case_images: PMC11140048_01
case_images: (A) Preoperative photographic images of severe lymphedema of the lower extremities in a 60-year-old female patient. (B) MR-lymphangiography reveals central lymphatic flow disorder. (C) During laparotomy, dilation of the intestinal lymphatic vessels is clearly visible. Higher magnification image of the area marked by black frame in the inset.
case_images: fsurg-11-1415010-g005.jpg
case_images: PMC11140048_01_fsurg-11-1415010-g005.jpg
case_images: F5
case_images: We report on a 60-year-old patient with lymphedema of her lower extremities present for the past 30 years, initially treated conservatively (Figures 5).
case_images: Anastomosis of the thoracic duct to azygos vein (A) thoracoscopy after ICG injection into groin lymph nodes. The image shows the thoracic duct (central) as well as multiple pleural collaterals (left). (B) Surgical preparation of the thoracic duct (*) and the azygos vein ( ). (C) Patent lymphovenous anastomosis as verified by the flow of ICG into the azygos vein.
case_images: fsurg-11-1415010-g006.jpg
case_images: PMC11140048_02_fsurg-11-1415010-g006.jpg
case_images: F6
case_images: Therefore, reconstruction of the central lymphatic flow by means of lymphovenous anastomosis was performed (Figure 6).
case_images: PMC11140048_02
case_images: Anastomosis of the thoracic duct to azygos vein (A) thoracoscopy after ICG injection into groin lymph nodes. The image shows the thoracic duct (central) as well as multiple pleural collaterals (left). (B) Surgical preparation of the thoracic duct (*) and the azygos vein ( ). (C) Patent lymphovenous anastomosis as verified by the flow of ICG into the azygos vein.
case_images: fsurg-11-1415010-g006.jpg
case_images: PMC11140048_02_fsurg-11-1415010-g006.jpg
case_images: F6
case_images: Therefore, reconstruction of the central lymphatic flow by means of lymphovenous anastomosis was performed (Figure 6).