Willcox T M, Smith A A
Department of Surgery, Mayo Clinic Scottsdale, Scottsdale, Arizona, USA.
Semin Surg Oncol. 2000 Oct-Nov;19(3):246-54. doi: 10.1002/1098-2388(200010/11)19:3<246::aid-ssu6>3.0.co;2-f.
Free tissue transfer is the autologous transplantation of composite tissue and its arterial and venous blood supply to a distant site. Free tissue transfers, also called free flaps, may include skin, fascia, muscle, or bone. Free flaps were once considered highly complex procedures; now they are frequently used as the reconstructive option of choice. While several variables must be considered when one plans a free tissue transfer, the most important consideration is the size and location of the defect created by the tumor resection. Free tissue transfer is a multistep procedure, including preparation of the recipient site, harvesting of the flap, and transfer and revascularization of the flap. For upper extremity reconstruction, the gracilis muscle flap has been particularly useful, as has the lateral arm fasciocutaneous flap. Semin. Surg. Oncol. 19:246-254, 2000.
游离组织移植是将复合组织及其动静脉血供自体移植到远处部位。游离组织移植，也称为游离皮瓣，可包括皮肤、筋膜、肌肉或骨骼。游离皮瓣曾被认为是高度复杂的手术；现在它们经常被用作首选的重建选择。虽然在计划游离组织移植时必须考虑几个变量，但最重要的考虑因素是肿瘤切除造成的缺损的大小和位置。游离组织移植是一个多步骤的过程，包括受区准备、皮瓣切取以及皮瓣的转移和血管重建。对于上肢重建，股薄肌皮瓣和上臂外侧筋膜皮瓣都特别有用。《外科肿瘤学 Seminars》19:246 - 254，2000年。
