在安德森內搜尋：

真實的故事和經驗分享來自於接受過我們服務的病患。透過他們的感言，您可以了解手術過程、恢復體驗以及最終結果，這些都將幫助您在考慮整型手術時更加安心與自信。我們以病患的滿意為榮，期待成為您變美旅程中的夥伴。 WSLS 2024 The 10th World Symposium for Lymphedema Surgery April 22-24, 2024 Endorsed by the World Society for Reconstructive Microsurgery! WELCOME Dear Esteemed Guests, Distinguished Colleagues, and Honored Speakers, It is with great pleasure and excitement that we extend a warm welcome to all of you to the 10 th World Symposium for Lymphedema Surgery, held at the prestigious Taipei Garden Hotel, Taipei, Taiwan from April 22 to April 24, 2024. This symposium represents a significant gathering of surgical professionals, researchers, and experts from around the world, all dedicated to advancing the field of lymphedema surgery. Over the next three days, we have meticulously curated a program that offers a platform for the exchange of knowledge, the exploration of cutting-edge research, and the sharing of invaluable experiences. One unique and groundbreaking feature of our symposium is the inclusion of the "Live Surgery Demonstrations" section. This pioneering component will allow attendees to witness, in real-time, surgical procedures related to lymphedema surgery, providing an extraordinary opportunity to observe the latest techniques and advancements firsthand. We believe this hands-on experience will greatly enhance the educational value of our symposium. Our distinguished speakers, who are leaders in the field of lymphedema surgery, will present their insights, innovations, and breakthroughs that promise to shape the future of patient care. We are honored to have such a wealth of expertise under one roof. Furthermore, we believe that the spirit of collaboration and networking is fundamental to progress in medicine. Therefore, we have designed this symposium to facilitate discussions, foster new collaborations, and nurture lasting professional relationships. We express our heartfelt gratitude to all those who have contributed to the realization of this symposium—our speakers, sponsors, partners, and, of course, each and every attendee. Your presence here makes this event truly special. As we embark on this enlightening journey together, we encourage you to engage actively, exchange ideas passionately, and, above all, take inspiration from the collective dedication to advancing the understanding and treatment of lymphedema. Once again, welcome to the World Symposium for Lymphedema Surgery. We anticipate an inspiring and productive symposium and look forward to the groundbreaking discoveries and friendships that will undoubtedly emerge. With warm regards, Co-Chairmen 10 th World Symposium for Lymphedema Surgery Ming-Huei Cheng, MD, David Chang, MD, and Jaume Masia, MD.

痣變大就是皮膚癌嗎？病毒疣硬又痛很像雞眼？皮膚疑難看過來 痣、疣、黑色素瘤到處長，應該如何處理？ 雷射、冷凍、手術切除多元治療方案，幫您徹底瓦解頑固痣細胞，杜絕癌變風險 除痣 除疣療程 Mole removal treatment 痣變大就是皮膚癌嗎？病毒疣硬又痛很像雞眼？皮膚疑難看過來 痣、疣、黑色素瘤到處長，應該如何處理？ 雷射、冷凍、手術切除多元治療方案， 幫您徹底瓦解頑固痣細胞，杜絕癌變風險 惱人的痣長在臉上好困擾，痣究竟是如何形成的? 痣的形成主要是因為黑色素細胞（也稱痣細胞）聚集而成，形成方式分為以下3種： 1.接合痣（Junctional nevus，又稱交接面痣） 痣細胞分布於表皮及真皮交接面，這個地方也稱作基底層。接合痣大概是最常見的痣，面積一般不大，且形狀扁平，顏色呈棕、黑色。 2.真皮痣（Intradermal nevus） 痣細胞分布於真皮層，通常這種痣因為基礎打得穩（從真皮長出），因此不僅體積可能較大，也可能會凸起甚至長毛。 3.複合性痣（Compound nevus） 就是以上2種痣的混合型，痣細胞的分布貫穿表皮層與真皮層，因此同時具有2種痣的特徵。 什麼樣的痣可能是惡性?「痣」我檢測4大指標 邊緣： 良性的痣邊緣通常規則且圓滑;邊緣不規則或有突出不圓滑的痣可能有問題，有時容易流血。 顏色： 顏色改變、顏色深淺不一。 大小： 太大的痣出現惡性變化的機會較大，直徑大於6毫米(mm)的痣需要特別注意。 高度： 隆起快速長大，或隆起的痣都要特別小心。 「特殊部位」與「異常徵兆」的痣要提高警覺 以下是改善皺紋問題常見的幾種治療方式： 1.長期受摩擦刺激的痣 戴胸罩處和腰部的痣，比較容易病變，發生異常變化時要提高警覺。 2.出現非 典型變化的痣 平均（雜色）、邊緣不平整或不規則、界線不明顯、左右不對稱、直徑大於0.6公分的痣都要多留意，盡速到醫院檢查。 3.單一的痣突然快速變化 如果是全身的痣因為荷爾蒙的變化而同時變化，較無疑慮，如果是單一的痣突然快速變化，就值得注意。 4. 長在特 殊部位的痣 如 長在肢端（手腳）的痣，必須注意觀察，因為這些地方的痣比較容易被忽略，也比較會長期受到摩擦刺激。 5.黏膜的痣 口腔黏膜、結膜、陰道、包皮翻出來那些部位的黑痣，比較容易發生病變。 6.指甲下方的痣 指甲出現縱向黑色條紋稱為「黑甲症」，因為痣長在指甲下面，被指甲擋住，不容易看出變化，也容易被忽略。這種情形應注意指甲鄰近的皮膚有沒有變黑，若有就要馬上就醫進一步檢查。 7.先天痣本身就具高危險 嬰兒一出生就看得到的痣叫先天痣，先天痣不多，根據統計1％的新生兒有痣，並非所有先天痣都是一生出來就有危險，大小是重要因素。一般來說越大的痣，將來變惡性的機率較大，醫師建議痣若大於10毫米(mm)時應定期檢查。 雷射除痣原理與方法 目前除痣大多都是以雷射方式來進行，原理是以特定波長的雷射機型照射痣，擊碎黑色素痣細胞，將肉眼看到的痣打掉，可以有效去除其組織。但痣的深度無法由肉眼探測，故需經過多次的治療才能徹底清除。雷射治療完畢後，再貼上人工皮以防水、避免傷口發炎或感染，傷口只要確實做好護理和防曬，就不會留下疤痕。 淺層痣和深層痣，應該選擇哪一種治療機型? 常見用來除痣的雷射機型有淨膚雷射、飛梭雷射、鉺雅鉻雷射及二氧化碳雷射 (CO2雷射)，有的醫生會使用淨膚雷射去除比較淺層、好處理的痣；如果痣比較大顆、長得比較深層，就需要使用飛梭雷射、鉺雅鉻雷射機型或二氧化碳雷射 (CO2雷射)照射治療，讓痣細胞汽化掉。 無論淨膚雷射、飛梭雷射還是鉺雅鉻、二氧化碳汽化雷射，都能淡化擊碎黑色素痣細胞，達到除痣的效果，差異在於淨膚雷射能夠以較少的次數清除淺層、較淡的痣；顏色和位置都較深的痣，則需要透過後3種機型且多次的汽化痣細胞。 哪些情況不適合雷射除痣? 以下是改善皺紋問題常見的幾種治療方式： 1.雷射可能需要多次施打 面對較大較深的痣時，手術除痣比較有機會一勞永逸；每種雷射除痣都可能需要多次施打，進行3~5次的雷射，才能確實清除。 2.還是有留疤的可能性 如果術後照護不夠完善，雷射除痣還是有可能留疤。 3.蟹足腫體質 由於雷射除痣仍有可能留疤，容易不正常疤痕增生的蟹足腫體質者，不建議進行雷射除痣，特別是除臉上的痣，建議改以手術處理。 4. 太大、太深的痣無法雷射清除 面對比較大顆、長在皮膚深層的黑痣，只能透過手術才能徹底清除。

VASER2.2威塑體雕 Body Sculpting Treatment：由經驗豐富的鄭院長親自操作，能精準鎖定溶脂部位，不傷周邊組織，術後不鬆垮、不易復胖 VASER2.2威塑體雕 Body Sculpting Treatment [ 深層抽脂 + 淺層精雕 ] 由經驗豐富的鄭院長親自操作，能精準鎖定溶脂部位，不傷周邊組織，術後不鬆垮、不易復胖 抽(補)脂 體雕塑身術，擺脫沉重包袱，再現窈窕傲人曲線 為什麼要選擇安德森？ 由國際顯微整形外科權威 (前林口長庚醫院院長)鄭教授領軍 鄭教授已有25年手術經驗，掌握人體結構，抽脂更安心 我們全程有麻醉專科醫師麻醉監控 包含麻醉醫師及所有醫護人員皆有專業執照認證 量身定製體雕療程，給您最精準的建議 24小時專業護理師團隊照護 舒適的專屬病房，術後完善休養 抽脂手術的原理是什麼? 抽脂(liposuction)，是指利用醫療儀器將多餘的脂肪抽出體外，達到大範圍雕塑身材或局部部位精雕的目的。 其原理是將不銹鋼探針(Canula)深入皮下脂肪層，糜化脂肪，再藉由負壓引流技術抽出體外，減少皮下的脂肪量，重新雕塑出身體的線條與曲線。 常見的抽脂方式 什麼是威塑抽脂? 威塑抽脂是以特殊超音波技術將脂肪組織震碎、乳化及抽吸到體外。 原理是利用36,000Hz(赫茲)超音波能量去震碎脂肪細胞，隨後將分離的脂肪抽吸出來。且不破壞手術部位周圍的神經、血管和結締組織。 專一頻率只破壞脂肪細胞，是市面上具有「脂肪選擇性」的抽脂技術，保留結締組織，過程出血量低，降低術後不適感及瘀血較少。 中文名稱：威塑超音波手術吸引系統； 英文名稱：Vaser 2.2 Lipo System｜024844 號 腰、腹、臀、腿為何特別容易胖?脂肪細胞會一直增加嗎? 在青春期以前，我們的體內會快速生成許多脂肪細胞，這些脂肪細胞數量的增長到青春期後趨於穩定，會變胖、變瘦是因為身體脂肪細胞體積的改變。尤其現今社會常常因為生活、工作壓力及近幾年疫情關係多數人經常待在家，攝取過多的食物又缺乏運動，讓脂肪細胞體積跟著變大，身形也隨之改變，肥胖問題變得更普遍。脂肪分布在我們身體各個部位，又分為「淺層脂肪」及「深層脂肪」，然而腰、腹、臀、大腿有較多的深層脂肪細胞，所以特別容易有脂肪的囤積。 局部肥胖的人，很難透過一般性的減肥如：節食、運動、健身達到想瘦那裡就瘦那裡的目標，抽脂手術便是針對局部脂肪凸出、想要有更好身形的人最好的選擇。隨著抽脂手術不斷的進步與推新，搭配不同類型的抽脂方式，能同步改善多處肥胖與皮膚鬆弛等相關問題。 抽脂手術是如何進行的? 