Division of Plastic and Reconstructive Surgery, Mayo Clinic, 200 First Street, Rochester, MN 55905, USA.
Division of Plastic and Reconstructive Surgery, Mayo Clinic, 200 First Street, Rochester, MN 55905, USA.
Clin Plast Surg. 2020 Oct;47(4):547-559. doi: 10.1016/j.cps.2020.06.007.
Reconstruction of soft tissue defects following tumor ablation procedures in the trunk and extremities can challenge the microsurgeon. The goal is not just to provide adequate soft tissue coverage but also to restore form and function and minimize donor site morbidity. Although the principles of the reconstructive ladder still apply in the trunk and extremities, free tissue transfer is used in many cases to optimally restore form and function. Microsurgery has changed the practice in soft tissue tumors, and amputation is less frequently necessary.
胸腹部和四肢肿瘤消融术后的软组织缺损的重建对显微外科医生来说是一个挑战。其目标不仅仅是提供足够的软组织覆盖，还要恢复形态和功能，同时将供区并发症的发生率降到最低。虽然重建阶梯的原则在胸腹部和四肢仍然适用，但在许多情况下，游离组织移植被用于最佳地恢复形态和功能。显微外科改变了软组织肿瘤的治疗方式，使得截肢不再那么频繁。
