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Breast cancer-related lymphedema (BCRL) is a debilitating, usually lifelong burden for breast cancer survivors. For the breast cancer patients receiving axillary lymph node dissection (ALND), the likelihood of BCRL is about 20%. Lymphatico-venous anastomosis (LVA) has been accepted as a method of treating extremity lymphedema. A few studies have mentioned the prophylactic effect of LVA on BCRL. However, there is still lack of a large-scale randomized controlled trial to corroborate its efficacy. Therefore, the goal of this study is to conduct a prospective randomized controlled trial to evaluate if immediate lymphatic reconstruction (ILR) with LVA could have a clinically significant effect on the reduction of BCRL occurrence.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ILR | Experimental | Breast cancer patients receiving axillary lymph node dissection and immediate lymphatic reconstruction |
|
| non-ILR | No Intervention | Breast cancer patients receiving only axillary lymph node dissection |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Immediate lymphatic reconstruction | Procedure | Breast cancer patients receive axillary lymph node dissection and immediate lymphatic reconstruction |
|
| Measure | Description | Time Frame |
|---|---|---|
| Arm lymphedema | Occurrence of arm lymphedema | Two years |
| Measure | Description | Time Frame |
|---|---|---|
| Drainage amount | Drainage amount from operative wounds | Two weeks |
| Seroma or lymphocele | Occurrence of seroma or lymphocele | One month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hao-Chih Dai, MD, PhD | National Taiwan University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital | Taipei | Taiwan |
Non-identifiable data will be shared upon request
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| ID | Term |
|---|---|
| D000072656 | Breast Cancer Lymphedema |
| ID | Term |
|---|---|
| D008209 | Lymphedema |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D011183 | Postoperative Complications |
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| PROM | Patient reported outcome measures by LYMPH-Q Upper Extremity Module | Two years |
| Subclinical lymphedema | Occurrence of subclinical lymphedema | Two years |
| D010335 |
| Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |