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- Diagnosis of Lymphedema | 安德森整形外科診所
鄭明輝醫師完成了近千例淋巴水腫治療手術,是透過顯微淋巴結皮瓣移植手術及淋巴靜脈吻合術,成功治療最多淋巴水腫患者的醫師。他創新、獨特的手術方法及成果發表在許多國際知名期刊,贏得全球顯微重建外科界的認可和讚譽,吸引了無數的整形外科學者前來學習、交流,同時也有來自美國、加拿大、馬來西亞、大陸、瑞 典、澳洲、杜拜、沙烏地阿拉伯及坦尚尼亞等國家的病人前來接受治療。 Diagnosis of Lymphedema Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery 淋巴水腫的診斷 Diagnosis of Lymphedema 腹股溝淋巴結皮瓣移植及受體部位的限制、選擇、適應症。VGLN,腹股溝淋巴結; ISL,國際淋巴水腫學會; Tc-99,鎝-99。 資料來源: Cheng MH, Chen SC, Henry SL, Tan BK, Lin MC, Huang JJ. Vascularized groin lymph node flap transfer for postmastectomy upper limb lymphedema: flap anatomy, recipient sites, and outcomes. Plast Reconstr Surg. 2013 Jun;131(6):1286-98.
- The Journey of Dr.Cheng | 安德森整形外科診所
鄭明輝教授是經過國際專業認可的整形外科專科醫師,同時也是美國重建顯微外科學會2006年Godina獎得主,是第一位亞洲整形外科醫師得獎者。截至目前為止,鄭教授已經完成了2100多例顯微手術,包括頭頸部重建、乳房重建、顱內外動脈血管吻合手術、淋巴管靜脈吻合術和顯微淋巴結皮瓣移植手術。 The Journey of Dr. Cheng Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Ming-Huei Cheng, M.D., M.B.A., F.A.C.S. November 27, 2024 Degree, Position, and Societies Dr. Ming-Huei Cheng completed his General Surgery and Plastic Surgery residency training at Chang Gung Memorial Hospital, Taipei, Taiwan, in 1997 and finished a combined microsurgical and research fellowship at the Department of Plastic Surgery, MD Anderson Cancer Center, Houston, Texas, in 1999. He has been a member of the American Society for Reconstructive Microsurgery since 2003 and an international member of the American Society of Plastic Surgeons since 2009. He was promoted to a Full Professor at the Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, in 2011. He has been an adjunct professor at the Division of Plastic Surgery at the University of Michigan, Ann Arbor, MI., since 2017. He retired from Chang Gung Memorial Hospital and established his private clinic, A+ Surgery Clinic, specializing in lymphedema microsurgery and microsurgical breast reconstruction in Taipei in April 2023 (www.aplussurgery.com ). He was appointed Vice President of the World Society for Reconstructive Microsurgery in August 2023. Clinical Works Dr. Cheng initiated his distinguished career in reconstructive microsurgery, specializing initially in extremity and head and neck reconstruction, later expanding to breast reconstruction and lymphedema microsurgery. Globally recognized, he is a highly sought-after figure in reconstructive microsurgery. With a portfolio exceeding 2,600 microsurgical cases, Dr. Cheng has demonstrated unparalleled expertise in head and neck reconstructions, right hepatic artery anastomoses for living-donor liver transplantation, breast reconstructions, extracranial-intracranial bypasses, and lymphovenous bypasses (98.5% patency rate). His proficiency in vascularized lymph node transfer also boasts an impressive 98% success rate. Since 2000, Dr. Cheng has pioneered innovative techniques, such as distal recipient site utilization for vascularized lymph node flap transfer and the groundbreaking vascularized submental lymph node flap transfer for extremity lymphedema. His clinical research on the mechanisms of vascularized lymph node transfer has led to the development of a new severity classification for Lymphedema Grading in Annals Surgical Oncology (2015) and a novel Taiwan Lymphoscintigraphy Staging system in Annals of Surgery (2018). Dr. Cheng's unique and innovative techniques stand as some of the most effective treatments for lymphedema. Research, Publications, and Patents Dr. Cheng's impactful research career includes 22 projects from the Ministry of Science and Technology, 39 projects from Chang Gung Memorial Hospital, and leadership at the Center for Tissue Engineering since 2014. His extensive publications comprise 270 peer-reviewed papers and 42 book chapters, including the chapter "Lymphedema: Diagnosis and Treatment" in "Grabb and Smith’s Plastic Surgery 8th edition" (Wolters Kluwer, 2020). He is one of the Editors-in-Chief of the textbook “Principles and Practice of Lymphedema Surgery”, first, second, and Spanish editions. Dr. Cheng's scholarly impact is reflected in 12,467 citations, an h-index of 59, and an i10-index of 195 on Google Scholar as of November 27, 2024 (https://scholar.google.com/citations?user=KtfcDvcAAAAJ&hl=en). His inventive contributions extend to 17 intellectual patents in Taiwan and three in the United States. Teaching, Visiting Professorships, and Editor of Peer-Review Journals Dr. Cheng, a preeminent expert in international reconstructive microsurgery, is frequently invited to prestigious conferences for lectures and panels. Hosting annual microsurgery courses since 2010 and the super microsurgery course since 2017, he has trained 107 residents and 126 international fellows, receiving 1026 international visitors in the past 26 years. Noteworthy successes include mentees who, under his guidance, have become professors, employing advanced techniques like vascularized lymph node transfer for breast cancer-related lymphedema. Dr. Cheng's influence extends globally through 32 visiting professorships at renowned institutes, including Harvard Medical School and Mayo Clinic. He plays pivotal roles as Reconstruction Section Editor at the Annals of Surgical Oncology and co-Section (Reconstruction) Editor at the Journal of Surgical Oncology. Additionally, he has served as an editor for journals like Plastic and Reconstructive Surgery, Plastic and Reconstructive Surgery Global Open, Microsurgery, and Annals of Plastic Surgery. Dr. Cheng's ongoing contributions actively shape and disseminate knowledge in reconstructive surgery. Host International Conferences Dr. Cheng has been a driving force in fostering collaboration between the Taiwan Society of Plastic Surgery (TSPS) and the