Advanced Clinical Training (ACT)

センター概要

0.5mm未満の超微小血管吻合技術（スーパーマイクロサージャリー）を用いた低侵襲外科治療であるリンパ管細静脈吻合術（Lymphaticovenular Anastomosis: LVA）や血管柄付きリンパ節移植術（Lymph Node Transfer: LNT）、リンパ・乳房同時再建、リンパ・軟部組織同時再建術（Lymph-Interpositional-Flap Transfer：LIFT）、象皮病根治術（Charles変法、Radical Reduction & Reconstruction：RRR法）などのリンパ浮腫外科治療が特色です。各種リンパ外科治療を併用して圧迫療法抵抗性のリンパ浮腫（がん治療後の二次性リンパ浮腫ならびに原因不明の原発性リンパ浮腫）およびリンパ漏・乳び胸水・乳び腹水・たんぱく漏出性胃腸症などのリンパ管関連疾患に対して積極的に治療を行っております。

完全予約制のリンパ浮腫専門外来にて診療しており、初診予約は紹介元医療施設より医療連携室を介してあらかじめ予約の上お越しください（医療連携のご案内参照）。外来診療・入院診療ともにチーム診療を行っております（担当医・主治医・執刀医の指名はできません）。

　リンパ浮腫では適切な診断・評価が欠かせませんが、当センターではリンパ浮腫評価に用いられるすべての画像診断が可能で、「リンパシンチグラフィ」「SPECT-CT」「MR lymphography」「CT」「ICGリンパ管造影」「直接的リンパ管造影」を病態に応じて各種検査法を組み合わせてリンパ浮腫を包括的に評価した上で治療を行っております。

　国内のみならず海外からも患者・医療従事者を広く受け入れて診療しております。国内外から医師が見学・修練（ACT参照）に来院するため、外来診療・入院・手術において外国人医師が同席ならびに診療を行うことがあります。今後のより良いリンパ浮腫診療のために臨床研究にも力を入れております。

ICGリンパ管造影によるリンパ流の評価

（リンパ浮腫の進行により造影所見がLinear → Splash → Stardust → Diffuseと変化する）

Yamamoto T, et al.
Characteristic indocyanine green lymphography findings in lower extremity lymphedema: the generation of a novel lymphedema severity staging system using dermal backflow patterns.
Plast Reconstr Surg 2011;127(5):1979-86.

ICGリンパ管造影による重症度分類（DB stage）と治療方針

（適切な治療方針の検討に有用な病態評価方法）

Yamamoto T, et al.
The earliest finding of indocyanine green (ICG) lymphography in asymptomatic limbs of lower extremity lymphedema patients secondary to cancer treatment: the modified dermal backflow (DB) stage and concept of subclinical lymphedema.
Plast Reconstr Surg. 2011;128(4):314e-21e.
Yamamoto T, et al.
Subclinical lymphedema: understanding is the clue to decision making.
Plast Reconstr Surg 2013;132(3):472e3e.