在進行抽脂手術前會注入含有局部麻醉劑、止血劑等成分的混合液（Tumescent solution），有止痛、軟化脂肪和降低出血量等作用，並透過3mm-5mm的抽脂管深入到皮下組織的脂肪層中，藉由真空抽脂機將大部分深層脂肪抽出來。 抽脂手術完皮會鬆鬆的嗎？ 如果是肥胖者，抽脂之後腹部的皮膚會有一些鬆弛，尤其是特別胖的人， 一般可以加做整形術，來切掉多餘的皮膚。但如果不是很胖，皮膚彈性還可以，抽脂時既抽深層脂肪，也抽淺層脂肪，可使腹壁下的脂肪抽取比較均勻，90％的人在抽脂後會恢復得不錯。如果在手術時適當用彈力加壓，則更有利於腹壁、手臂、大腿的回收。因此，並非每個接受抽脂手術的人都會有皮膚鬆弛的問題出現。 現在抽脂技術，大都比較不會破壞脂肪周圍的纖維締結組織，脂肪抽出後肌膚較能維持平滑緊緻，不易過度鬆垮。為了最佳品質效果，避免抽脂手術後皮瓣鬆脫或下垂的問題發生，我們建議病人術後穿塑身衣1~3個月，將皮膚脂肪層固定在適當的位置，加強塑形的作用，可盡量減少位移、避免下垂、皮膚鬆垮的問題發生。 抽脂後還會再復胖嗎？ 抽脂手術不等於是減肥手術，會因每個人的身體狀況來決定需要抽脂的量，過度抽脂容易造成血液與身體水分的流失，需要經過專業醫生的評估，才能決定抽去多少的脂肪。最多建議不超過抽脂5000cc。抽脂不代表不會復胖，不過增胖的空間有限，只要不要暴飲暴食，並搭配適量的運動，通常都不會復胖太嚴重。 抽脂手術有沒有後遺症？後遺症有哪些? 抽脂是許多女生想做的項目，卻也有不少人擔心抽脂失敗或是發生抽脂後遺症，譬如說血壓下降、出血不止、低體溫、電解質不平衡、麻醉藥劑量過高、脂肪栓塞、肺栓塞、腹膜炎、腹部腸子受傷等可能發生的併發症。也會有抽脂失敗出現生命危險、抽脂術後凹凸不平，或者是抽脂的局部比例效果不佳、異常腫脹等問題，導致穿衣服感到沒信心，所以，選擇專業有經驗的醫師及醫療機構院所是很重要的。 另外抽脂如果局部抽的太薄(淺層)，有可能影響皮下血管的微循環，導致皮膚色素沈澱，或呈現暗紫色好像凍傷的情形，這都是因為抽脂抽的過薄所導致的一些血管循環問題。 不論是腿部抽脂肪後遺症或是其他部位，最怕的就是選錯抽脂方式導致效果不好，例如：運用傳統抽脂方式，在三角肌部位（肩膀外側部分，很多人以為是肌肉，其實還是脂肪囤積），第二就是如果抽得技術水平不好，就容易凹凸不平，或者運用儀器不當造成燒傷，尤其在手臂內側皮膚薄，更容易明顯看出不平整。 如何才能避免抽脂後遺症的風險發生呢？ 抽脂通常沒有很大的副作用，在選擇上要尋求有合格認證及專業有經驗的醫師。抽脂術後照顧是否有專業團隊的協助與指導，以及術後是否有遵從醫師及護理師做適當的冰熱敷和按摩、傷口的照顧，這也會影響到手術後的恢復狀況和成果，這些都是需要特別注意的部分。 臀部抽脂會不會痛? 恢復期久嗎? 臀部抽脂有幾種方式，通常瘀血較腹部多，疼痛感會較久，基本上出血越少的抽脂方式，術後的疼痛感越低。恢復期在前1~2週腫脹會比較明顯，大概1個月左右就會明顯看到效果。 抽脂費用怎麼計算? 抽脂手術的費用會因為不同的手術方式而有價錢差異，也會因為部位的大小而影響價格，面積大小、難度高低、抽脂的量等因素都會影響抽脂費用，可在門診評估治療方式後一併諮詢。 術後注意事項有哪些？ 1.穿著塑身衣褲 若您在手臂、大腿、臀部或者腹部接受抽脂手術，請穿著塑身衣、塑身褲1~3個月(可壓迫手術部位，有效減少術後腫脹和增加舒適感，並使抽脂後皮膚與脂肪間空隙縮小，減少皮膚鬆弛)。 •術後第1週需穿著24小時（除洗澡外） •第2週白天穿著，晚上脫除，並維持1個月 •下巴抽脂需戴頭部護套24小時，維持2~3天 2.使用引流管 在手術後，為了縮短術後恢復期，可能會放置細小的引流管。引流管將會排出注入的麻醉液、乳化的脂肪和血水，請依照護理人員指示，定時更換吸水厚棉墊。 3.傷口護理 術後約1週內可用擦澡方式清潔身體，傷口勿碰水，需保持乾燥以防止傷口感染。 4.活動限制 術後2週內應避免吃力活動，以免影響傷口癒合。如：搬重物。 5.避免陽光照射 避免傷口受太陽照射，直到傷口完全癒合。 相關推薦 鄭明輝教授最新著作《脂肪魔術師》 不只是教你怎麼「變瘦」，更要教你如何「變懂自己」，當你懂得與脂肪共存，你將會發現自己已能重新掌握身體健康、自信的主導權

鄭明輝教授發表66篇淋巴水腫論文和兩本教科書篇章，與國際學術醫界連結，為顯微重建整型外科及淋巴水腫世界權威 Publications Dr. Cheng's Publications in Lymphedema Microsurgery Dr. Cheng's Book and Chapter 1. Vascularized groin lymph node transfer using the wrist as a recipient site for management of postmastectomy upper extremity lymphedema. Lin CH, Ali R, Chen SC, Wallace C, Chang YC, Chen HC, Cheng MH. 淋巴結移植是一種被廣泛應用於治療淋巴水腫的有效方法。傳統上，臨床多將淋巴結移植至腋下，以改善乳癌術後上肢淋巴水腫的症狀。然而，臺灣的鄭明輝教授首創性地提出將鼠蹊部淋巴結移植至手腕遠端的位置，藉此改善淋巴回流，突破過去「近端移植」的慣例。這項技術在臨床上展現出卓越成效，根據平均56個月的長期追蹤，接受手腕移植的患者其患側手臂臂圍平均縮小達50%。這項開創性的研究於2009年發表，並成為首篇證實遠端淋巴結移植具臨床療效的論文，截至目前已被 Google Scholar 引用超過439次，對淋巴結移植術的發展產生深遠影響。 Plast Reconstr Surg. 2009 Apr;123(4):1265-75. doi: 10.1097/PRS.0b013e31819e6529. https://www.ncbi.nlm.nih.gov/pubmed/19337095 2. A novel approach to the treatment of lower extremity lymphedema by transferring a vascularized submental lymph node flap to the ankle. Cheng MH, Huang JJ, Nguyen DH, Saint-Cyr M, Zenn MR, Tan BK, Lee CL. 鄭明輝教授第二篇關於淋巴水腫治療的研究展現了極具創新性的突破。他首度提出將下頷骨淋巴結移植至腳踝，用以治療下肢淋巴水腫。過去，針對下肢淋巴水腫的處理方式多限於穿著壓力襪或進行淋巴靜脈吻合術（LVA），然而對於病情較嚴重的患者，這些方法常常效果有限。鄭教授所發展的下頷骨淋巴結移植術，在臨床上展現出顯著的成效，為傳統療法無效的患者帶來了新的希望。此篇論文自發表以來，已被 Google Scholar 引用高達 330 次，顯示其在學術界與臨床實務上的深遠影響。 Gynecol Oncol. 2012 Jul;126(1):93-8. doi: 10.1016/j.ygyno.2012.04.017. Epub 2012 Apr 17. https://www.ncbi.nlm.nih.gov/pubmed/22516659 3. Vascularized groin lymph node flap transfer for postmastectomy upper limb lymphedema: flap anatomy, recipient sites, and outcomes.. Cheng MH, Chen SC, Henry SL, Tan BK, Lin MC, Huang JJ. 淋巴結移植的可靠性與治療效果如何？近心端或遠心端哪種移植效果更佳？ 在2013年，鄭教授進一步發表研究，採用顯微外科技術進行鼠蹊部淋巴結移植，以治療上肢淋巴水腫。該研究對鼠蹊部淋巴結的解剖構造、受體區域的選擇，以及整體預後表現，皆有詳盡而正面的報告。手術平均可移植超過六顆鼠蹊部淋巴結，並在平均39個月的追蹤期後，患者的臂圍減少達40%，顯示出穩定而良好的治療成效。這項研究為將淋巴結移植至遠端以治療乳癌術後淋巴水腫奠定了成功的基礎。該論文至今已在 Google Scholar 上被引用達351次，顯示其在領域內的重要影響力。 4. Preplanning Vascularized Lymph Node Transfer with Duplex Ultrasonography: An Evaluation of 3 Donor Sites. Patel KM, Chu SY, Huang JJ, Wu CW, Lin CY, Cheng MH. Plast Reconstr Surg Glob Open. 2014 Sep 8;2(8):e193. doi: 10.1097/GOX.0000000000000105. eCollection 2014 Aug. https://www.ncbi.nlm.nih.gov/pubmed/25426376 5. The use of magnetic resonance angiography in vascularized groin lymph node transfer: an anatomic study. Dayan JH, Dayan E, Kagen A, Cheng MH, Sultan M, Samson W, Smith ML. J Reconstr Microsurg. 2014 Jan;30(1):41-5. doi: 10.1055/s-0033-1351668. Epub 2013 Sep 9. https://www.ncbi.nlm.nih.gov/pubmed/24019175 6. The mechanism of vascularized lymph node transfer for lymphedema: natural lymphaticovenous drainage. Cheng MH, Huang JJ, Wu CW, Yang CY, Lin CY, Henry SL, Kolios L. 鄭明輝教授2014年發表的重要研究：揭示淋巴結移植有效機制 鄭明輝教授於2014年在《Plastic and Reconstructive Surgery》期刊發表的研究，是刊登於整形外科領域最具權威的國際期刊之一。過去已有三篇研究證實淋巴結移植對淋巴水腫具有良好治療成效，而此篇論文更進一步深入探討「為什麼」淋巴結移植能夠有效改善淋巴水腫，並透過動物實驗與臨床手術觀察，提出科學性的解釋與證據。 在動物實驗部分，研究團隊將循血綠（ICG）注射於淋巴結皮瓣的遠端，可觀察到螢光訊號逐漸移動至連接的靜脈；若直接注射於淋巴結本體，僅需20多秒即在靜脈中出現螢光，顯示移植的淋巴結確實與靜脈系統連通，具備淋巴引流功能。 在臨床方面，當患者接受含有淋巴結的皮瓣移植時，研究顯示循血綠注射至淋巴結後，約在23秒內即可在靜脈中觀察到螢光訊號，進一步證實淋巴結具有快速將淋巴液引流至靜脈的能力。相較之下，若移植僅為皮膚組織，無淋巴結結構，則即使等待一小時，靜脈中仍無螢光顯現，進一步證明淋巴結在整個引流機制中扮演關鍵角色。 這篇具開創性的論文至今已被 Google Scholar 引用達249次，展現其在國際學術界的重要影響力，也為未來發展淋巴結移植治療提供了堅實的理論基礎與臨床依據。 Plast Reconstr Surg. 2014 Feb;133(2):192e-8e. doi: 10.1097/01.prs.0000437257.78327.5b. https://www.ncbi.nlm.nih.gov/pubmed/24469190 7. Developing a Lower Limb Lymphedema Animal Model with Combined Lymphadenectomy and Low-dose Radiation. Yang CY, Nguyen DH, Wu CW, Fang YH, Chao KT, Patel KM, Cheng MH. 過去針對淋巴水腫的研究相對有限。若要進一步發展有效的治療策略，首要之務是深入了解淋巴系統的解剖結構與生理機轉，同時掌握淋巴水腫的發病機制。具備這些知識基礎，才能建立可靠的實驗模型並推動治療方法的驗證與發展。 為此，鄭明輝教授團隊於 2014 年發表了建立小鼠下肢淋巴水腫模型的研究成果，該模型結合雙部位淋巴結切除（鼠蹊與膕窩）與低劑量放射線照射（20 Gy），成功誘發穩定且可量測的慢性下肢淋巴水腫。此模型的特點包括高再現性、低死亡率與顯著的腫脹反應，並透過 Tc-99 淋巴攝影與 micro-CT 體積量測等方式，完整呈現淋巴功能受損後的生理與解剖變化。此研究為後續評估淋巴水腫治療方式的動物實驗提供了重要平台，也為相關臨床研究奠定了基礎。 https://www.ncbi.nlm.nih.gov/pubmed/25289315 8. Vascularized lymph node flap transfer and lymphovenous anastomosis for klippel-trenaunay syndrome with congenital lymphedema. Qiu SS, Chen HY, Cheng MH. 