American Society of Plastic Surgeons (ASPS). His visionary approach aims to provide learning opportunities for junior doctors and surgeons in Taiwan while connecting them with the global medical society through an alliance with ASPS. In 2009, he initiated and hosted the inaugural Asian Symposium for Breast Plastic and Reconstructive Surgery, advocating for breast reconstruction and facilitating the exchange of advanced surgical techniques and knowledge for treating breast cancer patients in Asian countries. This impactful conference has been held consecutively for 11 years. Additionally, Dr. Cheng hosted and co-chaired the World Symposium on Lymphedema Surgery in 2013, 2016, 2019 and 2024. This annual gathering brings together the world's foremost lymphedema experts, providing a platform to present their expertise and discuss various surgical procedures and challenges in treating lymphedema. Websites and Patient Support Group In 2001, Dr. Cheng initiated the breast reconstruction website http://www.nicebreast.com.tw , dedicated to educating the public on breast cancer and reconstruction. The following year, he founded the inaugural Taiwan Breast Reconstruction Patient Support Group, contributing to breast cancer awareness in Taiwan and neighboring Asian countries. Collaborating with Avon Company, he organized annual fundraising events, offering financial aid to over 450 patients undergoing breast reconstruction. In 2019, Dr. Cheng launched the lymphedema website https://lymphedemamicrosurgery.com/, attracting over 300,000 visits and sharing the latest microsurgical techniques, results, and research on lymphedema diagnosis and treatments. His continued commitment to patient support expanded in 2023 with the launch of the Plastic and Recontructive Surgery website www.aplussurgery.com for the A+ Surgery Clinic’s official website. Awards and Honors Dr. Cheng's notable recognitions include the 2006 Godina Travel Fellow of the American Society for Reconstructive Microsurgery and the 2008 Outstanding Alumnus of Chung Shun Medical University. He received the Distinguished Alumni Award from Chang Gung University in 2013 and was named the Zamboni Visiting Professor by the American Society for Reconstructive Microsurgery in 2016. Notable awards include the First Place Award at the National Innovation Competition 2019 and a Silver Medal at the Symbol of National Quality Competition in 2020 for his Center of Lymphedema team. Dr. Cheng's global impact is highlighted by his consistent top 2% ranking among 8 million scientists continuous for 5 years, from 2020 to 2024, as recognized by Stanford University, Elsevier, and SciTech Strategies. In 2022, he received the 15th Annual (100th Anniversary) Distinguished Alumni Award from Tainan First High School. International Invited Lectures Invited Panelist and Moderator Instructional Courses Vascularized groin lymph node transfer using the wrist as a recipient site for the management of postmastectomy upper extremity lymphedema. The third conference, Group for Advance Breast Reconstruction surgeons. Beijing, China, October 12, 2008. The osteomyocutaneous peroneal artery combined flap for reconstruction of composite and en bloc mandibular defects. First combined meeting of American Society for Reconstructive Microsurgery and Chinese Society of Microsurgery, Shanghai, China. Vascularized groin lymph node transfer using the wrist as a recipient site for the management of postmastectomy upper extremity lymphedema. Institute of Reconstructive Plastic Surgery, New York University Langone Medical Center, New York, October 28, 2008. The osteomyocutaneous peroneal artery combined flap for reconstruction of composite and en bloc mandibular defects. Division of Plastic Surgery, Mayo Clinic, Rochester, Minnesota, October 30, 2008. Vascularized groin lymph node transfer using the wrist as a recipient site for the management of postmastectomy upper extremity lymphedema. Division of Plastic Surgery, Mayo Clinic, Rochester, Minnesota, October 31, 2008. The osteomyocutaneous peroneal artery combined flap for reconstruction of composite and en bloc mandibular defects. Cross-Strait symposium of new advancement in oral cancer management and reconstruction. Xiamen, China, December 13-14, 2008. Recent Advances for breast reconstruction in Taiwan. The Cross Strait Conference on Breast Cancer Treatment Consensus, Xiamen, China, May 16, 2009. Salvage strategy for venous compromised DIEP flaps. First Asian Symposium for Breast Plastic and Reconstructive Surgery in Taoyuan, Taiwan, May 30-31, 2009. Nipple reconstruction with modified top hat flap and cartilage graft. First Asian Symposium for Breast Plastic and Reconstructive Surgery in Taoyuan, Taiwan, May 30-31, 2009. Vascular Groin Lymph node transfer for postmastectomy upper extremity lymphedema. First Asian Symposium for Breast Plastic and Reconstructive Surgery in Taoyuan, Taiwan, May 30-31, 2009. One flap does many things in head and neck reconstruction. 1st Mayo Clinic/Chang Gung University Medical College Symposium in Reconstructive Microsurgery in Rochester, Minnesota, June 4-7, 2009. Solutions for Inadequate Venous outflow in Free Flap Breast Reconstruction. 1st Mayo Clinic/Chang Gung University Medical College Symposium in Reconstructive Microsurgery in Rochester, Minnesota, June 4-7, 2009. Management of Post-Mastectomy Upper Extremity Edema. 