スタッフ業績（英文論文・教科書）

Yamamoto T, et al.
Lambda-shaped anastomosis with intravascular stenting method for safe and effective lymphaticovenular anastomosis.
Plast Reconstr Surg. 2011;127(5):1987-92.
Yamamoto T, et al.
The earliest finding of indocyanine green (ICG) lymphography in asymptomatic limbs of lower extremity lymphedema patients secondary to cancer treatment: the modified dermal backflow (DB) stage and concept of subclinical lymphedema.
Plast Reconstr Surg. 2011;128(4):314e-21e.
Yamamoto T, et al.
Upper Extremity Lymphedema (UEL) Index: A Simple Method for Severity Evaluation of Upper Extremity Lymphedema.
Ann Plast Surg. 2011 Jul 5 [Epub ahead of print]
Yamamoto T, et al.
Indocyanine green (ICG)-enhanced lymphography for upper extremity lymphedema: a novel severity staging system using dermal backflow (DB) patterns.
Plast Reconstr Surg. 2011 Jun 15. [Epub ahead of print]
Yamamoto T, et al.
Indocyanine green (ICG)-enhanced lymphography for evaluation of facial lymphoedema.
J Plast Reconstr Aesthet Surg. 2011 Jun 15 [Epub ahead of print]
Yamamoto T, et al.
Characteristic indocyanine green lymphography findings in lower extremity lymphedema: the generation of a novel lymphedema severity staging system using dermal backflow patterns.
Plast Reconstr Surg. 2011;127(5):1979-86.
Yamamoto T, et al.
Lower extremity lymphedema index: a simple method for severity evaluation of lower extremity lymphedema.
Ann Plast Surg. 2011 Mar 14 [Epub ahead of print].
Yamamoto T, et al.
Simultaneous multi-site lymphaticovenular anastomoses for primary lower extremity and genital lymphoedema complicated with severe lymphorrhea.
J Prast Reconstr Aesthet Surg. 2011;64(6):812-5. Epub2010 Nov 17.
Yamamoto T, et al.
LEC score: A judgment tool for indication of indocyanine green lymphography.
Ann Plast Surg. 2013;70(2):227-30.
Yamamoto T, et al.
Split intravascular stents for side-to-end lymphaticovenular anastomosis.
Ann Plast Surg. 2013;71(5):538-40.
Yamamoto T, et al.
Indocyanine green velocity: Lymph transportation capacity deterioration with progression of lymphedema.
Ann Plast Surg. 2013;71(5):591-4.
Yamamoto T, et al.
Minimally invasive lymphatic supermicrosurgery (MILS): indocyanine green-guided simultaneous multi-site lymphaticovenular anastomoses via millimeter skin incisions.
Ann Plast Surg. 2012 Dec 13 [Epub ahead of print].
Yamamoto T, et al.
A modified side-to-end lymphaticovenular anastomosis.
Microsurgery. 2013;33(2):130-3.
Yamamoto T, et al.
Sequential anastomosis for lymphatic supermicrosurgery: multiple lymphaticovenular anastomoses on one venule.
Ann Plast Surg. 2012 Dec 13 [Epub ahead of print].
Yamamoto T, et al.
Dynamic indocyanine green lymphography for breast cancer-related arm lymphedema.
Ann Plast Surg. (in press).
Yamamoto T, et al.
Side-to-end lymphaticovenular anastomosis through temporary lymphatic expansion.
PLoS ONE. 2013;8(3):e59523. Epub 2013 Mar 25.
Yamamoto T, et al.
Indocyanine green lymphography for evaluation of genital lymphedema in secondary lower extremity lymphedema patients.
J Vasc Surg Venous Lymphat Dis. 2013 July 18 [Epub ahead of print].
Yamamoto T, et al.
Near-infrared illumination system-integrated microscope for supermicrosurgical lymphaticovenular anastomosis.
Microsurgery. 2013 Jul 9 [Epub ahead of print].
Yamamoto T, et al.
Subclinical lymphedema: understanding is the clue to decision making.
Plast Reconstr Surg. 2013;132(3):472e3e.
Yamamoto T, et al.
Modified lambda-shaped lymphaticovenular anastomosis with supermicrosurgical lymphoplasty technique for a cancer-related lymphedema patient.
Microsurgery. 2013 Sep 13 [Epub ahead of print].
Yamamoto T, et al.
Colourful indocyanine green lymphography.
J Plast Reconstr Aesthet Surg. 2013 Oct 1 [Epub ahead of print].
Yamamoto T, et al.
Neo-valvuloplasty for lympahtic supermicrosurgery.
J Plast Reconstr Aesthet Surg. 2014;67(4):587-8.
Yamamoto T, et al.
Ladder-shaped lymphaticovenular anastomosis using multiple side-to-side lymphatic anastomoses for a leg lymphedema patient.
Microsurgery. 2014;34(5):404-8.
Yamamoto T, et al.
Upward retraction for lymphaticovenular anastomosis in the deep fat layer.
Microsurgery. 2014;34(7):586-7.
Yamamoto T, et al.
Technical simplification of the supermicrosurgical side-to-end lymphaticovenular anastomosis using the parachute technique.
Microsurgery. 2015 Feb;35(2):129-34.
Yamamoto T, et al.
Splash, stardust, or diffuse pattern: differentiation of dermal backflow pattern is important in indocyanine green lymphography.
Plast Reconstr Surg. 2014;133(6):e887-8.
Yamamoto T, et al.
Navigation lymphatic supermicrosurgery for iatrogenic lymphorrhea: supermicrosurgical lymphaticolymphatic anastomosis and lymphaticovenular anastomosis under indocyanine green lymphography navigation.
J Plast Reconstr Aesthet Surg. 2014;67(11):1573-9.
Yamamoto T, et al.
Triple supermicrosurgical side-to-side lymphaticolymphatic anastomoses on a lymphatic vessel end-to-end anastomosed to a vein.
Microsurgery. 2014 Jul 15 [epub ahead of print]
Yamamoto T, et al.
Mono-canalization of adhered lymphatic vessels for lymphatic supermicrosurgery.
J Plast Reconstr Aesthet Surg. 2014;67(11):e291-2. 2014 Jul 31 [epub ahead of print]
Yamamoto T, et al.
Lymph preserving lipectomy under indocyanine green lymphography navigation.
