In the current case, we chose the incision site according to the findings of ICG lymphography, considering there may be some occlusive mechanism at the ICG disruption point. As expected, we could find a suddenly shrunken proximal part and the dilated distal part of the lymphatic vessel. This fact suggests that if we performed LVA at the distal side of the disruption in ICG lymphography, this may lead to good results of LVA.