1st Mayo Clinic/Chang Gung University Medical College Symposium in Reconstructive Microsurgery in Rochester, Minnesota, June 4-7, 2009. The Osteomyocutaneous Peroneal Artery Combined Flap. Techniques in Flap Dissection with Cadaver Workshop Program in Dallas, Texas, July 11-12, 2009. Vascularized Groin Lymph Node Transfers for Treatment of Upper Extremity Lymphedema. Techniques in Flap Dissection with Cadaver Workshop Program in Dallas, Texas, July 11-12, 2009. Vascularized Groin Lymph Node Transfers for Treatment of Upper Extremity Lymphedema. The University of Texas MD Anderson Cancer, Houston, Texas, July 13-14, 2009. Vascularized Groin Lymph Node Transfers for Treatment of Upper Extremity Lymphedema. University of South California, Los Angeles, California, July 16-17, 2009. The Osteomyocutaneous Peroneal Artery Combined Flap. University of South California, Los Angeles, California, July 16-17, 2009. Recent advances in breast reconstruction in Taiwan. The third Shenzhen conference of breast cancer in Shenzhen, China, August 27-30, 2009. Vascularized groin lymph node transfer for postmastectomy upper extremity lymphedema. The third Shenzhen Conference of Breast Cancer in Shenzhen, China, August 27-30, 2009. Vascularized groin lymph node transfer for postmastectomy upper extremity lymphedema. 2009 Taipei International Breast Cancer Symposium, Taipei, Taiwan, September 12-13, 2009. Clinical research guiding the state of art in reconstructive microsurgery. 2nd European Plastic Surgery Research Council in Hamburg, Germany, August 26-29, 2010. Vascularized Groin Lymph Node Transfer for Postmastectomy Upper Limb Lymphedema. Asia Breast Cancer Collaborative Group Meeting 2010, Guangzhou International Breast Cancer Symposium in Guangzhou, China, September 3-5, 2010. The Advantage and Disadvantage of Instant and Delayed Breast Reconstruction with DIEP Flap. Asia Breast Cancer Collaborative Group Meeting 2010, Guangzhou International Breast Cancer Symposium in Guangzhou, China, September 3-5, 2010. Recent Advances of Breast Reconstruction at Chang Gung Memorial Hospital. 2nd World Association of Plastic Surgeons of Chinese Descent, Taoyuan, Taiwan, October 31, 2010. Vascular Groin Lymph Node Transfer for Post Mastectomy Lymphedema. The 16th World Congress of the International Confederation for Plastic, Reconstructive and Aesthetic Surgery, Vancouver, Canada, May 21-27, 2011. Recent advances in mandibular reconstruction at the 3rd World Congress of the International Academy of Oral Oncology (IAOO), Singapore, Singapore, July 15-17, 2011. A Strategic Approach for Tongue Reconstruction to Achieve Predictable and Improved Functional and Aesthetic Outcomes at the 3rd World Congress of the International Academy of Oral Oncology (IAOO), Singapore, Singapore, July 15-17, 2011. Vascularized LN Transfer for Lymphedema Treatment. The 4th CCH International Breast Cancer Conference, Taichung, Taiwan, August 13, 2011. Microsurgery: Tips and Tricks. 3rd European Plastic Surgery Research Council in Hamburg, Germany, August 25-28, 2011. Unilateral breast reconstruction with a DIEP flap and simultaneous contralateral breast augmentation. The 3rd Asian Symposium of Breast Plastic and Reconstructive Surgery, Seoul, Korea, October 7-9, 2011. New Classification of Mandibular Defect and Reconstruction. The Korean Society of Plastic and Reconstructive Surgeons: The 2nd Research & Reconstructive Forum, Gwangju, Korea, June 1-2, 2012. New Classification of Mandibular Defects and Reconstructions. 2012 Annual Meeting and International Conference of Taiwan Head and Neck Society, Changhua, Taiwan, June 9-10, 2012. Oro-maxillary reconstruction with a microsurgical free flap. AOCMF Advances Symposium on Reconstruction, Trauma, and Tumor, Taoyuan, Taiwan, June 16-17, 2012. Simultaneous Scarless Contralateral Breast Augmentation During Unilateral Breast Reconstruction Using Bilateral Differentially Split DIEP Flaps. 2012 Taipei International Breast Cancer Symposium & International Oncoplastic Breast Surgery Symposium with the 4th Cross Strait Conference on Breast Cancer Treatment Consensus, Taipei, Taiwan, September 22, 2013. Simultaneous Scarless Contralateral Breast Augmentation During Unilateral Breast Reconstruction Using Bilateral Differentially Split DIEP Flaps. The 4th Asian Symposium of Breast Plastic and Reconstructive Surgery, Xi’an, China, October 12, 2013. Lower Limb Lymphedema Treatment with Vascularized Submental Lymph Nodes Flap Transfer. APAGE 2013 Laparoscopic Gynecologic Oncology Surgery & Hands-on Animal Workshop, Shanghai, China, March 21-23, 2013. Evaluation of the Effect of Vascularized Lymph Nodes Transfer on Lymphatic Drainage and Local Immune Function in an Experimental Rat Lymphedema Model. 2013 International Symposium on Surgical Treatment of Lymphedema, Taoyuan, Taiwan, April 10-20, 2013. Vascularized Groin Lymph Node Flap Transfer for Postmastectomy Upper Limb Lymphedema: The Flap Anatomy, Recipient Sites, and Outcomes. 2013 International Symposium on Surgical Treatment of Lymphedema, Taoyuan, Taiwan, April 10-20, 2013. Vascularized Submental Lymph Node Flap Transfer for the Treatment of Lower Extremity Lymphedema: Anatomical Study and Clinical Applications. 2013 International Symposium on Surgical Treatment of Lymphedema, Taoyuan, Taiwan, April 10-20, 2013. Vascularized lymph node flap transfer. Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, DC, USA. February 6, 2014. Simultaneous Contralateral augmentation during unilateral breast reconstruction with differentially split DIEP Flaps. Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, DC, USA. February 6, 2014. Tricks, Tips, and Pearls for head and neck reconstruction. Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, DC, USA. February 6, 2014. Submental lymph node transplantation for lymphedema. Research and Surgical Perspectives in Lymphedema, Brussel, Belgium, March 3, 2014. Vascularized lymph nodes flaps for lymphedema - Taiwan style. 