The preliminary application of 3-dimensional visual technique without eyepiece in repairing breast defect af-ter radical mastectomy in 2 cases of breast cancer
10.3760/cma.j.issn.1001-2036.2019.05.004
- VernacularTitle:脱目镜三维可视技术在两例乳腺癌根治术后乳房缺损修复中的初步应用
- Author:
Lan MU
1
;
Yan LIU
;
Ye BI
;
Huiran ZANG
;
Saisai CAO
;
Hui TANG
;
Yi ZHU
;
Yujie CHEN
;
Kai YANG
;
Cai WANG
Author Information
1. 北京大学人民医院整形美容科
- Keywords:
Three-dimensional visual technique vessel(3-dimension screen);
Without eyepiece;
Breast re-construction;
Lymphedema;
Microvascular anastomosis;
Lymphatic vessel anastomosis
- From:
Chinese Journal of Microsurgery
2019;42(5):434-437
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the possibility of microsurgical anastomosis of artery, vein and lymphat-ic vessel under 3-dimension screen without eyepiece. Methods During March, 2019, 2 cases (48 and 62 years old) were operated for breast reconstruction, chest wall deformity modified, and axillary scar contracture release, under 3-dimension screen without eyepiece.Deep epigastric artery perforators (artery and vein) dissections were carried on, and microsurgical anastomosis of artery, vein and lymphatic vessel were finished. Coupler was used to do the end-to-end anastomosis of veins (2.5 mm), interrupted suture end-to-end anastomosis with 9-0 nylon for artery (2.0 mm). Reverse arm lymphatic dynamic fluorescence methylene blue tracer under Near Infrared Imaging was used to test the func-tion of lymphatic system. The ends of 2 dominant drainage lymphatic vessels was found in the released axillary area (0.2 mm and 0.3 mm, respectively), and were anastomosis to the vein (0.5 mm) of lateral chest lymphatic tissue.Im-mediate methylene blue tracer under near infrared imaging was used to confirm the patency of lymphatic vessels-veins anastomosis and follow-up post operation. Flap were monitored use HHD. Results Two patients recovered well, and the flaps survived completely with appreciated appearances. The lymphedema of the arms were getting better, the peripheral diameter was reduced by about 2.0 cm compared with that before operation. Conclusion The technique of microsurgical anastomosis of artery, vein and lymphatic vessel without eyepiece under 3-dimension screen is possi-ble and safe.