J Plast Reconstr Aesthet Surg. 2015;68(1):136-7.
Yamamoto T, et al.
Supermicrosugical anastomosis of superficial lymphatic vessel to deep lymphatic vessel for a patient with cellulitis-induced chronic localized leg lymphedema.
Microsurgery. 2015;35(1):68-71. 2014 Sep 8 [epub ahead of print]
Yamamoto T, et al.
Establishment of supermicrosurgical lymphaticovenular anastomosis model in rat.
Microsurgery. 2014 Oct 3 [Epub ahead of print]
Yamamoto T, et al.
Multiple-In-One concept for lymphatic supermicrosurgery.
Microsurgery. 2014 Oct 28 [epub ahead of print]
Yamamoto T, et al.
Efferent lymphatic vessel anastomosis (ELVA): supermicrosurgical efferent lymphatic vessel-to-venous anastomosis for the prophylactic treatment of subclinical lymphedema.
Ann Plast Surg. 2014 Nov 1 [Epub ahead of print]
Yamamoto T, et al.
Indocyanine green lymphography findings in primary leg lymphedema.
Eur J Vasc Endovasc Surg. 2015;49:95-102. 2014 Dec 3 [Epub ahead of print]
Yamamoto T, et al.
Supermicrosurgical deep lymphatic vessel-to-venous anastomosis for a breast cancer-related arm lymphedema with severe sclerosis of superficial lymphatic vessels.
Microsurgery. 2015 Jan 17 [Epub ahead of print]
Yamamoto T, et al.
Relationship between lymphedema and arteriosclerosis: higher cardio-ankle vascular index in lymphedematous limbs.
Ann Plast Surg. 2015 Feb 18 [Epub ahead of print]
Yamamoto T, et al.
Hands-free vein visualizer for selection of recipient vein with an intact valve in lymphatic supermicrosurgery.
J Plast Reconstr Aesthet Surg. 2015 Feb 14 [Epub ahead of print]
Yamamoto T, et al.
A　method　of　continuous　indirect　aspiration　for　field　clearance　in　lymphatic　supermicrosurgery.
Microsurgery. 2015 May 19 [Epub ahead of print]
Yamamoto T, et al.
Lymphatic vessel grafting for prevention of venous reflux into a sclerotic lymphatic vessel in supermicrosurgical lymphaticovenular anastomosis.
J Plast Reconstr Aesthet Surg. 2016 Jan 7 [epub ahead of print]
Yamamoto T, et al.
Microsurgical venous-branch-plasty for approximating diameter and vessels' position in lymphatic supermicrosurgery.
J Plast Reconstr Aesthet Surg. 2016 Feb 17 [epub ahead of print]
Yamamoto T, et al.
Quadruple-component superficial circumflex iliac artery perforator (SCIP) flap: a chimeric SCIP flap for complex ankle reconstruction of an exposed artificial joint after total ankle arthroplasty.
J Plast Reconstr Aesthet Surg. 2016 Jun 23 [epub ahead of print]
Yamamoto T, et al.
Complete lymph flow reconstruction: a free vascularized lymph node true perforator flap transfer with efferent lymphaticolymphatic anastomosis.
J Plast Reconstr Aesthet Surg. 2016 Jul 2 [epub ahead of print]
Yamamoto T, et al.
Fusion lymphoplasty for diameter approximation in lymphatic supermicrosurgery using two lymphatic vessels for a larger recipient vein.
J Plast Reconstr Aesthet Surg. 2016 Jul 9 [epub ahead of print]
Yamamoto T, et al.
Time to re-consider a gold standard of lymph flow imaging: importance of reliability to detect abnormal lymphodynamics in lymphedema screening after cancer treatments.
Plast Reconstr Surg. 2016 Dec 9 [epub head of print]
Yamamoto T, et al.
Application of a multi-directional transformable retractor for lymphatic supermicrosurgery using SEKI method.
Microsurgery. 2016 Dec 23 [epub ahead of print]
Yamamoto T, et al.
Indocyanine green lymphography for lymphedema screening following breast cancer treatment.
Plast Reconstr Surg 2017 Feb 14 [Epub ahead of print]
Yamamoto T, et al.
Factors associated with lower extremity dysmorphia caused by lower extremity lymphedema.
Eur J Vasc Endovasc Surg. 2017 Apr 6 [epub head of print]
Yamamoto T, et al.
Localized arm volume index: a new method for body type-corrected evaluation of localized arm lymphedematous volume change.
Ann Plast Surg. 2017 May 31 [epub ahead of print]
Yamamoto T, et al.
Factors associated with lymphosclerosis: an analysis on 962 lymphatic vessels.
Plast Reconstr Surg. 2017 June 12 [epub ahead of print]
Yamamoto T, et al.
Lymphatic vessel diameter in female pelvic cancer-related lower extremity lymphedematous limbs.
J Surg Oncol 2018 Jan 22 [epub ahead of print]
Yamamoto T, et al.
Possible optimal donor site for multiple lymph node transfers.
J Am Coll Surg 2018 Feb;226(2):202-3.
Yamamoto T, et al.
Lymph flow restoration after tissue replantation and transfer: importance of lymph axiality and possiblity of lymph flow reconstruction using free flap transfer without lymph node or supermicrosurgical lymphatic anastomosis.
Plast Reconstr Surg 2018 Jun 22 [epub ahead of print]
Yamamoto T, et al.
Optimal sites for supermicrosurgical lymphaticovenular anastomosis: an analysis of lymphatic vessel detection rates on 840 surgical fields in lower extremity lymphedema.
Plast Reconstr Surg. 2018 Sep 4 [epub ahead of print]
Yamamoto T, et al.
Targeting reflux-free veins with a vein visualizer to identify the ideal recipient vein preoperatively for optimal lymphaticovenous anastomosis in treating lymphedema.
Plast Reconstr Surg. 2018 Nov;142(5):804e-806e.
Yamamoto T.
Onco-Reconstructive Supermicrosurgery.
Eur J Surg Oncol. 2019 Jan 9 [epub ahead of print]
Yamamoto T.
Impact of lower extremity dysmorphia on lymphedema patients' quality of life.
