Pinski K S, Roenigk H H
Department of Dermatology, Northwestern University, Chicago, Illinois.
Dermatol Clin. 1990 Jul;8(3):483-92.
When lipomas reach 4 cm or more in size or are multiple, liposuction becomes an excellent alternative to excisional surgery. The basic concept is that fat lobules are bluntly broken down or curetted by a cannula and then removed through the cannula's aperture by a vacuum force generated from a suction machine. There are few minor sequelae, and these are rarely of a prolonged nature. The benefits of liposuction are decreased surgical time, a shorter scar, a better final contour, and the ability to remove several lipomas through one opening. In addition, liposuction surgery is a useful modality for the removal of lipomas because of the low recurrence rate and minimal malignant potential of these tumors.
当脂肪瘤大小达到4厘米或更大，或为多发性时，抽脂术成为切除手术的绝佳替代方案。其基本原理是，脂肪小叶被套管钝性分解或刮除，然后通过抽脂机产生的真空吸力经套管开口吸出。术后轻微后遗症较少，且很少持续很长时间。抽脂术的优点包括手术时间缩短、疤痕较短、最终外形更好，以及能够通过一个切口切除多个脂肪瘤。此外，由于这些肿瘤的复发率低且恶变可能性极小，抽脂手术是一种切除脂肪瘤的有效方式。
