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Study for regeneration of collecting lymphatics using Bio tube

Research Project

Project/Area Number 18K16988
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 56070:Plastic and reconstructive surgery-related
Research InstitutionHiroshima University

Principal Investigator

Yoshida Shuhei  広島大学, 病院国際リンパ浮腫治療センター, 准教授 (80380921)

Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2021: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2020: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
KeywordsSupermicrosurgery / 集合リンパ管再生 / リンパ浮腫 / 超微小循環外科 / 加齢性リンパ浮腫 / 肥満性リンパ浮腫 / 創傷治癒 / リンパ管 / 再生 / Bio tube
Outline of Final Research Achievements

A special anastomosis technique was developed and implemented for the very small diameter, because the diameter of Biotube is 0.3 mm and that of rat intra-abdominal lymphatic duct is 0.2 mm. We found that inserting nylon monofilaments from 7-0 to 9-0 into the lymphatic vessels as guide nylon threads makes it easier to insert nylon monofilaments with larger diameters such as 6-0 and 5-0. This larger-diameter nylon monofilament was stented, and lymphatics were anastomosed successfully with Bio tubes using 11-0 and 12-0 micro needles. By this method, vessels with a diameter of 0.1 mm or less can be anastomosed successfully. The fact was reported and published in a paper. The immediate patency rate of Biotube is almost 100%, but long-term patency cannot be confirmed. It is considered to be caused by postoperative contracture awing to collagen characteristics.

Academic Significance and Societal Importance of the Research Achievements

これまで人類が可能な脈管吻合の最小口径の限界は0.2mmであったが、これを突破できた。リンパ管及びリンパ流はリンパ管再生の重要な因子の一つと考えられ、外科治療の新規開発においてはSupermicrosurgeryを超えたより細い正確な脈管吻合でリンパ管を吻合しリンパ流を再開させる技術が必要となる。本法を用いることでSupermicrosurgeryを超えた吻合が可能であり臨床や基礎実験を通じ新たな治療法の開発につながると考える。

Report

(5 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (22 results)

All 2022 2021 2020 2019 2018

All Journal Article (14 results) (of which Peer Reviewed: 14 results,  Open Access: 2 results) Presentation (8 results) (of which Int'l Joint Research: 5 results)

  • [Journal Article] Combined Lymphovenous Anastomosis and Great Saphenous Vein Stripping for Comorbid Lymphedema and Varicose Veins.2022

    • Author(s)
      Yoshida S
    • Journal Title

      Lymphat Res Biol.

      Volume: 20 Issue: 2 Pages: 213-219

    • DOI

      10.1089/lrb.2019.0076

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Lymphaticovenous Anastomosis for Age-Related Lymphedema.2021

    • Author(s)
      Yoshida S
    • Journal Title

      J Clin Med.

      Volume: 10 Issue: 21 Pages: 5129-5129

    • DOI

      10.3390/jcm10215129

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effect of Postoperative Compression Therapy on the Success of Liposuction in Patients with Advanced Lower Limb Lymphedema.2021

    • Author(s)
      Yoshida S
    • Journal Title

      J Clin Med.

      Volume: 10 Issue: 21 Pages: 4852-4852

    • DOI

      10.3390/jcm10214852

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Investigation of flow velocity in recipient perforator artery for a reliable indicator for the flap transfer with perforator to perforator anastomosis.2021

    • Author(s)
      Yoshida S
    • Journal Title

      Microsurgery.

      Volume: 41 Issue: 6 Pages: 550-556

    • DOI

      10.1002/micr.30783

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Modified intraoperative distal compression method for lymphaticovenous anastomosis with high success and a low venous reflux rates.2021

    • Author(s)
      Yoshida S
    • Journal Title

      J Plast Reconstr Aesthet Surg.

      Volume: 74 Pages: 2050-2058

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Microscope-Induced Thermal Burns During Lymphaticovenular Anastomosis2020

    • Author(s)
      Yoshida Shuhei
    • Journal Title

      Ann Plast Surg .

      Volume: 84 Issue: 5 Pages: e24-e26

    • DOI

      10.1097/sap.0000000000002116

    • NAID

      130007815549

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Characteristics and outcomes of lymphaticovenular anastomosis in older patients with bilateral involvement versus younger patients with unilateral involvement in lower extremity lymphedema2020

    • Author(s)
      Yoshida Shuhei
    • Journal Title

      J Vasc Surg Venous Lymphat Disord .

