<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2025000400012</article-id>
<article-id pub-id-type="doi">10.24875/ciru.25000180</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento quirúrgico del linfedema secundario al cáncer de mama: revisión actualizada]]></article-title>
<article-title xml:lang="en"><![CDATA[Surgical treatment of breast cancer-related lymphedema: an updated review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maciel-Miranda]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jasso-García]]></surname>
<given-names><![CDATA[Kelvin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montag]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ciudad]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escrivá-Machado]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[Nicolás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Oncológico Nacional Servicio de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Zapopan ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Puerta de Hierro Andares The Breast and Body Center ]]></institution>
<addr-line><![CDATA[Zapopan ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Institute of Cancer of the State of São Paulo Servicio de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Paulo ]]></addr-line>
<country>Brasil</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Clínica Internacional Unidad de Mama ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Nacional Arzobispo Departamento de Cirugía Plástica, Reconstructiva y Quemados ]]></institution>
<addr-line><![CDATA[Lima ]]></addr-line>
<country>Peru</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Clínica Escrivá  ]]></institution>
<addr-line><![CDATA[Nayarit ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Centro Especializado en Linfedema y Lipedema  ]]></institution>
<addr-line><![CDATA[Santiago ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Hospital del Trabajador Departamento de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Santiago ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<volume>93</volume>
<numero>4</numero>
<fpage>443</fpage>
<lpage>454</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2025000400012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2025000400012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2025000400012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El linfedema secundario al cáncer de mama es una complicación frecuente tras la disección ganglionar y la radioterapia, con un impacto negativo en la calidad de vida de las pacientes. El objetivo de esta revisión es presentar los avances en el tratamiento quirúrgico del linfedema relacionado con cáncer de mama, destacando las técnicas más recientes y su papel en la prevención y el manejo en distintas etapas de la enfermedad. Se llevó a cabo una revisión exhaustiva de la literatura disponible en bases de datos internacionales (PubMed, Scopus, Web of Science), enfocada en estudios originales, revisiones sistemáticas y metaanálisis que abordaran las técnicas quirúrgicas para el manejo del linfedema secundario al cáncer de mama. En la revisión se incluyeron artículos publicados en los últimos 10 años. Se describen distintas estrategias quirúrgicas, como la anastomosis linfático-venosa, la transferencia de ganglios linfáticos vascularizados, la reconstrucción linfática inmediata y la liposucción. La elección de la técnica depende de la etapa clínica del linfedema, de la disponibilidad de equipos y de la experiencia en microcirugía. La evidencia actual indica que el tratamiento quirúrgico temprano puede disminuir la progresión del linfedema, mejorar la calidad de vida y reducir el número de episodios infecciosos. La cirugía linfática ofrece resultados prometedores en la prevención y el tratamiento del linfedema secundario al cáncer de mama. Aunque se han logrado avances significativos -incluida la supermicrocirugía y los procedimientos de prevención inmediata- persiste la necesidad de ensayos clínicos aleatorizados que aporten mayor solidez a las recomendaciones. Un abordaje interdisciplinario y la selección adecuada de las pacientes son cruciales para optimizar los resultados.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Breast cancer-related lymphedema is a common complication after axillary lymph node dissection and radiotherapy, significantly affecting patients' quality of life. This review aims to outline the latest surgical advances for his management, highlighting current techniques and their role in prevention and treatment at various stages of the disease. An extensive literature review was performed in major databases (PubMed, Scopus, Web of Science), focusing on original studies, systematic reviews, and meta-analyses addressing surgical techniques for the management of breast cancer-related lymphedema. Articles published in the last 10 years were included. Several surgical approaches are described, including lymphaticovenous anastomosis, vascularized lymph node transfer, immediate lymphatic reconstruction, and liposuction. The choice of procedure depends on the clinical stage of lymphedema, the availability of expertise and micro-surgical equipment. Current evidence shows that early surgical management can reduce disease progression, improve quality of life, and lower the incidence of infectious episodes. Lymphatic surgery offers promising outcomes in both prevention and treatment of breast cancer-related lymphedema. Although significant advances -such as supermicrosurgery and immediate prophylactic procedures- have been made, there is still a need for randomized clinical trials to strengthen clinical recommendations. An interdisciplinary approach and careful patient selection are critical to optimizing outcomes.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Linfedema]]></kwd>
<kwd lng="es"><![CDATA[Cáncer de mama]]></kwd>
<kwd lng="es"><![CDATA[Reconstrucción linfática]]></kwd>
<kwd lng="es"><![CDATA[Anastomosis linfático-venosa]]></kwd>
<kwd lng="es"><![CDATA[Supermicrocirugía]]></kwd>
<kwd lng="en"><![CDATA[Lymphedema]]></kwd>
<kwd lng="en"><![CDATA[Breast cancer]]></kwd>
<kwd lng="en"><![CDATA[Lymphatic reconstruction]]></kwd>
<kwd lng="en"><![CDATA[Lymphaticovenous anastomosis]]></kwd>
<kwd lng="en"><![CDATA[Supermicrosurgery]]></kwd>
</kwd-group>
</article-meta>
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