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四周后尸体的吲哚菁绿淋巴造影:对超显微外科培训模型的启示

ICG Lymphography in a 4-week Postmortem Cadaver: Implications for a Supermicrosurgery Training Model.

作者信息

Zolper Elizabeth G, Bekeny Jenna C, Fan Kenneth L, Tzou Chieh-Han John, Song David H

机构信息

Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC.

Plastic and Reconstructive Surgery, Department of Surgery, Hospital of Divine Savior, Vienna, Austria.

出版信息

Plast Reconstr Surg Glob Open. 2021 Mar 26;9(3):e3468. doi: 10.1097/GOX.0000000000003468. eCollection 2021 Mar.

DOI:10.1097/GOX.0000000000003468
PMID:33786261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7997089/
Abstract

Surgical models are invaluable resources for training and for research and innovation. In the field of supermicrosurgery (SM), options for surgical models remain limited and imperfect. We report the use of a fresh, previously frozen 4-week postmortem cadaveric specimen for successful distal to proximal indocyanine green (ICG) lymphography of the upper extremity. Our technique was confirmed with handheld SPY fluorescence imaging, which visualized a clearly defined, linear lymphatic system. By outlining a straightforward, reproducible method of lymphatic mapping in cadaveric specimens, our group aims to expand the frontiers of surgical models for SM.

摘要

手术模型是培训、研究和创新的宝贵资源。在超显微外科(SM)领域,手术模型的选择仍然有限且存在缺陷。我们报告了使用一个新鲜的、先前冷冻的4周龄尸检尸体标本成功进行上肢从远端到近端的吲哚菁绿(ICG)淋巴造影。我们的技术通过手持式SPY荧光成像得到了证实,该成像显示出一个清晰界定的线性淋巴系统。通过概述一种在尸体标本中进行淋巴图谱绘制的直接、可重复的方法,我们团队旨在拓展SM手术模型的前沿领域。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/077c/7997089/b99320a0fe4d/gox-9-e3468-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/077c/7997089/b99320a0fe4d/gox-9-e3468-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/077c/7997089/b99320a0fe4d/gox-9-e3468-g001.jpg

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ICG Lymphography in a 4-week Postmortem Cadaver: Implications for a Supermicrosurgery Training Model.四周后尸体的吲哚菁绿淋巴造影:对超显微外科培训模型的启示
Plast Reconstr Surg Glob Open. 2021 Mar 26;9(3):e3468. doi: 10.1097/GOX.0000000000003468. eCollection 2021 Mar.
2
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本文引用的文献

1
A supermicrosurgery pig foot training model for practice of lymphaticovenular anastomosis.一种用于淋巴管静脉吻合术练习的超显微外科猪蹄训练模型。
Microsurgery. 2020 Jan;40(1):91-92. doi: 10.1002/micr.30521. Epub 2019 Oct 18.
2
Refinement of the chicken wing supermicrosurgical training model: Pre-operative indocyanide green injection highlighting vessels' visualization under 0.4 mm of diameter.鸡翅超显微外科训练模型的改进:术前注射吲哚菁绿以突出直径0.4毫米以下血管的可视化。
Microsurgery. 2019 Mar;39(3):280-281. doi: 10.1002/micr.30414. Epub 2019 Jan 21.
3
Clinical Cadavers as a Simulation Resource for Procedural Learning.
临床尸体作为程序学习的模拟资源
AEM Educ Train. 2018 Jun 6;2(3):239-247. doi: 10.1002/aet2.10103. eCollection 2018 Jul.
4
Evolution of an evidence-based supermicrosurgery simulation training curriculum: A systematic review.
J Plast Reconstr Aesthet Surg. 2018 Jul;71(7):976-988. doi: 10.1016/j.bjps.2018.04.005. Epub 2018 Apr 12.
5
A Fresh Cadaver Study on Indocyanine Green Fluorescence Lymphography: A New Whole-Body Imaging Technique for Investigating the Superficial Lymphatics.吲哚菁绿荧光淋巴造影的新鲜尸体研究:一种新的全身成像技术,用于研究浅表淋巴管。
Plast Reconstr Surg. 2018 May;141(5):1161-1164. doi: 10.1097/PRS.0000000000004315.
6
Lymphosome concept: Anatomical study of the lymphatic system.淋巴小体概念:淋巴系统的解剖学研究。
J Surg Oncol. 2017 Jan;115(1):13-17. doi: 10.1002/jso.24332. Epub 2016 Jun 22.
7
Lymphatic anatomy of the inguinal region in aid of vascularized lymph node flap harvesting.腹股沟区的淋巴解剖学对带血管蒂淋巴结皮瓣切取的帮助
J Plast Reconstr Aesthet Surg. 2015 Mar;68(3):419-27. doi: 10.1016/j.bjps.2014.10.047. Epub 2014 Nov 11.
8
Establishment of supermicrosurgical lymphaticovenular anastomosis model in rat.大鼠超显微外科淋巴静脉吻合模型的建立。
Microsurgery. 2017 Jan;37(1):57-60. doi: 10.1002/micr.22335. Epub 2014 Oct 3.
9
Barcelona consensus on supermicrosurgery.巴塞罗那超级显微外科共识
J Reconstr Microsurg. 2014 Jan;30(1):53-8. doi: 10.1055/s-0033-1354742. Epub 2013 Sep 13.