Three patients with lymphedema and/ or lymphatic fistula following sarcoma resection were included. All patients presented lymphedema stage II-III of the affected extremity and two had additional lymphocele. Lymphovenous anastomosis (LVA) on the knee or upper ankle joint was performed in all patients beyond lymphocele resection.LVA showed regression of lymphedema in all patients. Moreover, complete healing of lymphatic fistulas and dissolution of lymphocele was observed in the affected patients. No postoperative complications occurred. Conclusion:Performing LVA showed successful regression of lymphedema, dissolution of lymphocele and healing of lymphatic fistulas. Prophylactic LVA may be considered in tumor resections in areas at risk of lymphatic injury to prevent lymphatic complications.