Morioka Daichi, Sato Nobuhiro, Ohkubo Fumio
Department of Plastic and Reconstructive Surgery, Showa University, Tokyo, Japan
Department of Plastic and Reconstructive Surgery, Showa University, Tokyo, Japan.
J Cutan Med Surg. 2016 May;20(3):263-5. doi: 10.1177/1203475415626414. Epub 2016 Jan 4.
Many large lipomas are removed under general anesthesia, because more local anesthesia than is safe to inject may be required for complete excision of such large tumors.
The authors performed total excision using tumescent local anesthesia in an outpatient clinic for 23 patients with solitary large lipomas.
The longest diameter of the lesions on magnetic resonance imaging ranged from 10 to 22 cm. Mean length of the skin incision was 4.8 cm, and 56 mL of the tumescent solution on average was used for each patient. The postoperative courses of all patients, except for 1 patient who developed a hematoma, were uneventful.
With judicious patient selection after physical examination and magnetic resonance imaging findings, total excision of large lipomas under tumescent local anesthesia can be performed safely in an outpatient setting.
许多大型脂肪瘤在全身麻醉下切除，因为完全切除此类大型肿瘤可能需要注射超过安全剂量的局部麻醉剂。
作者在门诊使用肿胀局部麻醉对23例孤立性大型脂肪瘤患者进行了完全切除。
磁共振成像显示病变的最长直径为10至22厘米。皮肤切口的平均长度为4.8厘米，每位患者平均使用56毫升肿胀液。除1例出现血肿的患者外，所有患者的术后病程均顺利。
根据体格检查和磁共振成像结果谨慎选择患者，在肿胀局部麻醉下可在门诊安全地对大型脂肪瘤进行完全切除。