Plast Reconstr Surg. 2019 Feb 1 [epub ahead of print]
Tsukuura R, Sakai H, Fuse Y, Yamamoto T.
Novel hands-free near-infrared fluorescence navigation and simultaneous combined imaging for elevation of vascularized lymph node flap.
J Surg Oncol 2018 Sep;118(3):588-89.
Fuse Y, Yamamoto T.
Diamond-shaped anastomosis for supermicrosurgical side-to-side lymphaticovenular anastomosis.
J Plast Reconstr Aesthet Surg 2015 Sep 5 [epub ahead of print]
Fuse Y, Yamamoto T.
Half notching method for supermicrosurgical lambda-shaped lymphaticovenular anastomsois.
J Plast Reconstr Aesthet Surg 2015 Sep 5 [epub ahead of print]
Fuse Y, Yamamoto T, Saito T, Ishiura R, Iida T.
Near-infrared fluorescent swallow test for detection of the alimentary tract anastomotic leakage.
J Plast Reconstr Aesthet Surg 2015 Oct 9 [epub ahead of print]
Fuse Y, Yoshimatsu H, Yamamoto T.
Lateral approach to the deep branch o the superficial circumflex iliac artery for harvesting a SCIP flap.
Microsurgery Feb 23 [epub ahead of print]
Fuse Y, Yamamoto T.
Intraoperative distal compression in supermicrosurgical lymphaticovenous anastomosis for lymphedema.
J Surg Oncol 2018 Jun 7 [epub ahead of print]
Sakai H, Yamamoto T, Yamamoto N, Fuse Y.
Modified fusion lymphoplasty for approximation of diameter and distance between two lymphatic vessels and a larger recipient vein.
Microsugery 2017 Sep 19 [epub ahead of print]
Sakai H, Yamamoto T, Fuse Y.
Lympahtic vessel diameter and lymphosclerosis: two different characteristics.
Lymphat Res Biol. 2018 Jun;16(3):317
Sato Y, Fuse Y, Yamamoto T.
Indocyanine green lymphography for diagnosis of lymphedema following thigh lift surgery.
Microsurgery 2018 Jun 19 [epub ahead of print]
Yamamoto T, Iida T, Yoshimatsu H, Fuse Y, Hayashi A, Yamamoto N.
Yamamoto T restoration after tissue replantation and transfer: importance of lymph axiality and possibility of Yamamoto T reconstruction using free flap transfer without lymph node or supermicrosurgical lymphatic anastomosis.
Plast Reconstr Surg 2018 Sep;142(3):796-804
Yoshimatsu H, Yamamoto T, Tanakura K, Fuse Y, Hayashi A.
"Powered" lymphaticovenular anastomosis for treatment of upper extremity lymphedema: deducing location of functional lymphatic vessels from pumping mavement of the underlying muscles.
Plast Reconstr Surg. 2018 Jul 20 [epub ahead of print]
Ando Y, Yamamoto T, Fuse Y.
An intraoperative 3D imaging system for better image sharing and protection of reconstructive surgeons' neck.
Plast Reconstr Surg. 2018 Aug 14 [epub ahead of print]
Yamamoto T, Yamamoto N, Sakai H, Fuse Y, Yoshimatsu H, Seki Y, Kajikawa A.
Lymphedema quality of life score (LeQOLiS): A simple method for evaluation of subjective symptoms in extremity lymphedema patients.
Plast Reconstr Surg. 2018 Aug 14 [epub ahead of print]
Narushima M, Yamasoba T, Iida T, Matsumoto Y, Yamamoto T, Yoshimatsu H, Timothy S, Pafitanis G, Yamashita S, Koshima I.
Pure skin perforator flaps: the anatomical vascularity of the superthin flap.
Plast Reconstr Surg. 2018 Sep;142(3):351e-360e.
Tsukuura R, Sakai H, Fuse Y, Yamamoto T.
Novel hands-free near-infrared fluorescence navigation and simultaneous combined imaging for elevation of vascularized lymph node flap.
J Surg Oncol 2018 Sep;118(3):588-89.
Yamamoto T, Yamamoto N, Fuse Y, Narushima M, Koshima I.
Optimal sites for supermicrosurgical lymphaticovenular anastomosis: an analysis of lymphatic vessel detection rates on 840 surgical fields in lower extremity lymphedema.
Plast Reconstr Surg. 2018 Dec;142(6):924e-930e.
Yoshimatsu H, Yamamoto T, Tanakura K, Fuse Y, Hayashi A.
Noncontrast magnetic resonance lymphography for evaluation of lymph node transfer for secondary upper limb lymphedema.
Plast Reconstr Surg 2018 Oct;142(4):601e-603e.
Seki Y, Kajikawa A, Yamamoto T, Takeuchi T, Terashima T, Kurogi N.
The dynamic-lymphaticovenular anastomosis method for breast cancer treatment-related lymphedema: creation of functional lympahticovenular anastomoses with use of preoperative dynamic ultrasonography.
J Plast Reconstr Aesthet Surg. 2018 Sep 20 [epub ahead of print]
Yamamoto T, Yamamoto N, Sakai H, Fuse Y, Yoshimatsu H, Seki Y, Kajikawa A.
Targeting reflux-free veins with a vein visualizer to identify the ideal recipient vein preoperatively for optimal lymphaticovenous anastomosis in treating lymphedema.
Plast Reconstr Surg. 2018 Nov;142(5):804e-806e.・
Yoshimatsu H, Steinbacher J, Meng S, Hamscha UM, Weninger WJ, Tinhofer IE, Harima M, Fuse Y, Yamamoto T, John Tzou CH.
Surgical anatomy of the supeficial circumflex iliac artery perforator flap: an anatomic study of the correlation of the superficial and the deep branches of the superficial circumflex iliac artery and evaluation of perfusion from the deep branch to the sartorius muscle and the iliac bone.
Plast Reconstr Surg. 2018 Nov 26 [epub ahead of print]
Pafitanis G, Narushima M, Yamamoto T, Miller R, Koshima I. Insights to establish early learning curve in clinical supermicrosurgery. Microsurgery. 2018 Dec 17 [epub ahead of print]
Brahma B, Yamamoto T.
Breast cancer treatment-related lymphedema (BCRL): an overview of the literature and updates in microsurgery reconstruction.
Eur J Surg Oncol. 2019 Jan 4 [epub ahead of print]
Yamamoto T.
Onco-Reconstructive Supermicrosurgery.
