Barcelona Consensus on Supermicrosurgery
Barcelona Consensus on Supermicrosurgery
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DOI：
10.1055/s-0033-1354742
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发表时间：
2014-01-01
影响因子：
2.1
通讯作者：
Mitsunaga, N.
中科院分区：
文献类型：
--
作者：
Masia, J.;Olivares, L.;Mitsunaga, N.
在过去的几年里，超显微外科的普及率急剧上升，但由于对该技术的名称及其应用缺乏一致意见，导致显微外科医生在试图沟通和比较外科手术时产生误解。我们报告了2010年3月4日至5日在巴塞罗那（西班牙）举行的第一届欧洲超显微外科会议之后，就用于指代超显微外科技术的名称达成的共识。目前的应用，优点和缺点的超显微外科手术进行了讨论。人们一致认为，超显微手术是最准确的名称，以反映这一极其微妙的技术的本质。据Koshima介绍，超显微外科是一种对0.3至0.8 mm的血管和单个神经束进行显微神经血管吻合的技术。该技术的应用范围迅速增加，现在包括水肿治疗、神经重建、断指再植和重建、显微外科皮瓣挽救以及游离组织移植的新可能性。超显微外科是一种非常有用的重建工具，涉及大量的技能，并有一个陡峭的学习曲线为显微外科医生掌握。虽然目前只有少数显微外科医生进行，我们认为它将在不久的将来被纳入传统的显微外科手术。
The popularity of supermicrosurgery has increased dramatically over the past few years, but the lack of agreement regarding the name of the technique and its applications has caused misunderstandings among microsurgeons when trying to communicate and compare surgical procedures. We report the consensus reached on the name used to refer to supermicrosurgery techniques following the First European Conference on Supramicrosurgery held in Barcelona (Spain) on March 4-5, 2010. Present applications, advantages, and disadvantages of supermicrosurgery are discussed. It was agreed that supermicrosurgery was the most accurate name to reflect the essence of this extremely delicate technique. According to Koshima, supermicrosurgery is a technique of microneurovascular anastomosis for vessels of 0.3 to 0.8mm and single nerve fascicles. The range of applications for this technique has increased rapidly and now includes lymphedema treatment, nerve reconstruction, replantation and reconstruction of amputated fingertips, microsurgical flap salvage, and new possibilities for free tissue transfer. Supermicrosurgery is a remarkably useful reconstructive tool that involves a great deal of skill and has a steep learning curve for the microsurgeon to master. Although it is currently performed by only a minority of microsurgeons, we consider it will be incorporated into conventional microsurgery in the near future.