      Volume: 8 Issue: 4 Pages: 646-657

    • DOI

      10.1016/j.jvsv.2019.10.013

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Role of lymphatico venular anastomosis for treatment of lymphorrhea in lower limbs2020

    • Author(s)
      Yoshida Shuhei
    • Journal Title

      J Plast Reconstr Aesthet Surg .

      Volume: 73 Issue: 7 Pages: 1357-1404

    • DOI

      10.1016/j.bjps.2020.02.029

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Simple Method for Deep Insertion of Drainage Tube through a Small Skin Incision2020

    • Author(s)
      Yoshida Shuhei
    • Journal Title

      Plast Reconstr Surg Glob Open

      Volume: 8 Issue: 7 Pages: e2951-e2951

    • DOI

      10.1097/gox.0000000000002951

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Lymphovenous Anastomosis for Morbidly Obese Patients with Lymphedema.2020

    • Author(s)
      Yoshida Shuhei
    • Journal Title

      Plast Reconstr Surg Glob Open.

      Volume: 8 Issue: 5 Pages: e2860-e2860

    • DOI

      10.1097/gox.0000000000002860

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Indocyanine green lymphography findings in older patients with lower limb lymphedema2020

    • Author(s)
      Yoshida Shuhei
    • Journal Title

      J Vasc Surg Venous Lymphat Disord .

      Volume: 8 Issue: 2 Pages: 251-258

    • DOI

      10.1016/j.jvsv.2019.03.021

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Lymphovenous Anastomosis Aids Wound Healing in Lymphedema: Relationship Between Lymphedema and Delayed Wound Healing from a View of Immune Mechanisms.2019

    • Author(s)
      Yoshida Shuhei
    • Journal Title

      Adv Wound Care (New Rochelle).

      Volume: 8 Issue: 6 Pages: 263-269

    • DOI

      10.1089/wound.2018.0871

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Line production system for multiple lymphaticovenular anastomoses.2019

    • Author(s)
      Yosgida Shuhei
    • Journal Title

      J Plast Reconstr Aesthet Surg.

      Volume: 72 Issue: 8 Pages: 1334-1339

    • DOI

      10.1016/j.bjps.2019.03.038

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Mechanical Dilation With a Nylon Monofilament for 0.1-mm Anastomoses2019

    • Author(s)
      Yoshida Shuhei
    • Journal Title

      Annals of Plastic Surgery

      Volume: 82 Issue: 2 Pages: 233-236

    • DOI

      10.1097/sap.0000000000001632

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] 内径0.1mm以下脈管での吻合テクニック2021

    • Author(s)
      吉田周平
    • Organizer
      第26回日本形成外科手術手技学会
    • Related Report
      2021 Annual Research Report
  • [Presentation] COMBINED LYMPHOVENOUS ANASTOMOSIS AND GREAT SAPHENOUS VEIN STRIPPING FOR COMORBID LYMPHEDEMA AND VARICOSE VEINS2021

    • Author(s)
      Shuhei Yoshida
    • Organizer
      28th World Congress of Lymphology
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Presentation] INDOCYANINE GREEN LYMPHOGRAPHY FINDINGS IN OLDER PATIENTS WITH LOWER LIMB LYMPHEDEMA2021

    • Author(s)
      Shuhei Yoshida
    • Organizer
      28th World Congress of Lymphology,
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Presentation] LVA (Lymphovenous anastomosis) aids wound healing in lymphedema: Relationship between lymphedema and delayed wound healing from a view of immune mechanisms,2021

    • Author(s)
      Shuhei Yoshida
    • Organizer
      28th World Congress of Lymphology,
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Modified Intraoperative Distal Compression Method for Lymphaticovenous Anastomosis with High Success and a low Venous Reflux Rates,2021

    • Author(s)
      Shhei Yoshida
    • Organizer
      28th World Congress of Lymphology,
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Mechanical Dilation With a Nylon Monofilament for 0.1-mm Anastomoses2019

    • Author(s)
      Shuhei Yoshida
    • Organizer
      American Society for Reconstructive Microsurgery 2019
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Mechanical Dilation法による内径0.1mm以下脈管吻合法の開発2018

    • Author(s)
      吉田周平
    • Organizer
      日本形成外科学会基礎学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] Mechanical Dilation法による内径0.1mm以下脈管吻合法の開発2018

    • Author(s)
      吉田周平
    • Organizer
      日本マイクサージャリー学会
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2023-01-30  

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