Eur J Surg Oncol. 2019 Jul;45(7):1146-1151.
Ganry L, Fuse Y, Sakai H, Reiko T, Yamamoto T.
Refinement of the chicken wing supermicrosurgical training model: pre-operative indocyanine green injection highlighting vessels' visualization under 0.4mm of diameter.
Microsurgery Jan 21 [epub ahead of print]
Yamamoto T.
Impact of lower extremity dysmorphia on lymphedema patients' quality of life.
Plast Reconstr Surg. 2019 Feb 1 [epub ahead of print]
Giacalone G, Yamamoto T, Hayashi A, Belva F, Gysen M, Hayashi N, Yamamoto N, Koshima I.
Lymphatic supermicrosurgery for the treatment of recurrent lymphocele and severe lymphorrhea.
Microsurgery 2019 Feb 14 [epub ahead of print]
Hayashi A, Giacalone G, Yamamoto T, Belva F, Visconti G, Hayashi N, Handa M, Yoshimatsu H, Salgarello M.
Ultra high-frequency ultrasonographic imaging with 70 MHz scanner for visualization of the lymphatic vessels.
Plast Reconstr Surg Glob Open. 2019 Jan 22;7(1):e2086.
Yoshimatsu H, Harima M, Iida T, Narushima M, Karakawa R, Nakatsukasa S, Yamamoto T, Hayashi A.
Use of the distal facial artery (angular artery) for supermicrosurgical midface reconstruction.
Plast Reconstr Surg Glob Open. 2019 Feb 5;7(2):e1978.
Giacalone G, Yamamoto T, Belva F, Hayashi A, Dori Y, Zviman MM, Gysen M, Nam HH, Jolley MA, Kato M.
The application of virtual reality for preoperative planning of lymphovenous anastomosis in a patient with a complex lymphatic malformation.
J Clin Med. 2019 Mar 15;8(3):E371.
Giacalone G, Yamamoto T, Belva F, Wets R, Hayashi A, Koshima I.
Successful treatment of breast cancer-related breast lymphedema by lymphovenous anastomosis in a male patient.
Microsurgery. 2019 Mar 19 [epub ahead of print]
93・Giacalone G, Yamamoto T, Hayashi A, Belva F, Seki Y.
An L-shaped retractor to facilitate the superior-edge-of-the-knee-incision-method for lympho-venous anastomosis.
Microsurgery. 2019 Mar 22 [epub ahead of print]
Giacalone G, Yamamoto T, Yamamoto N.
Piority claim: first lymphovenous anastomosis performed for breast lymphedema in 2016 and 2017.
Ann Plast Surg 2019 Apr15 [epub ahead of print]
Hosoya S, Yamamoto T.
Stump staining for clear visualization of lymphatic vessel's lumen.
J Plast Reconstr Aesthet Surg. 2019 May 17 [epub ahead of print]
Seki Y, Kajikawa A, Yamamoto T, Takeuchi T, Terashima T, Kurogi N.
Real-time indocyanine green videolymphography navigation for lymphaticovenular anastomosis.
Plast Reconstr Surg Glob Open. 2019 May 24;7(5):e2253.
Fuse Y, Prasad V, Yoshimatsu H, Yamamoto T.
"Quadrupod" grip for handling supermicrosurgical instruments.
J Reconstr Microsurg 2019 Aug 9 [epub ahead of print]
Tsuihiji K, Tsukuura R, Yamamoto T.
Absorbable plating of nasoorbitoethmoid fractures for adults.
J Craniofac Surg. 2019 Oct;30(7).2298-2298.
Yoshimatsu H, Yamamoto T, Hayashi A, Fuse Y, Karakawa R, Iida T, Narushima M, Tanakura K, Weninger WJ, Tzou CHJ.
Use of the transverse branch of the superficial circumflex iliac artery as a landmark facilitating identification and dissection of the deep branch of the superficial circumflex iliac artery for free flap pedicle: anatomical study and clinical applicatoins.
Microsurgery. 2019 Oct 8 [epub ahead of print]
Visconti G, Hayashi A, Tartaglione G, Yamamoto T, Bianchi A, Salgarello M.
Preoperative planning of lymphaticoevnular anastomosis in patients with iodine allergy: multicentric experience.
J Plast Reconstr Aesthet Surg. 2019 Nov 29 [epub ahead of print]
Yoshimatsu H, Hayashi A, Yamamoto T, Visconti G, Karakawa R, Fuse Y, Iiad Y.
Visualization of the "intradermal plexus" using ultrasonography in the dermis flap: a step beyond perforator flaps.
Plast Reconstr Surg Glob Open. 2019 Nov 14;7(11):e2411
Yamamoto T, Yamamoto N, Kageyama T, Sakai H, Fuse Y, Tsuihiji K, Tsukuura R.
Definition of perforator flap: what does a "perforator" perforate?
Global Health & Medicine. 2019; 1(2):114-116. DOI: 10.35772/ghm.2019.01009
Yamamoto T, Yamamoto N, Kageyama T, Sakai H, Fuse Y, Tsuihiji K, Tsukuura R.
Supermicrosurgery for oncologic reconstructions.
Global Health & Medicine. 2020; 2(1):18-23. DOI: 10.35772/ghm.2019.01019
104・Arie A, Yamamoto T.
Buffalo skull-shaped supermicrosurgical lymphaticovenular anastomosis.
J Plast Reconstr Aesthet Surg. 2020 Feb 20 [published online]
Giacalone G, Yamamoto T, Belva F, Hayashi A.
Bedside 3D visualization of lymphatic vessels with a handheld multispectral optoacoustic tomography device.
J Clin Med. 2020;9(3):e815
Yamamoto T, Yamamoto N, Kageyama T, Sakai H, Fuse Y, Tsuihiji K, Tsukuura R.
Technical pearls in lymphatic supermicrosurgery.
Global Health & Medicine. 2020; 2(1):29-32. DOI: 10.35772/ghm.2019.01010
Yamamoto T. Congenital Vascular Malformation- Comprehensive Review on Current Management.
Part V. Contemporary Diagnosis: Imaging Modalities. Chapter 25.
Indocyanine Green (ICG) Lymphography. Springer
Yamamoto T.
ICG Fluorescence imaging and navigation surgery. Chapter 44. Comprehensive Lymphedema Evaluation using Dynamic ICG Lymphography.
Springer
Yamamoto T.
Management of surgical complications and unsatisfactory results after lymphaticovenular anastomosis (LVA): repeat LVA or lymph node transfer (Chapter 7).
Yamamoto T. Near-infrared fluorescent lymphography (Chapter 26): Lymphedema, BB Lee et al.
Springer International Publishing AG 2017
ほか

