用于游离皮瓣头颈部重建的4K三维微型视频显微镜（VITOM 3D）系统的初步临床经验。
Preliminary clinical experience with the 4 K3-dimensional microvideoscope (VITOM 3D) system for free flap head and neck reconstruction.
作者信息
De Virgilio Armando, Mercante Giuseppe, Gaino Francesca, Yiu Phil, Mondello Tiziana, Malvezzi Luca, Colombo Giovanni, Pellini Raul, Spriano Giuseppe
机构信息
Otorhinolaryngology Unit, Humanitas Clinical and Research Center-IRCCS, Rozzano (MI), Italy.
Department of Biomedical Sciences, Humanitas University, Pieve Emanuele (MI), Italy.
出版信息
Head Neck. 2020 Jan;42(1):138-140. doi: 10.1002/hed.25979. Epub 2019 Oct 30.
BACKGROUND
To demonstrate the use of a 4 K 3-dimensional microvideoscope (VITOM 3D) system for free flap head and neck reconstruction.
METHODS
Clinical human study of free flap harvesting and microvascular anastomosis in patients undergoing reconstruction after ablative surgery for head and neck carcinoma. The video shows the harvesting of a chimeric myofascial/fascio-cutaneous anterolateral thigh free flap and microvascular anastomosis using different techniques.
RESULTS
The VITOM 3D exoscope system provided sufficient access, reach, and visualization to perform successfully free flap harvesting and microvascular anastomosis. Using the 3D glasses, both surgeons and nurses can have the same visualization throughout the entire procedure. We performed 10 arterial and venous anastomosis without significant complications.
CONCLUSIONS
This study demonstrates the technical feasibility of free flap harvesting and microvascular anastomosis using the 4 K3-Dimensional Microvideoscope (VITOM 3D) System.
背景
展示4K三维显微视频镜（VITOM 3D）系统在游离皮瓣头颈部重建中的应用。
方法
对头颈部癌切除术后接受重建手术的患者进行游离皮瓣切取和微血管吻合的临床人体研究。视频展示了采用不同技术切取嵌合型肌筋膜/筋膜皮肤股前外侧游离皮瓣及微血管吻合的过程。
结果
VITOM 3D外视镜系统提供了足够的操作空间、视野范围和可视化效果，得以成功进行游离皮瓣切取和微血管吻合。使用3D眼镜，外科医生和护士在整个手术过程中都能获得相同的视野。我们进行了10次动静脉吻合，无明显并发症。
结论
本研究证明了使用4K三维显微视频镜（VITOM 3D）系统进行游离皮瓣切取和微血管吻合的技术可行性。
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