Peev Igor, Spasevska Liljana, Mirchevska Elizabeta, Tudzarova-Gjorgova Smilja
University Clinic for Plastic and Reconstructive Surgery, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Institute of Pathology, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje, Republic of Macedonia.
Open Access Maced J Med Sci. 2017 Oct 14;5(6):766-770. doi: 10.3889/oamjms.2017.186. eCollection 2017 Oct 15.
Lipomas are the most frequent soft -tissue tumors arising from adipose tissue. Traditionally, open surgery is a mainstay of their treatment. Recently, new treatment modalities emerge in order to decrease morbidity, to increase satisfaction rate in patents, but not to raise recurrence risk at the same time.
The aim of this article is to present our experience with liposuction assisted lipoma removal in terms of efficacy, complications, risk of recurrence and patient satisfaction.
The study was prospective in which treated lipomas with vacuum suction were analyzed. Preoperative diagnosis comprised clinical exam and additional diagnostic tools as to rule out malignancy. Subcutaneous lipomas with diameter of at least 5 cm were taken into account. Tumescent liposuction technique with modification was used.
Lipoma's size, distribution and demographics are given. Total removal with affordable rate of complication was achieved in each case. No recurrences in 12 months follow-up period were seen. Satisfaction rate in patients was high.
Liposuction assisted lipoma removal is a good alternative to open approach lipectomy and we would recommend its use in selected cases where, it might be more advantageous. However, prospective randomized controlled studies are needed in order to estimate its accurate clinical value.
脂肪瘤是最常见的起源于脂肪组织的软组织肿瘤。传统上，开放手术是其主要治疗方法。近来，出现了新的治疗方式，以降低发病率，提高患者满意度，同时又不增加复发风险。
本文旨在介绍我们在抽脂辅助脂肪瘤切除方面的疗效、并发症、复发风险及患者满意度方面的经验。
本研究为前瞻性研究，分析了采用真空抽吸治疗的脂肪瘤。术前诊断包括临床检查及其他排除恶性肿瘤的诊断工具。纳入直径至少5厘米的皮下脂肪瘤。采用改良的肿胀吸脂技术。
给出了脂肪瘤的大小、分布及人口统计学数据。每例均实现了完全切除，并发症发生率可接受。在12个月的随访期内未见复发。患者满意度高。
抽脂辅助脂肪瘤切除是开放手术抽脂术的良好替代方法，我们建议在某些可能更具优势的特定病例中使用。然而，需要进行前瞻性随机对照研究以评估其准确的临床价值。