受賞

2010年6月　第34回日本リンパ学会西賞
「安全で効率的なリンパ管細静脈吻合術」
2011年10月　第52回日本脈管学会JCAA優秀賞
「ICGリンパ管造影ガイド下リンパ管細静脈吻合術」
2012年10月　第53回日本脈管学会JCAA優秀賞
「早期リンパ管細静脈吻合術による根治的上肢リンパ浮腫治療」
2013年9月　24th International Society of Lymphology (国際リンパ学会) Presidential Award
「MILS for early-stage lymphedema」
2013年10月　第54回日本脈管学会JCAA最優秀賞
「Supermicrosurgeryを用いた低侵襲リンパ浮腫外科治療」
2015年9月　25th International Society of Lymphology (国際リンパ学会) Presidential Award
「Pathophysiological evaluation of lymphedema using ICG Lymphography」
2016年9月　Plastic Surgery The Meeting 2016 (米国形成外科学会) Outstanding Paper Presentation
「Optimal Sites for Supermicrosurgical Lymphaticovenular Anastomosis」
2017年3月　第42回日本微小循環学会総会優秀賞
「Lymphatic Vessel Conditions in Lymphedema」
2017年9月　26th International Society of Lymphology (国際リンパ学会) Presidential Award
「Outcome analysis of supermicrosurgical lymphaticovenular anastomosis in 454 limbs」
2018年5月　14th Congress of European Federation of Societies for Microsurgery, Best Presentation
「Efferent lymphatic vessel anastomosis (ELVA)」
2019年9月　27th International Society of Lymphology (国際リンパ学会) Presidential Award、
「ICG Lymphography-guided Various Lymphatic Reconstructions」
2019年10月　第60回日本脈管学会JCAA優秀賞「無症候性下肢リンパ浮腫に対する輸出リンパ管吻合術」
2019年11月　22nd International Course on Perforator Flaps、
Best Presentation Award「A New Perforator Flap for Lymphatic Reconstruction without Lymph Node:
Lymph-Interpositional-Flap Transfer (LIFT) based on the Concept of Lymph Axiality」
2019年11月　第46回日本マイクロサージャリー学会、Outstanding Presentation Award:
Outstanding Presentation Award: APFSRM English session「Mastering the Superficial Circumflex Iliac Artery Perforator (SCIP) Flap: Various Chimeric SCIP Flaps including Skin, Fat, Lymph, Fascia, Muscle, Nerve, and Bone.」