本篇論文報導了一例罕見的先天性淋巴水腫合併 Klippel-Trenaunay Syndrome（KTS）之臨床案例。該患者表現出雙側下肢淋巴水腫及淺層靜脈血管瘤，為臨床上高度複雜且具挑戰性的病症類型。 鄭明輝教授研究團隊根據患者左右下肢病情的嚴重程度差異，採取個別化的手術策略：在症狀較輕的右側施行淋巴靜脈吻合術（Lymphovenous Anastomosis, LVA），而在病變較嚴重的左側則進行血管化淋巴結移植（Vascularized Lymph Node Transfer, VLNT）。術後結果顯著，患者雙側水腫均明顯改善，復發率低，感染次數明顯下降，整體生活品質獲得提升，展現出兩種手術技術在臨床應用上的互補性與實用性。 此案例凸顯出，先天性淋巴水腫常伴隨其他血管或器官發育異常，使得診斷與治療更加複雜。因此，治療前的精確臨床評估與完整影像學分析至關重要。對於病情複雜者，應依據病灶位置、嚴重度與組織狀態，選擇最適當的手術方式，而非僅依賴單一技術。 本研究除了提供治療複雜型先天性淋巴水腫的寶貴經驗，也體現了鄭明輝教授在臨床與影像整合診斷領域的深耕與貢獻。透過個別化手術策略的設計與應用，為具多重併發症的淋巴水腫患者，開創出更有效、精準的治療選擇。 Plast Reconstr Surg Glob Open. 2014 Jul 9;2(6):e167. doi: 10.1097/GOX.0000000000000099. eCollection 2014 Jun. https://www.ncbi.nlm.nih.gov/pubmed/25289360 9. From theory to evidence: long-term evaluation of the mechanism of action and flap integration of distal vascularized lymph node transfers. Patel KM, Lin CY, Cheng MH. J Reconstr Microsurg. 2015 Jan;31(1):26-30. doi: 10.1055/s-0034-1381957. Epub 2014 Aug 19. https://www.ncbi.nlm.nih.gov/pubmed/25137504 10. Quantity of lymph nodes correlates with improvement in lymphatic drainage in treatment of hind limb lymphedema with lymph node flap transfer in rats. Nguyen DH, Chou PY, Hsieh YH, Momeni A, Fang YH, Patel KM, Yang CY, Cheng MH. Microsurgery. 2016 Mar;36(3):239-45. doi: 10.1002/micr.22388. Epub 2015 Feb 25. https://www.ncbi.nlm.nih.gov/pubmed/25715830 11. Simultaneous Bilateral Submental Lymph Node Flaps for Lower Limb Lymphedema Post Leg Charles Procedure. Ito R, Lin MC, Cheng MH. Plast Reconstr Surg Glob Open. 2015 Sep 15;3(9):e513. doi: 10.1097/GOX.0000000000000489. eCollection 2015 Sep. https://www.ncbi.nlm.nih.gov/pubmed/26495226 12. Successful treatment of early-stage lower extremity lymphedema with side-to-end lymphovenous anastomosis with indocyanine green lymphography assisted. Ito R, Wu CT, Lin MC, Cheng MH. Microsurgery. 2016 May;36(4):310-5. doi: 10.1002/micr.30010. Epub 2015 Dec 15. https://www.ncbi.nlm.nih.gov/pubmed/26666982 13. Lymphedema surgery: Patient selection and an overview of surgical techniques. Allen RJ Jr, Cheng MH. J Surg Oncol. 2016 Jun;113(8):923-31. doi: 10.1002/jso.24170. Epub 2016 Feb 5. Review. https://www.ncbi.nlm.nih.gov/pubmed/26846615 14. Surgical anatomy of the vascularized submental lymph node flap: Anatomic study of correlation of submental artery perforators and quantity of submental lymph node. Tzou CH, Meng S, Ines T, Reissig L, Pichler U, Steinbacher J, Pona I, Roka-Palkovits J, Rath T, Weninger WJ, Cheng MH. J Surg Oncol. 2017 Jan;115(1):54-59. doi: 10.1002/jso.24336. Epub 2016 Jun 23. https://www.ncbi.nlm.nih.gov/pubmed/27338566 15. The 5th world symposium for lymphedema surgery-Recent updates in lymphedema surgery and setting up of a global knowledge exchange platform. Loh CY, Wu JC, Nguyen A, Dayan J, Smith M, Masia J, Chang D, Koshima I, Cheng MH. J Surg Oncol. 2017 Jan;115(1):6-12. doi: 10.1002/jso.24341. Epub 2016 Jun 28. Review. https://www.ncbi.nlm.nih.gov/pubmed/27353481 16. The surgical anatomy of the supraclavicular lymph node flap: A basis for the free vascularized lymph node transfer. Steinbacher J, Tinhofer IE, Meng S, Reissig LF, Placheta E, Roka-Palkovits J, Rath T, Cheng MH, Weninger WJ, Tzou CH. J Surg Oncol. 2017 Jan;115(1):60-62. doi: 10.1002/jso.24346. Epub 2016 Jun 28. https://www.ncbi.nlm.nih.gov/pubmed/27353521 17. The 5th World Symposium for Lymphedema Surgery. Cheng MH, Koshima I, Chang DW, Masia J. J Surg Oncol. 2017 Jan;115(1):5. doi: 10.1002/jso.24383. Epub 2016 Jul 29. No abstract available. https://www.ncbi.nlm.nih.gov/pubmed/27473624 18. Platysma-sparing vascularized submental lymph node flap transfer for extremity lymphedema. Poccia I, Lin CY, Cheng MH. J Surg Oncol. 2017 Jan;115(1):48-53. doi: 10.1002/jso.24350. Epub 2017 Jan 6. https://www.ncbi.nlm.nih.gov/pubmed/28058777 19. A prospective clinical assessment of anatomic variability of the submental vascularized lymph node flap. Cheng MH, Lin CY, Patel KM. J Surg Oncol. 2017 Jan;115(1):43-47. doi: 10.1002/jso.24487. Epub 2017 Jan 13. https://www.ncbi.nlm.nih.gov/pubmed/28083889 20. Greater Omental Lymph Node Flap for Upper Limb Lymphedema with Lymph Nodes-depleted Patient. Chu YY, Allen RJ Jr, Wu TJ, Cheng MH. Plast Reconstr Surg Glob Open. 2017 Apr 25;5(4):e1288. doi: 10.1097/GOX.0000000000001288. eCollection 2017 Apr. https://www.ncbi.nlm.nih.gov/pubmed/28507857 21. The surgical anatomy of the vascularized lateral thoracic artery lymph node flap-A cadaver study. Tinhofer IE, Meng S, Steinbacher J, Roka-Palkovits J, Györi E, Reissig LF, Cheng MH, Weninger WJ, Tzou CH. J Surg Oncol. 2017 Dec;116(8):1062-1068. doi: 10.1002/jso.24783. Epub 2017 Aug 7. 22. Visualization of Skin Perfusion by Indocyanine Green Fluorescence Angiography-A Feasibility Study. Steinbacher J, Yoshimatsu H, Meng S, Hamscha UM, Chan CS, Weninger WJ, Wu CT, Cheng MH, Tzou CH. Plast Reconstr Surg Glob Open. 2017 Sep 25;5(9):e1455. doi: 10.1097/GOX.0000000000001455. eCollection 2017 Sep. https://www.ncbi.nlm.nih.gov/pubmed/29062637 23. Vascularized lymph node transfer for treatment of extremity lymphedema: An overview of current controversies regarding donor sites, recipient sites and outcomes. Pappalardo M, Patel K, Cheng MH. J Surg Oncol. 2018 Jun;117(7):1420-1431. doi: 10.1002/jso.25034. Epub 2018 Mar 24. Review. https://www.ncbi.nlm.nih.gov/pubmed/29572824 24. Vascularized Lymph Node Transfer for Lymphedema. Schaverien MV, Badash I, Patel KM, Selber JC, Cheng MH. Semin Plast Surg. 2018 Feb;32(1):28-35. doi: 10.1055/s-0038-1632401. Epub 2018 Apr 9.Review. https://www.ncbi.nlm.nih.gov/pubmed/29636651 25. Accurate Prediction of Submental Lymph Nodes Using Magnetic Resonance Imaging for Lymphedema Surgery. Asuncion MO, Chu SY, Huang YL, Lin CY, Cheng MH. Plast Reconstr Surg Glob Open. 2018 Mar 23;6(3):e1691. doi: 10.1097/GOX.0000000000001691. eCollection 2018 Mar. https://www.ncbi.nlm.nih.gov/pubmed/29707451 26. Critical Ischemia Time, Perfusion and Drainage Function of Vascularized Lymph Nodes. Yang CY, HO OA, Cheng MH, Hsiao HY. Plast Reconstr Surg. 2018 Jun 12. doi: 10.1097/PRS.0000000000004673. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/29927833 27. Correlation between Quantity of Transferred Lymph Nodes and Outcome in Vascularized Submental Lymph Node Flap Transfer for Lower Limb Lymphedema. Gustafsson J, Chu SY, Chan WH, Cheng MH. Plast Reconstr Surg. 2018 Jul 10. doi: 10.1097/PRS.0000000000004793. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/30020232 28. Acoustic Radiation Force Impulse Elastography: Tissue Stiffness Measurement in Limb Lymphedema. Chan WH, Huang YL, Lin C, Lin CY, Cheng MH, Chu SY. Radiology. 2018 Aug 14:172869. doi: 10.1148/radiol.2018172869. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/30106341 29. Lymph node transplantation for the treatment of lymphedema. Gould DJ, Mehrara BJ, Neligan P, Cheng MH, Patel KM. J Surg Oncol. 2018 Aug 21. doi: 10.1002/jso.25180. [Epub ahead of print] Review. https://www.ncbi.nlm.nih.gov/pubmed/30129675 30. Effectiveness of Vascularized Lymph Node Transfer for Extremity Lymphedema Using Volumetric and Circumferential Differences Gustafsson J, Chu SY, Chan WH, Cheng MH. Plast Reconstr Surg. 2018 Jul 10. doi: 10.1097/PRS.0000000000004793. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/30020232 31. Lymphedema and concomitant venous comorbidity in the extremity: Comprehensive evaluation, management strategy, and outcomes. Sachanandani N S, Chu SY, Ho O A., Cheong CF, Lin CY, Cheng MH*. J Surg Oncol. 2018 Nov;118(6):941-952. doi: 10.1002/jso.25237. https://www.ncbi.nlm.nih.gov/pubmed/ ? term=Lymphedema+and+concomitant+venous+comorbidity+in+the+extremity%3A+Comprehensive+evaluation%2C+management+strategy%2C+and+outcomes 32. Outcomes of Vascularized Lymph Node Transfer and Lymphovenous Anastomosis for Treatmentof Primary Lymphedema. Cheng MH, Loh CYY, Lin CY. Plats Reconstr Surg Glob Open. 2018 Dec 20;6(12):e2056. https://journals.lww.com/prsgo/Fulltext/2018/12000/Outcomes_of_Vascularized_Lymph Node_Transfer_and.15.aspx 33. Comparisons of Submental and Groin Vascularized Lymph Node Flaps Transfer for BreastCancer-Related Lymphedema. Ho OA, Lin CY, Pappalardo M, Cheng MH. Plats Reconstr Surg Glob Open. 2018 Dec 13;6(12):e1923. https://journals.lww.com/prsgo/Fulltext/2018/12000/Comparisons_of_Submental_and_Groin_Vascularized.13.aspx 34. A Prospective Evaluation of Lymphedema-Specific Quality-of-Life Outcomes Following Vascularized Lymph Node Transfer. Sachanandani N S, Chu SY, Ho O A., Cheong CF, Lin CY, Cheng MH*. J Surg Oncol. 2018 Nov;118(6):941-952. doi: 10.1002/jso.25237. https://www.ncbi.nlm.nih.gov/pubmed/ ? term=Lymphedema+and+concomitant+venous+comorbidity+in+the+extremity%3A+Comprehensive+evaluation%2C+management+strategy%2C+and+outcomes 35. Proposed pathway and mechanism of vascularized lymph node flaps. Ito R, Zelken J, Yang CY, Lin CY, Cheng MH. Gynecol Oncol. 2016 Apr;141(1):182-8. doi: 10.1016/j.ygyno.2016.01.007. Epub 2016 Jan 7. https://www.ncbi.nlm.nih.gov/pubmed/26773469 36. Outcomes of Lymphedema Microsurgery for Breast Cancer-related Lymphedema With or Without Microvascular Breast Reconstruction. Ho OA, Lin CY, Pappalardo M, Cheng MH. Ann Surg. 2017 Jun 7. doi: 10.1097/SLA.0000000000002322. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/28594742 37. Validity of the Novel Taiwan Lymphoscintigraphy Staging and Correlation of Cheng LymphedemaGrading for Unilateral Extremity Lymphedema. Cheng MH, Pappalardo M, Lin C, Kuo CF, Lin CY, Chung KC. Ann Surg. 2018 Sep;268(3):513-525. doi: 10.1097/SLA.0000000000002917. https://www.ncbi.nlm.nih.gov/pubmed/30004927 38. Dorsal Wrist Placement for Vascularized Submental Lymph Node Transfer Significantly Improves Breast Cancer-Related Lymphedema. Hattan A, Fries Charles Anton, BChir, FRCS, Cheng Ming-Huei. Plastic and Reconstructive Surgery - Global Open: 2019 Feb, 7(2): e2149. https://journals.lww.com/prsgo/Fulltext/2019/02000/Dorsal_Wrist Placement_for_Vascularized_Submental.14.aspx 39. Comparison of Outcomes between Side-to-End and End-to-End Lymphovenous Anastomoses for Early-Grade Extremity Lymphedema. Fahad K. Al-Jindan, Lin CY, Cheng MH. Plast Reconstr Surg. 2019 May 10. [Epub ahead of print] https://www.ncbi.nlm.nih.gov/pubmed/31188305 40. Factors associated with professional healthcare advice seeking in breast cancer-related lymphedema. Lin CY, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):67-74. doi: 10.1002/jso.25523. Epub 2019 Jun 18. https://www.ncbi.nlm.nih.gov/pubmed/31209885 41. Lymphoscintigraphy for the Diagnosis of Extremity Lymphedema: Current Controversies Regarding Protocol, Interpretation and Clinical Application. Pappalardo M, Cheng MH. J Surg Oncol. 