Sakai Y, Okazaki M, Kobayashi S, Ohmori K
Department of Dermatology, Chiba University School of Medicine, Japan.
Br J Plast Surg. 1996 Jun;49(4):228-32. doi: 10.1016/s0007-1226(96)90056-9.
The technique of endoscopic excision of large capsulated lipomas is presented and the versatility of this method is discussed based on our clinical experience. We have applied this new technique in 6 cases. In all cases the lipoma was completely removed in one piece through a single incision, up to 1.5 cm in length. The endoscope made it possible to view the lipoma through a narrow space with a wide range of vision on a TV monitor. We stress that this method is not only appropriate as treatment for benign lipomas but also effective from a cosmetic point of view. The applications of the endoscope should widen in plastic surgery when the advantages of it are recognized and new operative approaches for using it are developed.
本文介绍了内镜下切除大型包膜脂肪瘤的技术，并根据我们的临床经验讨论了该方法的通用性。我们已将这项新技术应用于6例患者。所有病例的脂肪瘤均通过一个长度达1.5厘米的单一切口完整切除。内镜能够通过狭窄空间观察脂肪瘤，并在电视监视器上提供广阔视野。我们强调，这种方法不仅适用于良性脂肪瘤的治疗，而且从美容角度来看也是有效的。当内镜的优势得到认可并开发出新的使用方法时，其在整形外科的应用将会更加广泛。