3rd International Symposium on Lymphedema Surgical Treatment, Barcelona, Spin. March 5, 2014. Vascularized lymph node transfer for upper and lower limbs lymphedema - recipient site selection and mechanism. The 2nd Meeting of Asian Pacific Federation of Societies for Reconstructive Microsurgery (APFSRM) 2014, Buyeo, Korea. July 4, 2014. Salvage of venous congested DIEP Flap. The 5th International Oncoplastic Breast Surgery Symposium, Guangzhou, China, September 19, 2014. Simultaneous contralateral breast augmentation with unilateral breast reconstruction with a DIEP flap. The 5th International Oncoplastic Breast Surgery Symposium, Guangzhou, China, September 20, 2014. Vascularized Lymph Node Flap for Breast Cancer-related Lymphedema a. The 5th International Oncoplastic Breast Surgery Symposium, Guangzhou, China, September 20, 2014. Redefining the Future of ASBPRS. The 6th Asian Symposium for Breast Reconstructive Surgery, Bali, Indonesia, October 20, 2014. Vascularized Lymph Node Transfer for Upper and Lower Limbs Lymphedema—Recipient Site Selection and Mechanism. The 6th Asian Symposium for Breast Reconstructive Surgery, Bali, Indonesia, October 21, 2014. The Aesthetic Refinement of Breast Reconstructive. The 6th Asian Symposium for Breast Reconstructive Surgery, Bali, Indonesia, October 21, 2014. Vascularized lymph node flap transfer for treatment of lymphedema. The 4th Congress of the World Association for Plastic Surgeons of Chinese Descent, November 7, 2014. Superficial inferior epigastric artery perforator flap (SIEA) with Superficial circumflex iliac artery perforator flap (SCIA), Duke Breast Perforator FLAP Course, February 28 to March 1, 2015. Vascularize Lymph Node Flap Transfer for Upper and Lower Limb Lymphedema. The 58th Annual Meeting of Japan Society of Plastic and Reconstructive Surgery, Kyoto, Japan. April 8 to 10, 2015. Master Course: Breast Reconstruction. 2015 Mevos International Congress of Aesthetic Surgery, Dalian, China, July 25 – 26, 2015 Patient Safety, SNQ, and International Medical Services. 2015 Mevos International Congress of Aesthetic Surgery, Dalian, China, July 25 – 26, 2015 Taiwan-Style Breast Reconstruction. The 18th Reach to Recovery International Breast Cancer Support Conference, September 6 – 9, 2015. Submental Lymph Node Transfer. The Chicago Breast & Lymphedema Symposium, Chicago, Illinois, September 19 – 20, 2015 The Mechanism of Vascularized Lymph Node Transfer for Lymphedema – Natural Lymphatico-Venous Drainage. The 5th World Symposium for Lymphedema Surgery, Chang Gung Linkou Medical Center, Taoyuan, April 27 – 29, 2016. Recent advances in Asian breast reconstruction. The Asian Society for Breast Plastic and Reconstructive Surgery, Inaugural Meeting and Instructional Course, Taiwan, Chang Gung Linkou Medical Center, Taoyuan, April 30, 2016. Recent Advances in Lower Limb Lymphedema, The 17th Asia-Pacific Association for Gynecologic Endoscopy and Minimally Invasive Therapy (APAGE) Annual Congress 2016, Taipei International Convention Center, Taiwan, November 4 – 6, 2016. Vascularized lymph nodes flap transfers for upper and lower limbs lymphedema, the Orange County Society of Plastic Surgeons meeting, Los Angles, USA, November 7, 2016. LYMPH NODE TRANSPLANT- Groin/Submental, The first annual Lymphedema Symposium at BIDMC/Harvard Medical School, Boston, USA, November 3, 2017. Breast Cancer-related Lymphedema and Surgical Treatment. Hefei, Anhui, China, December 30, 2017. Submental LNT, WSRM/ASLS Joint Symposium on Lymphatic Surgery, January 12, 2018. Lymphedema Grading and Treatment, Hangzhou, Zheijian, China, March 17, 2018. Quality of life improvement by breast reconstruction, Guangzhou, Guangdong, China, May 19, 2018. Breast Cancer-related Lymphedema Grading and Surgical Treatment, Changsha, Hunan, China, May 25, 2018. Recent trends in Asian breast reconstruction using free tissue transfer, The 2018 annual meeting of Asian Society for Breast Plastic and Reconstructive Surgery, Taiwan, Chang Gung Linkou Medical Center, Taoyuan, June 2, 2018. TAPA breast augmentation, The 2018 annual meeting of Asian Society for Breast Plastic and Reconstructive Surgery, Taiwan, Chang Gung Linkou Medical Center, Taoyuan, June 2, 2018. Vascularized Lymph Node Transfer for Treatment of Lymphedema, 1st Annual USC Multi-Disciplinary Approach to Lymphedema and Related Disorders Symposium, June 9, 2018. Vascularized lymph node flap transfer for extremity lymphedema, Suzhou, Zhejiang, China, August 18, 2018. Patient selection and indication for lymphedema microsurgery, International Istanbul Breast Cancer Conference - BREASTANBUL 2018, Istanbul, Turkey, October 11, 2018. Outcome of lymphedema microsurgery, International Istanbul Breast Cancer Conference - BREASTANBUL 2018, Istanbul, Turkey, October 11, 2018. Taiwan Lymphoscintigraphy Staging. 2nd Annual Lymphedema Symposium in Boston hosted by BIDMC/Harvard Medical School, November 2, 2018. Outcomes of Lymphedema Microsurgery for Breast Cancer-Related Lymphedema. The sixth Breast Cancer Symposium-USC, LA, USA, January 26, 2019. ASRM/ASLS: Innovations in Lymphatic Surgery. 