2020 Jan;121(1):37-47. doi: 10.1002/jso.25526. Epub 2019 Jun 18. https://www.ncbi.nlm.nih.gov/pubmed/31209893 42. Intra-abdominal Chylovenous Bypass Treats Retroperitoneal Lymphangiomatosis. Chen C, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):75-84. doi: 10.1002/jso.25514. Epub 2019 Jul 4. https://www.ncbi.nlm.nih.gov/pubmed/31273800 43. Lymphedema Microsurgery Reduces the Rate of Implant Removal for Patients Who Have Pre-existing Lymphedema and Total Knee Arthroplasty for Knee Osteoarthritis. Voravitvet TY, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):57-66. doi: 10.1002/jso.25517. Epub 2019 Jun 13. https://www.ncbi.nlm.nih.gov/pubmed/31197837 44. Clinical Features, Microbiological Epidemiology and Recommendations of Management for Cellulitis in Extremity Lymphedema. Rodriguez JR, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):25-36. doi: 10.1002/jso.25525. Epub 2019 Jul 2. https://www.ncbi.nlm.nih.gov/pubmed/31264724 45. Delayed Primary Retention Suture: A new technique to inset Vascularized Submental Lymph Node Transfer. Koide S, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):138-143. doi: 10.1002/jso.25520. Epub 2019 Jul 5. https://www.ncbi.nlm.nih.gov/pubmed/31276208 46. Long-Term Outcome of Lower Extremity Lymphedema Treated with Vascularized Lymph Node Flaps with Venous Complications. Koide S, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):129-137. doi: 10.1002/jso.25602. Epub 2019 Jun 27. https://www.ncbi.nlm.nih.gov/pubmed/31246288 47. Summary of hands-on supermicrosurgery course and live surgeries at 8th world symposium for lymphedema surgery. Pappalardo M, Cheng MH et al. J Surg Oncol. 2020 Jan;121(1):8-19. doi: 10.1002/jso.25619. Epub 2019 Jul 16. https://www.ncbi.nlm.nih.gov/pubmed/31309553 48. Introduction of the 8th World Symposium for Lymphedema Surgery. Cheng MH, Chang DW, Masia J, Koshima I. J Surg Oncol. 2020 Jan;121(1):7. doi: 10.1002/jso.25620. Epub 2019 Jul 9. https://www.ncbi.nlm.nih.gov/pubmed/31290156 49. Impacts of Arterial Ischemia or Venous Occ.usion on Vascularized Groin Lymph Nodes in a Rat Model. Tinhofer I. E., Yang CY, Chen C, Cheng MH. J Surg Oncol. 2020 Jan;121(1):153-162. doi: 10.1002/jso.25518. Epub 2019 May 31. https://www.ncbi.nlm.nih.gov/pubmed/31152457 50. Volumetric Differences in the Superficial and Deep Compartments of Patients with Secondary Unilateral Lower Limb Lymphedema. Chu SY, Cheng MH et al. Plast Reconstr Surg. (paper in press) 51. Efficacy validation of a lymphatic drainage device for lymphedema drainage in a rat model. Cheng MH, Yang CY, Tee R, Hong YT, Lu CC. J Surg Oncol. 2019 Dec;120(7):1162-1168. https://www.ncbi.nlm.nih.gov/pubmed/?term=Efficacy+validation+of+a+lymphatic+drainage+device+for+lymphedema+drainage+in+a+rat+model 52. Institutionalization of Reconstructive Lymphedema Surgery in Austria - Single Center Experience. Tzou CHJ, Cheng MH et al. J Surg Oncol. 2020 Jan; 121(1):91-99. https://www.ncbi.nlm.nih.gov/pubmed/?term=Institutionalization+of+Reconstructive+Lymphedema+Surgery+in+Austria+%E2%80%93+Single+Center+Experience 53. Comparisons of Manual Tape Measurement and Morphomics Measurement of Patients with Upper Extremity Lymphedema. Horbal SR, Chu SY, Cheng MH* et al. Plast Reconstr Surg Global Open. 2019 Oct 29;7(10): e2431 https://www.ncbi.nlm.nih.gov/pubmed/ ? 54. Characterization of limb lymphedema using the statistical analysis of ultrasound backscattering. Lee YL, Cheng MH et al. Quant Imaging Med Surg. 2020;10(1):48-56. 55. Simultaneous Ipsilateral Vascularized Lymph Node Transplantation and Contralateral Lymphovenous Anastomosis in Bilateral Different-Severities Extremity Lymphedema. Cheng MH*, Tee R, Chen C, Lin CY, Pappalardo M. Ann Surg Oncol. 2020 Jun 18. doi: 10.1245 56. ASO Author Reflection: Simultaneous Ipsilateral Vascularized Lymph Node Transplantation and Contralateral Lymphovenous Anastomosis in Bilateral Different-Severities Extremity Lymphedema. Horbal SR, Chu SY, Cheng MH* et al. Ann Surg Oncol. 2020 Jul 10. 57. Lymphedema microsurgery improved outcomes of pediatric primary extremity lymphedema. Cheng MH*, Liu TTF. Microsurgery, 2020 Jul 11. 58. Chylovenous bypass for mesenteric lymphangiomatosis: A case report. Chen C,Cheng MH*. J Surg Oncol. 2020 Jul 15. 59. Staging and clinical correlations of lymphoscintigraphy for unilateral gynecological cancerrelated lymphedema. Pappalardo M, Lin C, Ho OA, Kuo CF, Lin CY, Cheng MH". J Surg Oncol. 2020 Mar;121(3):422-434. 60. Morbidity of Marginal Mandibular Nerve Post Vascularized Submental Lymph Node Flap Transplantation. Chang Tommy NJ, Lee CH, Lin Jennifer AJ, Cheng MH*. J Surg Oncol. 2020 Dec;122(8):1747-1754 https://pubmed.ncbi.nlm.nih.gov/32869304/ 61. Simultaneous Ipsilateral Vascularized Lymph Node Transplantation and Contralateral Lymphovenous Anastomosis in Bilateral Different-Severities Extremity Lymphedema. Cheng MH*, Tee R, Chen C, Lin CY, Pappalardo M. Ann Surg Oncol. 2020 Jun 18. https://pubmed.ncbi.nlm.nih.gov/32556869/ 62. ASO Author Reflections: Simultaneous Ipsilateral Vascularized Lymph Node Transplantation and Contralateral Lymphovenous Anastomosis in Bilateral Different-Severities Extremity Lymphedema. Cheng MH*. Ann Surg Oncol. 2020 Dec;27(13):5277-5278. https://pubmed.ncbi.nlm.nih.gov/32651692/ 63. Response to letter to the editor: Evidence of Lymph Flow Amelioration on Indocyanine Green Lymphography after Vascularized Lymph Node Transfer. Cheng MH". Ann Surg Oncol. 2021 Jun;123(7):1641. https://pubmed.ncbi.nlm.nih.gov/33825195/ 64. Retrograde Manual Lymphatic Drainage following Vascularized Lymph Node Transfer to Distal Recipient Sites for Extremity Lymphedema: A Retrospective Study and Literature Review. Roka-Palkovits J, Lin CY, Tzou CH J, Tinhofer, Cheng MH*. Plast Reconstr Surg. 2021 Sep 1;148(3):425e-436e. https://pubmed.ncbi.nlm.nih.gov/34432699/ 65. Immediate Lymphovenous Bypass Treated Donor Site Lymphedema during Phalloplasty for Gender Dysphoria. Lin W, Safa B, Chen M, Cheng MH*. Plast Reconstr Surg Glob Open. 2021 Sep 17;9(9):e3822. https://pubmed.ncbi.nlm.nih.gov/34549009/ 66. Heparin-induced thrombocytopenia and thrombosis in primary lymphedema patients who underwent vascularized lymph node transplantations. Hsu SY, Lin CY, Cheng MH*. J Surg Oncol. 