Sinclair M H
Ann Plast Surg. 1979 Mar;2(3):246-53.
This paper discusses and illustrates the complicated problems faced by the plastic surgeon in a cancer hospital. His patients are often weakened, both physically and psychologically, not only by the cancer itself, but also by extensive ablative surgery. The goal of the plastic surgeon is rehabilitation of the patient after he is cured of cancer. Good planning with the cancer surgeon before the ablative operation is very important, as is immediate repair, whenever possible. The simplest procedure with the fewest stages that can accomplish satisfactory repair in the shortest time should be chosen, as we can never, even after the most extensive cancer operation, be sure that no recurrence will appear. Partial surgical repair and the use of a prosthesis should be considered for complicated defects in old and weak patients. Postoperative radiation therapy, if indicated, can be given after the flap has healed into the defect but before the pedicle is separated. The plastic surgeon should always be aware that his most important goal is speedy and satisfactory rehabilitation of the patient.
本文讨论并阐述了癌症医院整形外科医生所面临的复杂问题。他的患者往往在身体和心理上都很虚弱，这不仅是由癌症本身造成的，也是广泛的切除手术所致。整形外科医生的目标是在患者治愈癌症后使其康复。在切除手术前与癌症外科医生进行良好的规划非常重要，尽可能立即进行修复同样重要。应选择在最短时间内能够完成满意修复的最简单、阶段最少的手术程序，因为即使在进行了最广泛的癌症手术后，我们也永远无法确定不会出现复发情况。对于年老体弱患者的复杂缺损，应考虑进行部分手术修复并使用假体。如果有指征，术后放疗可在皮瓣愈合进入缺损后但在蒂部切断之前进行。整形外科医生应始终意识到，他最重要的目标是使患者迅速且满意地康复。