2019 American Society for Reconstructive Microsurgery, Palm spring, USA. February 2, 2019. Patient selection and indication of lymphedema surgery. Lymphedema Surgery and the Clinical Application of Supermicrosurgery, Hong Kong, February 15, 2019. Mechanism of vascularized lymph node transfer. Lymphedema Surgery and the Clinical Application of Supermicrosurgery, Hong Kong, February 15, 2019. The outcome of lymphedema surgery. Lymphedema Surgery and the Clinical Application of Supermicrosurgery, Hong Kong, February 15, 2019. DIEP Flap for Breast Reconstruction in Thin Patients. Lymphedema Surgery and the Clinical Application of Supermicrosurgery, Hong Kong, February 16, 2019. Lipofilling. Pre-conference Workshops, the Second International Multidisciplinary Breast Conference, Dubai, UAE, February 21, 2019. One-stage direct-to-implant immediate breast reconstruction. Pre-conference Workshops, the Second International Multidisciplinary Breast Conference, Dubai, UAE, February 21, 2019. DIEP flap for breast reconstruction. Pre-conference Workshops, the Second International Multidisciplinary Breast Conference, Dubai, UAE, February 21, 2019. Management Lymphedema. The Second International Multidisciplinary Breast Conference, Dubai, UAE, February 23, 2019. Breast reconstruction. The Second International Multidisciplinary Breast Conference, Dubai, UAE, February 23, 2019. Vascularized Lymph Node Transfer: Techniques and Outcomes. 2nd Annual USC Multi-Disciplinary Approach to Lymphedema and Related Disorders Symposium, Santa Monica, USA, June 8, 2019. Patient Selection and Outcome of Lymphedema Microsurgery. The 49th Annual Meeting of the Portuguese Plastic and Reconstructive Society (SPCPRE), Porto, Portugal, November 8, 2019. Extracranial-Intracranial Arterial Bypass. The 49th Annual Meeting of the Portuguese Plastic and Reconstructive Society (SPCPRE), Porto, Portugal, November 8, 2019. Tricks, Tips and Pearls of Head and Neck Reconstruction, Buncke Clinic Virtual Visiting Professor, Webinar, May 9, 2020. Recent Advances in Lymphedema Microsurgery at Chang Gung Memorial Hospital, Buncke Clinic Virtual Visiting Professor, Webinar, May 30, 2020. Simultaneous Unilateral Breast Reconstruction and Contralateral Augmentation Mammoplasty, IMC Webinar lecture, July 18, 2020. Lymph node transfer. 2020 Duke Virtual Flap Course Track 1, Webinar, August 1, 2020. Lymphedema Microsurgery, UCLA Resident Lecture, Webinar, August 11, 2020. Video session of Surgery: Submental VLNT. Chicago Breast & World Lymphedema Surgery Symposium, Webinar, April 24, 2021. Vascularized lymph node flap transfer for Lymphedema- mechanism and outcome, The 5th Congress of Asian Pacific Federation of Societies for Reconstructive Microsurgery, Webinar, Dec 01, 2021. Innovations in Lymphedema Treatment, 3rd Annual USC Multi-Disciplinary Approach to Lymphedema and Related Disorders Symposium, Webinar, Jun 26, 2022. Outcome and Mechanism of Vascularized Lymph Node Transfer, 9th World Congress of Biomechanics, Webinar, Jul 12, 2022. Reconstructions in oral cancer, The AAO-HNSF Global Grand Rounds-Contemporary Management of Oral Cancer, Webinar, July 30, 2022. Outcomes and Mechanism of Vascularized Lymph Node Flap Transfer, LYMPHOCON 2022, Webinar, Sep 23, 2022. Outcomes and Updates on Lymphedema microsurgery, 2022 NLN-Cleveland Clinic Conference, Cleveland, USA, Nov 18, 2022. Submental Lymph Node Transfer, 2022 NLN-Cleveland Clinic Conference, Cleveland, USA, Nov 19, 2022. Keynote lecture: Recent Advances in Lymphedema Treatment, The 10th World Symposium for Lymphedema surgery, Taiwan, A+ Surgery Clinic, Taipei, April 24, 2024. Vascularized groin lymph node transfer for postmastectomy lymphedema. Panel: Surgical options, techniques and outcomes for postoperative extremity lymphedema, with David Chang, and Isao Koshima. 2010 Annual Scientific Meeting, American Society for Reconstructive Microsurgery, Boca Raton, Florida, January 11, 2010. Penalist, Scientific session: Head & Neck. 2nd European Plastic Surgery Research Council, Hamburg, Germany, August 27, 2010. Penalist, Post mastectomy lymphedema – does anything work? American Society of Plastic Surgeons, Toronto, Canada, October 5, 2010. Penalist, Symposium: Head and Neck. 2nd World Association of Plastic Surgeons of Chinese Descent, Taoyuan, Taiwan, Oct 30, 2010. Moderator, Symposium: Flap Related. 2nd World Association of Plastic Surgeons of Chinese Descent, Taoyuan, Taiwan, Oct 31, 2010. Penalist, Lymphedema treatment. American Society for Reconstructive Microsurgery in Cancun, Mexico, January 17, 2011. Penalist. Lymphedema. The 16th World Congress of the International Confederation for Plastic, Reconstructive and Aesthetic Surgery, Vancouver, Canada, May 21-27, 2011. Moderator, The application of the ALT flap in the head and neck reconstruction. 2011 Annual Meeting & International Conference of Taiwan Head and Neck Society, July 9-10, 2011. Penalist, Scientific Session: Reconstruction I. 3rd European Plastic Suregery Research Council, Hamburg, Germany, August 26, 2011. Moderator, Breast. 2011 Chang Gung Mayo Clinic Symposium in Reconstructive Surgery, the W Hotel and Chang Gung Linkou Medical Center, Taipei, Taiwan, October 27-30, 2011. Moderator, Oncoplastic Strategies and Techniques. 2012 Taipei International Breast Cancer Symposium & International Oncoplastic Breast Surgery Symposium with the 4th Cross Strait Conference on Breast Cancer Treatment Consensus, Taipei, Taiwan, September 22, 2013. Moderator, The Evolving Partnership of Breast Reconstruction and Radiation: Does it Work? 2012 Taipei International Breast Cancer Symposium & International Oncoplastic Breast Surgery Symposium with the 4th Cross Strait Conference on Breast Cancer Treatment Consensus, Taipei, Taiwan, September 22, 2013. Moderator, Breast Reconstruction. The 4th Asian Symposium of Breast Plastic and Reconstructive Surgery, Xi’an, China, October 12, 2013. Panelist, DIEP Flap Complications. The 3rd World Congress for Plastic Surgeons of Chinese Descent, Xi’an, China, October 13, 2013. Moderator, Breast Reconstruction (II). The 3rd World Congress for Plastic Surgeons of Chinese Descent, Xi’an, China, October 13, 2013. Panelist, Vascularized Lymph Node Transfer for the Treatment of Lymphedema: Controversies in Safety and Efficacy. American Society for Reconstructive Microsurgery, Naples, Florida. January 12-15, 2013. Moderator, Mandible resection and reconstruction in oral cancer surgery, 2013 Annual meeting & international conference of Taiwan head and neck society, Tainan, Taiwan. May 4-5, 2013. Moderator, Vascular Lymph Node Transfer – I. 2013 International Symposium on Surgical Treatment of Lymphedema, Taoyuan, Taiwan, April 10-20, 2013. Moderator, Oral Presentation Section 4. 