2022 Feb 2. https://pubmed.ncbi.nlm.nih.gov/35107827 Book: Principles and Practice of Lymphedema Surgery. Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. ISBN: 978-0-323-29897-1. July 2015. Principles and Practice of Lymphedema Surgery 2nd Edition - January 7, 2021 Ming-Huei Cheng, David Chang, Ketan Patel. Paperback ISBN: 9780323694186 Book chapters: 16 1. Cheng MH, Nguyen DH, Huang JJ. Chapter 77: Vascularized Groin Lymph Node Flap for Treatment of Lymphedema. In: Perforator Flaps: Anatomy, Technique, & Clinical Applications. 2nd Edition. Blondeel PN, Morris SF, Hallock GG, and Neligan PC (Editors). Quality Medical Publishing, Inc. St. Louis, Missouri. 2013:1317-1328. 2. Cheng MH, Nguyen DH. Chapter 54: Lymph Node Transfer for Lymphedema. In: Operative Microsurgery. Boyd JB and Jones NF (Editors). McGraw-Hill, New York. 2015:672-682. 3. Tobbia D, Cheng MH. Vascularized Groin Lymph Node Flap Transfer for Post mastectomy Upper Limb Lymphedema. In Grabb's Encyclopedia of Flaps, 4th edition. Strauch B, Vasconez LO, Lee BT, and Herman CK (Editors). Wolters Kluwer, Philadelphia, PA, USA. 2015. 4. Tzou CHJ, Cheng MH. Transfer of lymph node tissue - my approach. In Oncoplastic and Reconstructive Management of the Breast: A Multidisciplinary Approach. CRC Press, Boca Raton, FL, 2015. 5. Cheng MH, Chang DW, Patel KM. Chapter 1: An introduction to principles and practice of lymphedema surgery. In Principles and Practice of Lymphedema Surgery. Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. 2015 6. Nguyen DH, Cheng MH. Chapter 5: Laboratory study of lymphoma. In Principles and Practice of Lymphedema Surgery. Cheng MH, Chang DW, Patel KM (Editors). Elsevier Inc, Oxford, United Kingdom. 2015

​韓式美學專家 張豫苓 主任醫師，醫學美容專長：韓式眼袋、打勾手術、鼻整形手術、內視鏡拉皮手術、輪廓埋線拉提手術、抽脂雕塑、微整型針劑注射 ​ “韓式美學專家” 張豫苓 主任醫師 ｜醫學美容專長｜ 韓式眼袋打勾手術 鼻整形手術 內視鏡拉皮手術 輪廓埋線拉提手 術 抽脂雕塑 微整型針劑注射 ｜學經歷 ｜ 現任台北市醫美診所院長 韓國首爾整形醫院 國際認證醫師 韓國韓國KCCS國際美容手術醫師 韓國PASCAL國際美容手術醫師 韓國-台灣亞太國際演講受邀演講醫師 韓國ID&NaNa醫美整形集團臨床交流 韓國Lydian 整形醫院國際認證交流 韓國Jeunex 整形醫院國際認證交流 韓國Shimmian 鼻整形醫院國際認證交流 韓國首爾國際眼袋手術臨床研究交流 韓國首爾國際眼周抗衰老手術臨床研究交流 韓國首爾國際鼻整形臨床手術研究交流 韓國首爾抽脂臨床手術研究交流 韓國首爾音波抽脂雕塑國際認證醫師 韓國首爾內視鏡拉皮臨床手術研究交流 韓國世界醫學美容會議研習進修 泰國曼谷國際整形手術臨床經驗交流 美國哈佛大學麻州總醫院臨床手術研究交流 德國慕尼黑抗衰老醫學研究中心醫美整形交流 台灣顏面整形重建外科醫師 台灣亞太美容外科醫學會醫師 台北整形外科診所整形手術醫師 前台北臺大醫院醫學中心醫師 高雄醫學大學醫學系畢業 美麗見證：韓式眼袋打勾手術 受邀參與亞洲國際醫美研討會 2024 泰國曼谷 張豫苓醫師 國際認證 張豫苓醫師 Play Video Play Video 03:01 你要的隆鼻問題都在這 Play Video Play Video 02:54 眼袋手術重點問

專業麻醉醫師團隊，手術更安心。 認識蕭斯云 醫師和馮育斌 醫師 和他們的專業背景，讓您以及家屬都能放心 A professional team of anesthesiologists, making surgery safer Our team is professionally licensed and every operation is fully monitored, giving you and your family peace of mind. 蕭斯云 醫師 學歷 中國醫藥大學 醫學系 經歷 台北國泰綜合醫院 麻醉科 住院醫師&總醫師 台灣麻醉醫學會 專科醫師考試合格 衛生福利部立金門醫院 麻醉科 主治醫師 台北國泰綜合醫院 麻醉科 兼任主治醫師 沐美診所 麻醉主治醫師 三重宏仁醫院 麻醉科 兼任主治醫師 馮育斌 醫師 學歷 國防醫學院醫學系 經歷 台中榮民總醫院麻醉部住院醫師 台北國泰綜合醫院麻醉科主治醫師 日本東京醫科齒科大學齒科麻醉科研修醫師 汐止國泰綜合醫院麻醉科主治醫師 專長 兒童牙科門診鎮靜 成人牙科門診鎮靜 整形外科麻醉 產科麻醉 現職 舒美麻醉醫療團隊主治醫師

自體皮瓣重建 ---- 由自體組織如腹部、大腿、臀部做皮瓣移植，乳房重建自然、柔軟、無副作用，歡迎諮詢！ 【乳房重建】 自體皮瓣重建 由自體組織如腹部、大腿、臀部做皮瓣移植，乳房重建自然、柔軟、無副作用 台灣首位執行顯微「深下腹動脈穿通枝皮瓣」乳房重建方式的專家 鄭明輝教授在1998年從美國安德森癌症中心專研乳房重建，將最新顯微乳房重建技術帶回台灣並引進亞洲。 不犧牲橫腹直肌，改採人體適當的可轉移組織，協助失去乳房的女性重建乳房，找回自信，恢復生活品質，至今已完成超過800例，此手術技術經驗純熟。 (Deep Inferior Epigastric Perforator Flap/ DIEP) 所以日本的Harashina T.醫師，在1988年將Pedicle TRAM皮瓣利用血管顯微技術改良為自由皮瓣，在美觀、部分皮瓣缺失及脂肪壞死的問題改善方面較Pedical TRAM皮瓣效果為佳，自由橫腹直肌肌皮瓣的移植方式在腹部合併症上較少發生。 DIEP皮瓣是僅取下腹部的皮膚及脂肪 ，而不取其腹直肌的肌肉。這個技術是首先由路易思安娜州大學醫學中心的Robert Allen醫師在1992年發表，Allen醫師的500個案例中有99.5%的成功率。不僅 可以實現如自由橫腹直肌肌皮瓣一般較佳的美觀性，還能降低腹部的疼痛及合併症，且減少住院天數。DIEP皮瓣唯一的短處是其開刀技術相對於一些外科醫師而言較困難，必須有完整的顯微外科訓練及精細的技術才能完成此手術。 「深下腹動脈穿通枝皮瓣」是使用腹部脂肪皮瓣來移植，使用下腹部的脂肪皮瓣，加上一組供應皮瓣的動靜脈血管，移植到缺損的乳房部位。過程中需要在顯微鏡下使用比頭髮還細的線進行縫合，技術層面較高。皮瓣因為有血管的供應不會壞死，但是將腹部脂肪雕塑成乳房形狀是手術最困難的部分，需要很有經驗且技術純熟的醫師，才能使皮瓣塑造出與另一側乳房形狀對稱、擁有自然弧度且飽滿的重建乳房。另外將上腹部皮膚往下拉，再打一個小洞露出原來的肚臍，傷口縫合後做腹部整形術，便可擁有縮小腹的效果。 「橫腹直肌皮瓣」（Pedicle TRAM flap）是另一種使用腹部皮瓣做乳房重建的方式，最早臨床上多使用此方法，經改良後現在顯微手術的醫師已不再使用這種傳統手術，而是改採用深下腹動脈穿通枝皮瓣的方式做乳房重建。傳統做法與深下腹動脈穿通枝皮瓣最大的不同在於需要犧牲橫腹直肌，術後腹部會較疼痛、腹部後遺症較多。 腹部皮瓣移植： 深下腹動脈穿通枝皮瓣 使用自體移植組織重建乳房的方式，在1982年即由Cral R. Hartrampf Jr.醫師發表使用橫腹直肌肌皮瓣（TRAM）進行重建。對乳癌患者而言，TRAM提供了比植入物或組織擴張器更自然的乳房重建結果，然而，仍有部分皮瓣缺失、脂肪壞死、腹部膨脹及疝氣等缺點。 什麼是自體皮瓣？ 自體皮瓣是指從患者身體擷取適當分量的組織體(如腹部或大腿、臀部)，去除皮膚、保留脂肪及動靜脈，以移植手術做乳房重建部位的填充原料，稱為自體皮瓣。因為是患者本身身體的組織，不會有異物反應，副作用很少。此方式可避免義乳植入物可能形成的莢膜攣縮、滲漏破裂等風險。 無排斥、低副作用、自然、永久 【重建首選】自體組織皮瓣移植 了解深下腹動脈穿通枝皮瓣乳房重建手術的流程： 01 患側乳房 擷取腹部脂肪皮瓣（30 x 12cm） 02 將上腹部的皮膚往下拉 再縫合 傷口縫合後達到縮小腹的效果 （肚臍為自己原本的） 03 去除皮膚、保留脂肪及深下腹動靜脈的腹部脂肪皮瓣 將雕塑成乳房形狀的脂肪皮瓣 動靜脈移入患側乳房 術前叮嚀：讓「腹部血管變粗」的 2 個小運動， 增加手術成功率 延遲性乳房重建因為有一段彈性的評估期，決定使用腹部脂肪組織皮瓣移植的患者，可以先開始做以下2種動作，幫助腹部血管變粗，手術血管接合時可以更順利： 跑步，每天約30分鐘 平躺時將雙腳抬高，每天約100∼200下，促進肢體末端血液往腹部流動及腹直肌收縮，增加深下腹動脈的血流 Profunda Artery Perfofator Flap/PAP 大腿(臀)皮瓣移植：深股動脈穿通枝皮瓣 疤痕隱密、恢復快 一直以來，腹部皮瓣（特別是深下腹動脈穿通枝皮瓣DIEP flap）是自體組織乳房重建的首選；但是有些患者腹部脂肪太少，或是腹部經過多次手術（如腹部拉皮、抽脂或多次的腹腔手術），在這種情形下，摘取腹部皮瓣變得不可行，便要考慮來自其他部位的皮瓣，包括背部、臀部或大腿。其中，位在大腿內側的深股動脈穿通枝皮瓣（profunda artery perforator flap; PAP flap）是一個非常好的選擇。 深股動脈穿通枝皮瓣第一次是在2012年，由美國Robert Allen醫師發表運用在乳房重建上，此皮瓣的特點是血管解剖位置變異少、脂肪厚度足夠，且拿取皮瓣區的疤痕隱密，容易隱藏，在Allen醫師的案例中，皆成功完成令人滿意的乳房重建結果。過去我在長庚醫院已使用此皮瓣在各式的顯微重建手術（包括乳房重建、頭頸部重建、婦科重建等）超過百例，相關研究也已在美國整形外科醫學會發表，並獲《Plastic and Reconstructive Surgery》期刊登載。 深股動脈穿通枝皮瓣在手術時並不會犧牲任何肌肉 ，幾乎不會有無力的情形發生；而使用穿通枝皮瓣，可以早點下床，不用住院很久，對於工作量大或運動量大的病人是很重要的一個優點。 有人會擔心摘取深股動脈穿通枝皮瓣後的疤痕或雙腿外觀的對稱性，但觀察與研究顯示，大腿內側的疤痕是很隱密的，並不容易被別人察覺，而不對稱性的情況也並不明顯。 比起深下腹動脈穿通枝皮瓣（DIEP flap），深股動脈穿通枝皮瓣（PAP flap）能摘取的脂肪是比較少的；但是在目前完成的乳房重建案例中，深股動脈穿通枝皮瓣仍能達到令患者滿意的重建結果，提供足夠隱密的疤痕，並讓患者保有腿部肌肉的力量。 因此，我們建議腹部脂肪不夠的患者，若仍想考慮自體組織乳房重建時，深股動脈穿通枝皮瓣（PAP flap）不失為一個好的選擇。 臨床小叮嚀：重建皮瓣「易胖難瘦」，術後要控制體重 取自身體的自由皮瓣組織，會隨著體重的變化而跟著改變，這是自然現象，尤其它獨特的體質是「容易跟著腹部脂肪發胖而一起變胖，但不容易再瘦下來」。所以患者在乳房重建後，一 定要維持勻稱而穩定的身材、體重，避免發胖、過度減肥或忽胖忽瘦，以免影響重建乳房的脂肪胖瘦與外觀。 隆乳小知識 Play Video Play Video 08:01 隆乳材質大比拼！按摩？莢膜？水波紋？妳想知道的都在這｜安德森整形外科 鄭明輝教授 鄭在開講 Play Video Play Video 06:23 產後胸部走山怎麼辦？ 這樣做讓妳比孕前更漂亮！｜安德森整形外科 鄭明輝教授 鄭在開講 Play Video Play Video 03:25 『隆乳手術成敗的關鍵？七大關鍵因素先懂再隆也不遲！』 #Pro好醫 Play Video Play Video 03:41 『胸部不要亂整？乳房整形種類分析！用刺青來遮隆乳疤痕與做乳暈漂色有用嗎？』 #Pro好醫 立即諮詢 Address 台北市松山區復興北路337號3樓 (捷運中山國中站) Email aplussurgery@gmail.com Phone 02-27123373 0963-809-080 Social Media 您的姓名 性別 * 男 女 其他 Email 居住地 * 台灣 海外 電話 方便聯絡時段 選擇一個時段 其他 Send 預約成功！

