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Indocyanine green‐enhanced fluorescence‐guided video‐assisted axillary surgery for chronic lymphocele

Marco Mazza, Antonio Sommariva · Asian Journal of Endoscopic Surgery · 2018

AbstractIntroductionLymphocele 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 TechniqueWe 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.DiscussionIndocyanine 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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