2013 International Symposium on Surgical Treatment of Lymphedema, Taoyuan, Taiwan, April 10-20, 2013. Moderator, Breast IV Section. 2013 World Society for Reconstructive Microsurgery, Chicago, Illinois. July 11-13, 2013. Panelist, Brest V Section. 2013 World Society for Reconstructive Microsurgery, Chicago, Illinois. July 11-13, 2013. Panelist, Head & Neck V Section. New Classification of Mandibular Defects and Related Reconstruction. 2013 World Society for Reconstructive Microsurgery, Chicago, Illinois. July 11-13, 2013. Panelist, Lymphedema Section. Lymph Node Transfer: Taiwan Style. 2013 World Society for Reconstructive Microsurgery, Chicago, Illinois. July 11-13, 2013. Panelist, New Technologies in Lymphedema 2013 American Society of Plastic Surgeons, San Diego, California, October 11-15, 2013. Panelist, Vascularized Lymph Node Transfer: Taiwan Style. American Society for Reconstructive Microsurgery, Kauai, Hawaii. January 11-14, 2014. Panelist, Midface Panel - Breakout Panel. Maxilla reconstruction. American Society for Reconstructive Microsurgery, Kauai, Hawaii. January 11-14, 2014. Moderator, Pathophysiology of Lymphedema: current evidence. 3rd International Symposium on Lymphedema Surgical Treatment, Barcelona, Spin. March 5, 2014. Moderator, Plenary Lecture. The 2nd Meeting of Asian Pacific Federation of Societies for Reconstructive Microsurgery (APFSRM), Buyeo, Korea, July 4, 2014. Panelist, The Versatility of the Workhorse ALT Flap in Plastic Surgery. 2014 The Plastic Surgery Meeting, Chicago, Illinois, October 11, 2014. Panelist, Lymph node Transfer in the Breast Cancer Patient. 2014 The Plastic Surgery Meeting, Chicago, Illinois, October 14, 2014. Moderator, Best Practice of Breast Conserving Surgery and Reconstruction. The 6th Asian Symposium for Breast Reconstructive Surgery, Bali, Indonesia, October 21, 2014. Panelist, Decision Making in Lymphatic Surgery. 2015 American Society for Reconstructive Microsurgery, Atlantis, Paradise Island, Bahamas. January 24, 2015. Panelist, American Society of Lymphatic Surgery Scientific Session. 2015 American Society for Reconstructive Microsurgery, Atlantis, Paradise Island, Bahamas. January 26, 2015. Panelist, Master Class: Lymphedema. 2015 World Society for Reconstructive Microsurgery, Mumbai, India. March 19 – 22, 2015. Panelist, PDA9 Outcomes in Breast Reconstruction: - Aesthetics & Efficiency. 2015 World Society for Reconstructive Microsurgery, Mumbai, India. March 19 – 22, 2015. Panelist, Training in Microsurgery Part 2 (International Fellowships), World Society for Reconstructive Microsurgery, Mumbai, India. March 19 – 22, 2015. Panelist, Taiwan section. The 30th anniversary of the Korean Society for Aesthetic Plastic Surgery (KSAPS), Seoul, Korea. March 28 – 29, 2015. Panelist, Aesthetic and Reconstructive Surgery of the Breast in Asians: Present and Future. 2015 Mevos International Congress of Aesthetic Surgery, Dalian, China, July 25 – 26, 2015 Panelist, Breast Reconstruction. 2015 Mevos International Congress of Aesthetic Surgery, Dalian, China, July 25 – 26, 2015 Moderator, Breast Reconstruction. 2015 Mevos International Congress of Aesthetic Surgery, Dalian, China, July 25 – 26, 2015 Panelist, Breast Reduction and Mastopexy. 2015 Mevos International Congress of Aesthetic Surgery, Dalian, China, July 25 – 26, 2015 Moderator, Surgical Treatment of Lymphedema. The Chicago Breast & Lymphedema Symposium, Chicago, Illinois, September 19 – 20, 2015 Panelist, Lymph Node Transfer: How & Why I Do It This Way. The Chicago Breast & Lymphedema Symposium, Chicago, Illinois, September 19 – 20, 2015. Panelist, Perineal Reconstruction, Hear from the experts on pelvic and perineal reconstruction. Learn what complications to anticipate and clinical pearls; what works best in their hands. 2015 The Plastic Surgery Meeting, Boston, Massachusetts, October 15 – 20, 2015. Panelist, Decision Making in Lymphatic Surgery. 2016 American Society for Reconstructive Microsurgery, Scottsdale, Arizona, USA. January 16, 2016. Panelist, Lymphatic Surgery: Which Operation for Whom? 2016 American Society for Reconstructive Microsurgery, Scottsdale, Arizona, USA. January 19, 2016. Panelist, Lymphedema: Everything You Ever Wanted To Know? American Association of Plastic Surgeons and Plastic Surgery Research Council Joint Meeting, New York, USA, May 19 – 22, 2016 Panelist, What’s New in Lymphatic Surgery. The Chicago Breast & Lymphedema Symposium, Chicago, Illinois, September 16-17, 2016 Panelist, Lymphedema 1: Knowns and unknowns in lymphatic surgery: Masters' perspectives, 9th Congress of World Society for Reconstructive Microsurgery, Seoul, Korea, June 16, 2017. Panelist, Education in Microsurgery, 9th Congress of World Society for Reconstructive Microsurgery, Seoul, Korea, June 17, 2017. Panelist, Contralateral Breast and Oncoplastic Surgery, Combined Meeting of the 14th Asan Plastic Surgery Symposium and Korean Academic Association of Breast Plastic and Reconstructive Surgery, Seoul, Korea, June 18, 2017. Panelist, Imaging – How I Do It, The first annual Lymphedema Symposium at BIDMC/Harvard Medical School, Boston, USA, November 4, 2017. Panelist, An Algorithmic Approach to Deciding which Lymphedema Surgery a Patient Needs, 2018 American Society for Reconstructive Microsurgery, Phoenix, Arizona, USA. January 