瞭解更多手臂淋巴水腫的成因及症狀，以及為何安德森整形外科是您的安心選擇，有任何問題歡迎電話及線上諮詢。 Upper Extremity Lymphedema Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery What Is Upper Extremity Lymphedema? Breast cancer patients who underwent axillary lymph node dissection following radiotherapy are at a higher risk of developing extremity lymphedema – Breast Cancer-Related Lymphedema (BCRL), a condition that results in tissue swelling and liquid retention in the arms. While it is possible to manage the condition with some home care, surgery may be necessary to significantly improve an individual’s comfort and quality of life. Ming-Heui Cheng, MD, FACS, a pioneer in plastic microsurgery and internationally renowned lymphedema specialist, performs vascularized lymph node flap transfers on lymphedema patients whose symptoms have not improved or continue to worsen six months after they emerged. Symptoms Of Lymphedema Of The Arm The affected limb may develop inflammation, infection, adipogenesis, and fibrosis of the tissue. The protein-concentrated fluid that accumulates inside the interstitial tissue may further block or make the drainage of the lymph fluid less efficient or even create an obstruction. Lymphedema of upper extremity causes pain, heaviness, skin hyperkeratosis, fibrosis, discomfort when wearing certain clothes and jewelry, cosmetic problems and limitation of daily activities for patients. It is common for lymphedema patients to experience depression, due to physical discomfort, emotional distress and lower quality of life. Anderson, Your safe choice Medical Center Specifications and Equipment The operating room is equipped with Mitaka microscopes, of which there are only four in Taiwan. They have a resolution of up to 16 million pixels and can magnify 42 times optically. They are very suitable for the anastomosis of lymphatic vessels and veins of 0.5 mm and are often used in lymphatic venous anastomosis, such as preoperative evaluation and intraoperative evaluation of the permeability of sutures, making the operation more stable and safe. Surgical Techniques 1 Lymphaticovenous Anastomosis, LVA LVA is an advanced minimally invasive super-microsurgical technique used to relieve lymphedema. During the procedure, Dr. Cheng will make small incisions, which expose lymphatic channels and small veins just beneath the skin. Learn more 2 Vascularized Lymph Node Flap Transfer, VLNT In some cases, surgery may be performed to alleviate swelling and reduce symptoms. Dr. Cheng has developed a unique technique that involves lymph node transfer. During the procedure, Dr. Cheng transfers lymph node flap to distal recipient site – dorsal wrist in the upper extremity or ankle in the lower extremity. Learn more Case 61-year-old female with breast cancer-related lymphedema in the right upper limb Before Surgery: This is a 61-year-old female who had suffered from breast cancer-related lymphedema of the right upper extremity for 10 years after mastectomy, axillary 19 lymph nodes dissection, and radiotherapy. With the combined use of compression garments and the treatment of complete decongestive therapy, she had developed 2 episodes of cellulitis per year. After Surgery: At 75- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 40% above and below the elbow, respectively. 53-year-old patient, right upper limb lymphedema clinical grade II Before Surgery: A 53-year-old patient with grade II breast cancer-related lymphedema of the right upper extremity for 36 months after modified radical mastectomy, axillary lymph node dissection, and radiation. She developed 2 episodes of cellulitis per year and was refractory to conservative decongestive therapy. After Surgery: At 36- months follow-up, the circumferential reduction rates of the affected limb circumference without the use of compression garments were 100% and 85% above and below the elbow, respectively. 39-year-old female, left upper limb lymphedema, grade 1 Before Surgery: This is a 39-year-old female with left upper limb lymphedema for 6- months after left mastectomy and axillary 31 lymph nodes dissection and radiation. After Surgery: At a 3- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 35% and 60% above the elbow and below the elbow, respectively. 49-year-old female, right upper limb lymphedema, grade 1 Before Surgery: This is a 49-year-old female with right upper limb lymphedema for 6- months after right mastectomy and axillary lymph nodes dissection and radiation. After Surgery: At a 20- months of follow-up, the circumferential reduction rates of the affected limb without the use of compression garments were 85% and 60% above the elbow and below the elbow, respectively. Recommended reading journal Vascularized groin lymph node transfer using the wrist as a recipient site for management of postmastectomy upper extremity lymphedema. Lin CH, Ali R, Chen SC, Wallace C, Chang YC, Chen HC, Cheng MH. Plast Reconstr Surg. 2009 Apr;123(4):1265-75 https://www.ncbi.nlm.nih.gov/pubmed/19337095 Vascularized groin lymph node flap transfer for postmastectomy upper limb lymphedema: flap anatomy, recipient sites, and outcomes.. Cheng MH, Chen SC, Henry SL, Tan BK, Lin MC, Huang JJ. Plast Reconstr Surg. 2013 Jun;131(6):1286-98. https://www.ncbi.nlm.nih.gov/pubmed/23714790 Outcomes of Lymphedema Microsurgery for Breast Cancer-related Lymphedema With or Without