Imai Hirofumi, Yoshida Shuhei, Mese Toshiro, Roh Solji, Koshima Isao
International Center for Lymphedema, Hiroshima University Hospital, Hiroshima, Japan.
J Plast Reconstr Surg. 2022 Jan 27;1(1):31-33. doi: 10.53045/jprs.2021-0010.
Supermicrosurgery, a technique involving the dissection and anastomosis of small vessels, has revolutionized the field of lymphedema treatment. However, in a lymphatic venous anastomosis, an arduous technique is required to manipulate the 0.1-0.8-mm lymphatic channels, whereas conventional microsurgery deals with 0.8-2.0-mm vessels. Although several practice models in lymph supermicrosurgery are available, the upgradation of lymph supermicrosurgical skills in human lymphatic venous anastomosis has not been reported. In this study, we suggest the efficacy steps of the lymph supermicrosurgical technique for surgeons who are not accustomed to microsurgery. After acquiring 1 year of experience in lymph microsurgery, using the line production system and intravascular stenting method, the author along with experienced supermicrosurgeons concludes that accurate anastomosis of the small lymph channel is possible in a safe and rapid manner. In this study, tips for lymphatic venous anastomosis are described in the text and video.
超级显微外科手术是一种涉及小血管解剖和吻合的技术，它彻底改变了淋巴水肿的治疗领域。然而，在淋巴管静脉吻合术中，需要一种艰巨的技术来操作0.1 - 0.8毫米的淋巴管，而传统显微外科手术处理的是0.8 - 2.0毫米的血管。尽管有几种淋巴超级显微外科手术的练习模型，但尚未有关于人类淋巴管静脉吻合术中淋巴超级显微外科技术升级的报道。在本研究中，我们为不习惯显微外科手术的外科医生提出了淋巴超级显微外科技术的有效步骤。在获得1年的淋巴显微外科手术经验后，使用流水线生产系统和血管内支架置入方法，作者与经验丰富的超级显微外科医生得出结论，小淋巴管的精确吻合可以安全、快速地进行。在本研究中，淋巴管静脉吻合术的技巧在文本和视频中进行了描述。