14, 2018. Moderator, Pre & Postop Care for Lymphedema Surgery, The Chicago Breast Symposium and 7th World Symposium on Lymphedema Surgery, Chicago, Illinois, April 26, 2018. Panelist, Lymphedema Surgery II, The Chicago Breast Symposium and 7th World Symposium on Lymphedema Surgery, Chicago, Illinois, April 27, 2018. Panelist, Changes in Lymphedema Surgery Over Time, The Chicago Breast Symposium and 7th World Symposium on Lymphedema Surgery, Chicago, Illinois, April 27, 2018. Moderator, Best salvage and best case, The 2018 annual meeting of Asian Society for Breast Plastic and Reconstructive Surgery, Taiwan, Chang Gung Linkou Medical Center, Taoyuan, June 2, 2018. Panelist, Lymphedema Management, International Istanbul Breast Cancer Conference - BREASTANBUL 2018, Istanbul, Turkey, October 13, 2018. Panelist, Reconstruction: Flap Reconstructions, International Istanbul Breast Cancer Conference - BREASTANBUL 2018, Istanbul, Turkey, October 13, 2018 Moderator, Master Class 4: Kotaro Yoshimura. International Annual Meeting of Taiwan Society of Aesthetic Plastic Surgery, Kaoshiung, Taiwan. October 27, 2018. Moderator, Microsurgery (I). 6th WAPSCD & 2018 APPRS & Annual Meeting of Taiwan Society of Plastic Surgery, Taipei, Taiwan. November 29, 2018. Moderator, Lymphedema Updates, Annual Meeting of the Taiwan Society for Reconstructive Microsurgery, Taipei, Taiwan. January 12, 2019. Moderator, Lymphedema Surgery and the Clinical Application of Supermicrosurgery, Hong Kong, February 15, 2019. Panelist, Case Presentations and Panel Discussions-Expert Panel. Lymphedema Surgery and the Clinical Application of Supermicrosurgery, Hong Kong, February 15, 2019. Moderator, Lymphedema Surgery and the Clinical Application of Supermicrosurgery, Hong Kong, February 16, 2019. Moderator, Annual Meeting of the Taiwan Surgical Association, Taipei, Taiwan, March 17, 2019. Panelist, Surgical Technique and Outcomes of Variable Donor Lymph Node Flaps, the 8th World Symposium for Lymphedema surgery, Taiwan, Chang Gung Linkou Medical Center, Taoyuan, April 25, 2019. Moderator, Keynote Lecture, the 8th World Symposium for Lymphedema surgery, Taiwan, Chang Gung Linkou Medical Center, Taoyuan, April 25, 2019. Moderator, Annual Meeting of the Asian Society of Breast Plastic and Reconstructive Surgery, Taiwan, Chang Gung Linkou Medical Center, Taoyuan, April 28, 2019. Moderator. 2nd Annual USC Multi-Disciplinary Approach to Lymphedema and Related Disorders Symposium, Santa Monica, USA, June 8, 2019. Panelist, Lymphoedema, 10th Congress of World Society for Reconstructive Microsurgery, Bologna, Italy, June 13, 2019. Panelist, Current trends in head & neck soft tissue reconstruction, 10th Congress of World Society for Reconstructive Microsurgery, Bologna, Italy, June 13, 2019. Panelist, New technology Head & neck reconstruction in the next decennium: innovation, arts, and controversies. 10th Congress of World Society for Reconstructive Microsurgery, Bologna, Italy, June 15, 2019. Panelist, “What’s New in Lymphedema Surgery”: My Current Approach & Why. 2020 American Society for Reconstructive Microsurgery Annual Meeting, Ft. Lauderdale, Florida, USA. January 10, 2020. Moderator. Extracranial– Intracranial Bypass. 2020 American Society for Reconstructive Microsurgery Annual Meeting, Ft. Lauderdale, Florida, USA. January 12, 2020. Moderator: Breakout panel, Lymphedema Q & A, 2020 Duke Virtual Flap Course Track 1, Webinar, August 1, 2020. Panelist, “EDUCATIONAL SESSION: Improving the current surgical techniques”: Vascularized lymph node flap: How and when? Submental, the 9th World Symposium on Lymphedema Surgery (9th WSLS, HYBERWSLS), online, October 6, 2020. Panelist, “CONTROVERSY SESSION: Postoperative management”: What is my protocol, the 9th World Symposium on Lymphedema Surgery (9th WSLS, HYBERWSLS), online, October 6, 2020. Moderator, Patient Selection and Outcomes in Lymphedema Surgery, Virtual Plastic Surgery The Meeting, Live Stream, October 16, 2020. Panelist, “ASLS/ASRM LYMPHATIC SURGERY UPDATE”, ASRM Virtual Symposium, Live Stream, January 15, 2021. Moderator: Pre and Postop management, Chicago Breast & World Lymphedema Surgery Symposium, Webinar, April 23, 2021. Panelist, “Reconstructive Surgery”, The International Federation of Head and Neck Oncologic Societies Virtual World Tour,I, Zone 4 (East Asia & Oceania), Webinar, July 31, 2021. Panelist, “How to read an ICG lymphangiography”, London Breast Meeting, Parallel Session 1B: Imaging for Microsurgeons, Webinar, Sep 01, 2021. Panelist, “Summary of the 9th World Symposium on Lymphoedema Surgery” London Breast Meeting, What is New in Lymphoedema? Webinar, Sep 02, 2021. Moderator: Mammaplasty Forum 2 , 2021 Taiwan Society of Aesthetic Plastic Surgery International Annual Meeting, Taipei Taiwan, Oct 03, 2021. Panelist, “Recent Advanced in Breast Reconstruction and lymphedema,” 8th Global Chinese Breast Cancer Organizations Alliance Conference, Webinar, Oct 09, 2021. Demand Panel: What is the Ideal Reconstructed Breast? An International Perspective, 2021 The American Society of Plastic Surgeons (ASPS) On, Webinar, Oct 22, 2021 BLS panel: Lymph Node Transplants: How do they work? Boston Lymphatic Symposium, Webinar, Nov 06, 2021 Panelist, “Lymphedema Surgery”, World Association for Plastic Surgeons of Chinese Descent, Webinar, Nov 18, 2021 Moderator: Video and Lecture:講師術前講解術式設計, Taiwan Society of Aesthetic Plastic Surgery, Kaohsiung, Taiwan, Jan 16, 2022. Moderator: Unedited Video Demo:包含術前設計、術中技術示範與講解, Taiwan Society of Aesthetic Plastic Surgery, Kaohsiung, Taiwan, Jan 16, 2022. Panelist, “Enhancing Lymphatic Drainage by Nanofibrillar Collagen Scaffold”, Lymphedema Summit held by the Department of Plastic Surgery, Stanford University, Webinar, Jan 23, 2022. 