Banis J C, Acland R D
Arch Surg. 1984 Jun;119(6):673-9. doi: 10.1001/archsurg.1984.01390180039007.
Six patients had major deficits reconstructed with microsurgical free tissue transfer. In contrast to some opinions that free tissue transfer is a "method of last resort," these patients were selected for microsurgical reconstruction as a method of first choice due to the qualities desired in the reconstruction, the reliability of the technique, and the desire to minimize the functional or aesthetic deficit at the donor site. Microsurgical techniques allowed a reconstruction in these cases that would have been difficult or impossible by conventional techniques, while they markedly improved the quality and reliability of the reconstruction and decreased the donor morbidity. Microsurgical free tissue transfer has been reported to have a success rate of 94% in centers where a significant volume of surgery is done. We believe the continued refinement of microsurgical techniques and their increased application will improve the results of reconstruction in a large category of severe traumatic and cancer defects.
6例患者采用显微外科游离组织移植修复严重缺损。与一些认为游离组织移植是“最后的手段”的观点不同，由于重建所需的特性、该技术的可靠性以及将供区功能或美观缺陷降至最低的愿望，这些患者被选为首选显微外科重建方法。显微外科技术使这些病例得以重建，而这用传统技术是困难的或不可能的，同时显著提高了重建的质量和可靠性，并降低了供区并发症。据报道，在大量开展此类手术的中心，显微外科游离组织移植的成功率为94%。我们相信，显微外科技术的持续改进及其更多应用将改善一大类严重创伤和癌症缺损的重建效果。
