Combined liposuction and excision of lipomas: long-term evaluation of a large sample of patients.
Combined liposuction and excision of lipomas: long-term evaluation of a large sample of patients.
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DOI：
10.1155/2015/625396
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Copeland M
中科院分区：
文献类型：
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作者：
Copeland-Halperin LR;Pimpinella V;Copeland M
背景。脂肪瘤是成熟脂肪细胞的良性肿瘤。它们可以通过吸脂术去除，但这种技术很少被采用，因为担心去除可能不完全，复发可能比常规切除后更频繁。目标。我们评估了短期和长期的临床结果和联合吸脂和有限手术切除皮下脂肪瘤的复发率。方法。2003年至2012年，本院共收治25例脂肪瘤患者48例，采用吸脂后经同一切口直接切除，去除残留的脂肪瘤组织。术后初始随访时间为1周至3个月，术后1至10年随访长期预后、并发症及复发情况。结果。头部、颈部、躯干和四肢的脂肪瘤直径从1到15厘米不等。术后早期血肿和血清肿采用抽吸处理。在23名受访者中（92%），患者对美容效果一致满意；无复发脂肪瘤报告。结论。抽脂和切除相结合是一种安全的替代脂肪瘤去除；恶性及复发少见。在大多数情况下，通过小切口进行吸脂手术可获得满意的美容效果。一旦缩小，可以在不扩大切口的情况下切除残留的脂肪瘤组织和包膜组织。这些良好的结果支持在适当情况下更广泛地应用该技术。
Background. Lipomas are benign tumors of mature fat cells. They can be removed by liposuction, yet this technique is seldom employed because of concerns that removal may be incomplete and recurrence may be more frequent than after conventional excision. Objectives. We assessed the short- and long-term clinical outcomes and recurrence of combined liposuction and limited surgical excision of subcutaneous lipomas. Methods. From 2003 to 2012, 25 patients with 48 lipomas were treated with liposuction followed by direct excision through the same incision to remove residual lipomatous tissue. Initial postoperative follow-up ranged from 1 week to 3 months, and long-term outcomes, complications, and recurrence were surveyed 1 to 10 years postoperatively. Results. Lipomas on the head, neck, trunk, and extremities ranged from 1 to 15 cm in diameter. Early postoperative hematoma and seromas were managed by aspiration. Among 23 survey respondents (92%), patients were uniformly pleased with the cosmetic results; none reported recurrent lipoma. Conclusions. The combination of liposuction and excision is a safe alternative for lipoma removal; malignancy and recurrence are uncommon. Liposuction performed through a small incision provides satisfactory aesthetic results in most cases. Once reduced in size, residual lipomatous and capsular tissue can be removed without expanding the incision. These favorable outcomes support wider application of this technique in appropriate cases.