使用 4K 三维手术显微镜系统（VITOM 3D）进行头颈部重建的游离皮瓣微血管吻合术。
Free flap microvascular anastomosis in head and neck reconstruction using a 4K three-dimensional exoscope system (VITOM 3D).
机构信息
Otorhinolaryngology Unit, Humanitas University, Humanitas Clinical and Research Centre - IRCCS, Rozzano, Milan, Italy; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Otorhinolaryngology Unit, Humanitas University, Humanitas Clinical and Research Centre - IRCCS, Rozzano, Milan, Italy.
出版信息
Int J Oral Maxillofac Surg. 2020 Sep;49(9):1169-1173. doi: 10.1016/j.ijom.2020.01.022. Epub 2020 Feb 10.
The aim of this study was to evaluate the feasibility of microvascular anastomosis using a 4K three-dimensional exoscope system (VITOM 3D) in 10 consecutive cases of free flap head and neck reconstructive surgery. This was a clinical human study of free flap microvascular anastomosis using a VITOM 3D exoscope in 10 consecutive patients undergoing reconstruction after ablative surgery for head and neck carcinoma. Microvascular anastomoses were performed successfully using the exoscope in all patients, without any need for the conventional microscope. Arterial anastomoses were all end-to-end. Venous anastomoses were end-to-end in eight cases and end-to-side with the internal jugular vein in two cases. This study demonstrates the technical feasibility of microvascular anastomosis using a 4K three-dimensional exoscope system (VITOM 3D) in a series of 10 cases.
本研究旨在评估在 10 例连续行游离皮瓣头颈部重建术的患者中使用 4K 三维手术显微镜系统（VITOM 3D）进行微血管吻合的可行性。这是一项连续 10 例因头颈部癌行根治性手术后行游离皮瓣重建的患者使用 VITOM 3D 手术显微镜行游离皮瓣微血管吻合的临床人体研究。所有患者均成功地使用手术显微镜完成了微血管吻合，无需使用传统显微镜。动脉吻合均端端吻合。8 例静脉端端吻合，2 例静脉端侧吻合与颈内静脉。本研究在 10 例连续病例中证明了使用 4K 三维手术显微镜系统（VITOM 3D）进行微血管吻合的技术可行性。
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