招待講演、シンポジウム、パネル、座長

2010年6月　第34回日本リンパ学会、シンポジウム
「LEL index：簡便な下肢リンパ浮腫評価法」
2011年5月　第111回日本外科学会総会、招待講演（国際ビデオシンポジウム）
「Lymphaticovenular anastomosis for lymphedema」
2011年6月　6th World Society of Reconstructive Microsurgery、パネル
「Characteristic ICG lymphography findings in lymphedema」
2011年9月　第15回日本臨床解剖研究会、シンポジウム
「二次性下肢リンパ浮腫の超早期診断」
2011年10月　30th Korean Society for Microsurgery、招待講演
「Reconstructive Supermicrosurgery」
2012年10月　1st Asian Pacific Federation of Societies for Reconstructive Microsurgery、招待講演
「Minimally Invasive Lymphatic Supermicrosurgery (MILS)」
2012年12月　第39回日本マイクロサージャリー学会、招待講演（シンポジウム）
「ビデオで学ぶスーパーテクニック：リンパ管細静脈吻合術」
2012年12月　2nd International Course on Phlebo-Lymphology、招待講演
「Complementary aspect of supermicrosurgery」
2013年4月　International Symposium on Surgical Treatment of Lymphedema、招待講演
「Indocyanine green lymphography for navigation lymphatic supermicrosurgery」
2013年5月　Manchester University Micro- & Supermicrosurgery International Study Day、招待講演
「Reconstructive Supermicrosurgery」
2013年6月　第33回日本静脈学会、パネル
「最小侵襲リンパ超微小外科 (MILS)」
2013年9月　24th International Society of Lymphology、シンポジウム
「ICG lymphography for pathophysiological evaluation of obstructive lymphedema」
2014年3月　Barcelona Breast Meeting、招待講演
「The role of ICG lymphography」「MILS for early-stage lymphedema」「Preoperative assessment on lymphedema surgery」
2014年4月　第34回日本静脈学会、シンポジウム
「病態生理に基づいた閉塞性リンパ浮腫の診断と治療」
2014年6月　第37回日本リンパ学会、シンポジウム
「Pathophysiological Approach to Obstructive Lymphedema」
2014年9月　40th European Society of Lymphology、招待講演
「Lymphatic Supermicrosurgery」
2014年10月　第23回日本形成外科学会基礎学術集会、シンポジウム
「包括的リンパ機能・循環評価～ダイナミックICGリンパ管造影～」
2014年12月　第41回日本マイクロサージャリー学会、シンポジウム
「Reconstructive Supermicrosurgery for Lymphedema」
2015年9月　25th World Congress of Lymphology、パネル、座長
「Surgical Treatment of Lymphatic Disorders II」
2016年5月　第44回日本血管外科学会学術集会、Video Symposium
「Navigation Lymphatic Supermicrosurgery」
2016年6月　第36回日本静脈学会総会、シンポジウム
「Comprehensive Surgical Treatment for Lymphedema」
2016年9月　第25回日本形成外科学会基礎学術集会、シンポジウム
「Factors Associated with Lymphosclerosis」
2017年3月　6th World Symposium on Lymphedema Surgery、
Invited Lecture 「ICG lymphography」
2017年6月　9th Congress of World Society for Reconstructive Microsurgery、パネル、ITF paper
「The Efferent Lymphatic Vessel: Importance in Lymphatic Supermicrosurgery」
「Reconstructive Supermicrosurgery：Minimally Invasive Reconstructions」
2017年9月　26th International Society of Lymphology Congress (World Congress of Lymphology), Invited Lecture
「Yamamoto T reconstruction without lymphatic anastomosis or lymph node transfer: a new concept」
「ICG lymphography in lymphedema clinics」
「Application of navigation lymphatic supermicrosurgery in lymph node transfer」
2017年11月　75th Congress of the Korean Society of Plastic and Reconstructive Surgeons、Invited Lecture
「Lymphatic reconstructive supermicrosurgery」
2018年1月　American Society for Lymphatic Surgery 2018, Invited Lecture
「ICG lymphgoraphy: optimal lymph imaging for lymphatic supermicrosurgery」
2018年2月　5th Annual International Congress of Fluorescence Guided Surgery、Invited Lecture
Fluorescence-guided Supermicrosurgical LVA for Lymphedema
2018年5月　14th Congress of European Federation of Societies for Microsurgery, Invited Lecture
「When and how to do LVA: indication and limitation」
「Selection of LVA configurations」
「Navigation lymphatic supermicrosurgery: knacks and pitfalls」
「A new lymphatic reconstruction: LAB tissue transfer without LN or lymphatic anastomosis」
4th Congress of Asia Pacific Federation of Societies for Reconstructive Microsurgery, Invited Lecture
「Knacks and pitfalls in supermicrosurgical lymphaticovenular anastomosis」
Ankara University Special Lecture, Invited Lecture
「Reconstructive Supermicrosurgery: update 2018」
分子蛍光イメージング学会、Invited Symposium
「蛍光リンパ管造影ガイド下超微小外科的リンパ管細静脈吻合術」
2018年6月第40回日本リンパ学会総会、シンポジウム
「ICGリンパ管造影を用いたリンパ再建手術：リンパ管吻合から非吻合リンパ流再建まで」
2018年10月　2nd International Course on Supermicrosurgery, Invited Lecture
「Supemicrosurgical lymph node true perforator flap transfer」
「Outcome analysis of 2381 supermicrosurgical lympahticovenular anastomosis」
「Lymphatic supermicrosurgery for lymphorrhea and lymphocyst」
「Chimeric SCIP flaps: skin, fat, fascia, lymph node, nerve, muscle, and bone」
「Non-supermicrosurgical lymphatic reconstruction: a new method using lymphatic flap」
「Office-based lymphatic supermicrosurgery: quick LVA at outpatient clinic」
2018年11月　Plastic and Reconstructive Surgery Korea 2018, Invited Lecture
「A new lymphatic reconstruction: LAB flap」
2019年3月　Live Surgery Demonstration of the First Cases of Lymphedema Surgery in Poland
「Demonstration of lymphatic supermicrosurgery」
2019年5月　3rd International Course on Supermicrosurgery, Invited Lectures
「To be a super-microsurgeon: mastering techniques and applications」「Various applications of SCIP flaps; thinnest flap an chimeric flaps」
2019年5月　45th Meeting of the European Society of Lymphology
「NIRFI lymphography in the classification of lymphedematous patients」
2019年5月第62回日本形成外科学会総会
「世界へはばたけ！”スーパー”マイクロサージャン」
2019年6月第33回日本外傷学会
「スーパーマイクロサージャリー：再建外科最前線」
2019年6月　10th Congress of World Society for Reconstructive Microsurgery
「Efferent lymphatic vessel anastomosis (ELVA) for subclinical lymphedema」
「Optimal timing and sites for LVA from the lymphodynamic point of view」
「Supermicrosurgical LNT: LN perforator flap with ELVA」
「Dynamic ICG lymphography: optimal method for lymphatic supermicrosurgery」
「A new dissection plane for super-thin/pure-skin-perforator flaps: subdermal layer dissection」
「Lymphatic reconstruction based on a new concept: lymph-axiality-based flap」
2019年8月　The 18th Chinese National Congress of Chinese Society of Plastic Surgeons
「Microsurgery for Lymphatic Reconstruction」
「Near-infrared Fluorescent ICG Lymphography for Lymphedema Evaluation」
2019年9月　Supermicrosurgery Training Course in Surgical Treatment for Lymphedema ISL Course
「Lymphatic Supermicrosurgery」
2019年9月　27th International Society of Lymphology: World Congress of Lymphology 2019
「Dynamic ICG Lymphography」
「New Lymphatic Reconstruction: Lymph-interpositional-flap Transfer」
2019年10月　第60回日本脈管学会総会
「病態生理に基づいたリンパ管疾患のリンパ再建手術」
2019年10月　International Practical Course in Supermicrosurgery and Lymphati Surgery
「Lymphosclerosis: Pathological changes in lymphatic vessels」
「Lymphedema Index: body-type corrected lymphedematous limb volume evaluation」
「Dynamic ICG Lymphography：comprehensive assessment」
「ICG Lymphography Classification for Primary Lymphedema」
「Lymphatic Supermicrosurgery for Lymphocyst」
「Supermicrosurgical Lymph Node Transfer and Non-supermicrosurgical Lymphatic Tissue Transfer」
「Little Tricks in LVA Surgery」
2019年11月　第46回日本マイクロサージャリー学会
「ICGリンパ管造影ナビゲーション下血管柄付きリンパ節移植：輸出リンパ管吻合（ELVA）有vs無」
2019年12月　2nd Dissection Techniques in Lymphatic Microsurgery: Honds on Live Animal Model 「LVA: Technical Tricks and Tips」
「Ultrasound Visualization of the Lymphatic Vessels: a New Tool for Pre-operative Planning」
「Videosurgery LVA」
「Pre/Post-operative Concervative Treatment and Follow-up」
「How to Treat Lymphatic Fistulas and Lymphorrhea」
2020年1月　American Association for Hand Surgery 2020
「Instructional course: lymphatic imaging」