Microvascular Breast Reconstruction. Engel H, Lin CY, Huang JJ, Cheng MH. Ann Surg. 2017 Jun 7 https://www.ncbi.nlm.nih.gov/pubmed/28594742 Greater Omental Lymph Node Flap for Upper Limb Lymphedema with Lymph Nodes-depleted Patient. Chu YY, Allen RJ Jr, Wu TJ, Cheng MH. Plast Reconstr Surg Glob Open. 2017 Apr 25;5(4):e1288. https://www.ncbi.nlm.nih.gov/pubmed/28507857 The Submental versus Groin Vascularized Lymph Node Transfer Flaps: A Head-to-Head Comparison of Surgical Outcomes for Breast Cancer Related Lymphedema Ho OA, Lin CY, Cheng MH. Plast Reconstr Surg Glob Open. 2018 [Epub ahead of print] Contact Dr. Cheng For A Consultation If you have Breast Cancer Related Lymphedema and would like to know more about the most advanced treatments, contact Dr. Cheng. Internationally recognized as a leading lymphedema specialist, Dr. Cheng can discuss treatment options, based on your individual case. Dr. Cheng is a member of the American Society of Reconstructive Microsurgery and has performed numerous VLN surgeries on breast cancer survivors and other lymphedema patients. Learn more

瞭解更多安德森整形外科近期的新消息，包括活動資訊、各式療程的知識分享、醫師資訊及其他有關診所的重要資訊 We appreciate the recognition and affirmation from our patients in the United States. Every word of encouragement is our driving force! We are delighted to see Ms. Henry successfully overcome post-breast cancer lymphedema and completely free from compression garments! 💪... Patient testimonials 安德森整形外科診所 Dec 17, 2024 Professor Cheng was invited to attend the 49th Global Plastic Surgery Conference held in Porto, Portugal. It was a great honor to be invited by Dr. Manuel Caneiro and Dr. Alvaro Silva to attend the 49th Global Plastic Surgery Conference held... Presentations 安德森整形外科診所 Dec 10, 2024 Gratitude from Canada — A Patient's Kindness Warms Our Hearts This week, Anderson received a thank-you card that warmed the hearts of all our medical staff. This card was not just a simple greeting... 安德森整形外科診所 Sep 26, 2024 Congratulations to Dr. Cheng for being recognized among the top 2% of scientists worldwide! I'm thrilled to share that Stanford University has released its 2024 list of the 'Top 2% Scientists in the World,' recognizing the top 2%... 安德森整形外科診所 Sep 25, 2024 The 10th World Symposium for Lymphedema Surgery (WSLS) was successfully concluded The 10th World Lymphedema Symposium was held at Taipei Garden Hotel on April 22-24. The Anderson team, led by Dean Zheng Minghui, spent... Lymphedema 安德森整形外科診所 Apr 24, 2024 Congratulation! The Spanish version of Lymphedema Surgery textbook has been published It is my privilege to announce the Spanish version of our Lymphedema Surgery textbook has been published. I would like to give special... Lymphedema 安德森整形外科診所 Apr 30, 2022 Dr.Cheng gave A Virtual Visiting Professor Lecture at The University of California, Los Angeles (UCLA) I have appreciated the opportunity to give a virtual visiting professor lecture for UCLA today. It brought back memories of the training... Presentations 安德森整形外科診所 Aug 12, 2020 Dr.Cheng Presented at The 2020 Virtual Duke Flap Course Feel so privileged to be part of the renowned training program with many amazing and talented surgical experts at the 2020 Virtual Duke... Presentations 安德森整形外科診所 Aug 2, 2020 Dr. Cheng Presented at 2020 American Society of Reconstructive Microsurgery (ASRM) Annual Meeting Very happy to have managed to attend the 2020 American Society of Reconstructive Microsurgery (ASRM) Annual Meeting at Marriott Harbor... Presentations 安德森整形外科診所 Jan 12, 2020 Congratulation! Papers Published in the Journal Surgical Oncology I want to express my sincere appreciation to the Editor-in-Chief Dr. Stephen Sener of Journal Surgical Oncology, and the co-guest editors... 安德森整形外科診所 Dec 19, 2019 Congratulation! Two Papers Published in Plastic Reconstructive Surgery I feel so happy and humbled to share the great news that two research papers were recently published in the October Issue at Plastic... 安德森整形外科診所 Nov 15, 2019 Raises Breast Reconstruction Awareness in October It was a great pleasure and honor to share my journey as a surgeon of breast constructions at the grand round of our Department at CGMH... 安德森整形外科診所 Oct 16, 2019

Accommodation Information Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery 從台北車站到安德森整形外科 Transportation routes 點擊開啟Google map Take the bus 63號公車 至中山國中下車 點擊查看公車路線 49號公車 至民權復興路口下車，步行4分鐘 點擊查看公車路線 Take the MRT 台北車站搭乘板南線（藍線）至忠孝復興站， 再轉搭文湖線（棕線）至中山國中 站 從桃園機場到安德森整形外科 Transportation routes 點擊開啟Google map Take the bus 63號公車 至中山國中下車 點擊查看公車路線 49號公車 至民權復興路口下車，步行4分鐘 點擊查看公車路線 Take the MRT 台北車站搭乘板南線（藍線）至忠孝復興站， 再轉搭文湖線（棕線）至中山國中 站 A+ Surgery Clinic is located on Fuxing North Road in Songshan District, Taipei City. Below are some hotel information around the neighborhood, providing various options for your stay. 15 minutes walking distance Mandarin Oriental Taipei No. 158 Dunhua North Road Taipei Read More 6 minutes by car HOTEL METROPOLITAN PREMIER TAIPEI No. 133, Section.3, Nanjing East. Road., Zhongshan District, Taipei Read More 6 minutes by car COURTYARD by Marriott Taipei Downtown No. 6, Section 3, Minsheng East Road, Zhongshan District, Taipei Read More 10 minutes walking distance BROTHER HOTEL No 255, Sect. 3, Nanjing East. Road, Songshan District, Taipei Read More 2 minutes walking distance Taipei Fullerton Hotel-Maison North No 315 Fuxing North. Road, Taipei Read More 2 minutes walking distance Guide Hotel No. 307, Fuxing North. Road., Songshan Dist., Taipei Read More 2 minutes walking distance Cityinn Hotel Plus Fuxing North Road Branch No 338 Fuxing North. Road, Taipei Read More 3 minutes walking distance Forever Inn 3F, No 282 Fuxing North. Road, Taipei Read More