Objective To summarize the research progress on the clinical application of lymphaticovenous anastomosis (LVA). Methods A comprehensive review of previous literature on LVA was conducted, summarizing the anastomosis sites, techniques, number of anastomoses, and clinical applications, with particular emphasis on the evolution and development of LVA anastomosis sites and techniques. Results LVA is a bypass drainage surgery that has undergone multiple stages of development since its inception. Due to individual differences, the location, method, number of anastomoses, and clinical applications are often based on the surgeon’s experience, and there is still no unified application scenario. Conclusion LVA is a highly promising surgical procedure that can effectively relieve symptoms of early- and mid-stage lymphedema. With the advantages of minimal invasiveness and rapid recovery, it can serve as a first-line surgical option for lymphedema.
Citation:
LUO Ziyi, XIAO Shune, DENG Chengliang. Research progress of lymphaticovenous anastomosis in treatment of secondary lymphedema. Chinese Journal of Reparative and Reconstructive Surgery, 2026, 40(2): 321-327. doi: 10.7507/1002-1892.202508083
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Copyright ? the editorial department of Chinese Journal of Reparative and Reconstructive Surgery of West China Medical Publisher. All rights reserved
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| 3. |
Chang DW, Masia J, Garza R 3rd, et al. Lymphedema: Surgical and medical therapy. Plast Reconstr Surg, 2016, 138(3 Suppl): 209S-218S.
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| 4. |
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| 5. |
|
| 6. |
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| 7. |
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| 8. |
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| 9. |
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| 10. |
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Chang C, Kuo PJ, Wang YM, et al. Groin-only lymphaticovenous anastomosis: a paradigm shift for lower extremity lymphedema—a prospective cohort propensity-score matched analysis. Int J Surg, 2025, 111(10): 6833-6842.
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| 12. |
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| 13. |
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| 14. |
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| 15. |
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| 16. |
Tsai PL, Wu SC, Lin WC, et al. Determining factors in relation to lymphovascular characteristics and anastomotic configuration in supermicrosurgical lymphaticovenous anastomosis—A retrospective cohort study. Int J Surg, 2020, 81: 39-46.
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| 17. |
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| 18. |
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| 19. |
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| 20. |
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| 21. |
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| 22. |
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| 23. |
|
| 24. |
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| 25. |
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| 26. |
|
| 27. |
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| 28. |
|
| 29. |
|
| 30. |
|
| 31. |
|
| 32. |
|
| 33. |
|
| 34. |
|
| 35. |
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| 36. |
|
| 37. |
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| 38. |
|
| 39. |
|
| 40. |
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| 41. |
|
| 42. |
|
| 43. |
|
| 44. |
|
| 45. |
|
| 46. |
|
| 47. |
|
| 48. |
|
| 49. |
|
| 50. |
|
| 51. |
|
| 52. |
The Lancet Oncology None. Ireland’s general election: new goals for cancer care? Lancet Oncol, 2020, 21(3): 317. doi: 10.1016/S1470-2045(20)30103-0.
|
| 53. |
|
| 54. |
|
| 55. |
|
| 56. |
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| 57. |
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| 58. |
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| 59. |
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| 60. |
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- 1.
- 2.
- 3. Chang DW, Masia J, Garza R 3rd, et al. Lymphedema: Surgical and medical therapy. Plast Reconstr Surg, 2016, 138(3 Suppl): 209S-218S.
- 4.
- 5.
- 6.
- 7.
- 8.
- 9.
- 10.
- 11. Chang C, Kuo PJ, Wang YM, et al. Groin-only lymphaticovenous anastomosis: a paradigm shift for lower extremity lymphedema—a prospective cohort propensity-score matched analysis. Int J Surg, 2025, 111(10): 6833-6842.
- 12.
- 13.
- 14.
- 15.
- 16. Tsai PL, Wu SC, Lin WC, et al. Determining factors in relation to lymphovascular characteristics and anastomotic configuration in supermicrosurgical lymphaticovenous anastomosis—A retrospective cohort study. Int J Surg, 2020, 81: 39-46.
- 17.
- 18.
- 19.
- 20.
- 21.
- 22.
- 23.
- 24.
- 25.
- 26.
- 27.
- 28.
- 29.
- 30.
- 31.
- 32.
- 33.
- 34.
- 35.
- 36.
- 37.
- 38.
- 39.
- 40.
- 41.
- 42.
- 43.
- 44.
- 45.
- 46.
- 47.
- 48.
- 49.
- 50.
- 51.
- 52. The Lancet Oncology None. Ireland’s general election: new goals for cancer care? Lancet Oncol, 2020, 21(3): 317. doi: 10.1016/S1470-2045(20)30103-0.
- 53.
- 54.
- 55.
- 56.
- 57.
- 58.
- 59.
- 60.