日本語論文・教科書など

山本匠、ほか。
よくわかるリンパ浮腫のすべて。
87-96ページ、2011、永井書店、東京
山本匠、ほか。
下肢リンパ浮腫に対するリンパ管細静脈吻合術。
エキスパート形成・再建外科：一目でわかる術式選択とテクニック。312-25ページ、2010年、中山書店、東京
山本匠、ほか。
簡便な下肢リンパ浮腫評価法。
日本リンパ学会誌 2010;33(2)
山本匠、ほか。
安全で効率的なリンパ管細静脈吻合術。
日本リンパ学会誌 2010;33(2)
山本匠、ほか。
リンパ管細静脈吻合術：超微小血管吻合によるリンパ浮腫治療。
血管外科 2011;30(1): 45-49.
山本匠、ほか。
二次性下肢リンパ浮腫の超早期診断：subclinical lymphedemaの臨床的意義。
日本臨床解剖研究会記録 2012;2:32-33.
山本匠、ほか。
ICGリンパ管造影とリンパ管細静脈吻合術によるリンパ浮腫の診断と治療、神経束反転法による神経再建。
整形外科・災害外科2012;55(4):357-64.
山本匠、ほか。
ICGリンパ管造影ガイド下リンパ管細静脈吻合術。
日本脈管学会誌 2012; 52:327-31.
山本匠、ほか。
ICGリンパ管造影による末梢性リンパ浮腫の病態評価。
日本静脈学会誌2013;24:57-62
ほか

English version

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