple lymphatic ligation represents the only reliable treatment for long-standing chronic lymphocele.
MATERIALS AND SURGICAL TECHNIQUE: We report the case of a man with chronic axillary seroma after axillary lymphadenectomy for melanoma. The lymphocele was unresponsive to conservative management and successfully treated with indocyanine green lymphography-guided video-assisted axillary surgery.
DISCUSSION: Indocyanine green-enhanced fluorescence video-assisted identification and ligation of lymph vessels can simply and effectively treat recurrent chronic lymphocele after axillary or groin lymphadenectomy.
MATERIALS AND SURGICAL TECHNIQUE: We report the case of a man with chronic axillary seroma after axillary lymphadenectomy for melanoma. The lymphocele was unresponsive to conservative management and successfully treated with indocyanine green lymphography-guided video-assisted axillary surgery.
DISCUSSION: Indocyanine green-enhanced fluorescence video-assisted identification and ligation of lymph vessels can simply and effectively treat recurrent chronic lymphocele after axillary or groin lymphadenectomy.
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