104. Moderator, Conference VIP Lecture, 2022 Annual Meeting of Taiwan Surgical Association, Taipei, Taiwan, Mar 13, 2022 105. Panelist, “Outcomes of vascularized lymph node transfer in primary and secondary Lymphedema”, Techniques & outcomes of VLNT: when and how?, Update Symposium on Lymphedema Surgery, Webinar, Apr 25, 2022. 106. Panel, “How My Surgical Approach/ Technique have Been Changed Over Time?”, The World Society for Reconstructive Microsurgery, Webinar, Jun 4, 2022. 107. Panel, Approach and Outcomes for Vascularized Lymph Node Transplant”, 8th International Breast Surgery workshop & 4th World Consensus Conference on BIA-ALCL, Webinar, Sep 30, 2022. 108. Panel, “Delayed Lymphatic Reconstruction-LNT”, Plastic Surgery The Meeting, On-Demand, Webinar, Oct 22, 2022. 109. Panel, “Outcome and mechanism of vascularized lymph node transfer”, Surgical treatment in lymphology, 3rd Vienna Lymphology Symposium, Vinna Austria, Nov 26, 2022. 110. Moderator, Invited Speech, 2022 Annual Meeting of Taiwan Society of Plastic Surgery(TSPS), Taipei, Taiwan, Dec 17, 2022. 111. Moderator, Keynote Lecture I, The 10th World Symposium for Lymphedema surgery, Taiwan, A+ Surgery Clinic, Taipei, April 23, 2024. 112. Moderator, Keynote Lecture II, The 10th World Symposium for Lymphedema surgery, Taiwan, A+ Surgery Clinic, Taipei, April 23, 2024. 113. Debate Panel I, “Single Malt Whisky Versus Cocktail”, Staged Procedures, The 10th World Symposium for Lymphedema surgery, Taiwan, A+ Surgery Clinic, Taipei, April 24, 2024. 114. Panel, “Long-term Outcomes: What is the Best?”, The 10th World Symposium for Lymphedema surgery, Taiwan, A+ Surgery Clinic, Taipei, April 24, 2024. 115. Debate Panel II, “LVA Versus VLNT”, The 10th World Symposium for Lymphedema surgery, Taiwan, A+ Surgery Clinic, Taipei, April 24, 2024. 116. Moderator, LE&RN Testimony, The 10th World Symposium for Lymphedema surgery, Taiwan, A+ Surgery Clinic, Taipei, April 24, 2024. NEW! Vascularized Lymph Node Flap Transfer for Upper and Lower Limb Lymphedema. 2013 American Society of Plastic Surgeons, San Diego, California, October 11-15, 2013. Monitoring Patient-Centered Outcomes Through the Progression of Breast Reconstruction: A Multi-Centered Prospective Longitudinal Evaluation. 2013 American Society of Plastic Surgeons, San Diego, California, October 11-15, 2013. Lymph node transfer Chang Gung Style. 2013 American Society of Plastic Surgeons, San Diego, California, October 11-15, 2013. Lymph node Transfer - Breast Applications. 2014 The Plastic Surgery Meeting, Chicago, Illinois, October 14, 2014. Vascularized Lymph Node Flap Transfer for Upper and Lower Limb Lymphedema. 2014 The Plastic Surgery Meeting, Chicago, Illinois, October 14, 2014. Vascularized Lymph Node Flap Transfer for Upper and Lower Limb Lymphedema. 2015 The Plastic Surgery Meeting, Boston, Massachusetts, October 16, 2015. Lymph node Transfer - Breast Applications. 2015 The Plastic Surgery Meeting, Boston, Massachusetts, October 17, 2015. Advanced lymphatic surgery: How I do it. 9th Congress of World Society for Reconstructive Microsurgery, Seoul, Korea, June 16, 2017. Supermicrosurgery hands-on course, the Department of Plastic Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan, May 5, 2018. Supermicrosurgery hands-on course, the Department of Plastic Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan, November 17, 2018. Supermicrosurgery hands-on course, the Department of Plastic Reconstructive Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan, November 24, 2018. Planning 3D reconstruction in craniofacial surgery, (lecture topic: 3D Planning for EC-IC Arterial Bypass), 10th Congress of World Society for Reconstructive Microsurgery, Bologna, Italy, June 13, 2019. Current Surgical Approach for Upper Extremity Lymphedema, 2020 American Association for Hand Surgery Annual Meeting, Ft. Lauderdale, Florida, USA. January 10, 2020. Workshop: Sewing with the masters, 3rd Vienna Lymphology Symposium, Vinna Austria, Nov 25, 2022. Workshop: Sewing with the masters, 3rd Vienna Lymphology Symposium, Vinna Austria, Nov 26, 2022. Co-chairman, 8th World Symposium for Lymphedema surgery International Workshop or Live Surgery (Live Surgery) Vascularized Submental Lymph Node Transfer, the 8th World Symposium for Lymphedema surgery, Taiwan, Chang Gung Linkou Medical Center, Taoyuan, April 25
- 乳房重建時機(立即性) | 安德森整形外科診所
立即性重建 無論是立即性還是延遲性,最重要的是找回自信與美麗! 乳房重建可分為立即性重建及延遲性重建。在多年以前,乳房重建大多只侷限於延遲性重建,原因不外乎擔心立即性的重建會干擾乳癌追加的治療,例如放射線治療及化學治療,也擔心重建的乳房可能使癌症的追蹤有困難。隨著乳房重建的演進與研究,這些問題在今天都有了答案,爭議與擔心也不再,在歐美等先進國家,立即性重建已是乳癌治療的一部份,保險給付,患者認同,立即性重建已經普遍被接受,而這種改變受惠的當然就是患者以及患者家人。 究竟何時才是做乳房重建的最佳時機呢? 這個問題在國外一流的醫學中心已不再有爭論,立即性重建可以使患者得到最好的重建結果(包括心理上的),只要病患條件允許,醫師會主動給病患立即性重建的建議。在乳房切除時配合皮膚保留的方式,以便保留患者較多皮膚的感覺!配合自體組織移植的方法,重建後的乳房便能既自然而持久... DIEP Flap (1) 我適合立即性重建嗎? 做完還會復發嗎? 會干擾治療嗎? 優點: 第一個好處是方便性,因為病患在接受乳房切除時, 當麻醉醒來後,不再感到自己有缺陷,見到的是一個重建後的乳房,而且腫瘤已經切除,而病患也不再因為再次手術的需要,而須經歷再一次的術前準備,多一次的住院,擔心……等過程。對病患的心理衝擊也能降到最低。 在同一次手術完成乳房切除與重建也大大降低了醫療成本,醫療費用的節省來自住院天數的減少與減少重複性術前準備。醫療成本的減少早在1996年德州大學安得森癌症中心(為全美第一大的癌症中心)的統計即已發現,當年乳癌切除後立即性重建所需要花費的費用是一萬九千塊美金,而延遲性重建則是兩萬九千塊美金。 再則,現在的全身麻醉雖已經相當安全,但減少ㄧ次的麻醉最也減低了病患所可能負擔的極低的風險。 患者心理上的恢復則是立即性重建一項無可取代的優勢,在沒有接受立即性的重建下,患者往往會有一段時間,好幾個月甚至好幾年會沒有乳房,在等待重建的過程中,病患必須經歷經過這段痛苦的時期。立即性重建則得以免除患者在這段期間心理上的負擔。根據1982年的統計, 做立即性重建在心理的滿意程度是92%,在延遲性重建是90%,立即性重建的心理滿意程度比延遲性重建稍高,病人也比較不會覺得恐懼,不會害怕有失去乳房的感覺,當年的研究即使現在回頭看仍覺得很有意義。 立即性重建的乳房較容易達到美觀,因為乳房外科醫師會在做全乳切除時將皮膚做保留,使得在重建時較容易達到美觀,尤其是可以保住下乳腺的曲線,重建後的乳房會較真實且美觀,感覺的恢復也較佳。疤痕比較少,其結果都比延遲性重建好。 缺點: 立即性重建一般來說是不會干擾化學治療及放射線治療,但是如果因為病患因素,手術方式的選擇或手術技術不純熟,則可能發生部份皮瓣壞死,或者是傷口癒合不良而延遲化學治療及放射線治療,而這個缺點可以因技術純熟醫師使用自由式皮瓣重建而被克服,因為自由式皮瓣能提供皮瓣較好的血液循環,減少皮瓣部份壞死或傷口癒合不良的機會。 一般人甚至一般外科醫師會關心在進行立即性乳房重建後,是否會影響癌症的復發,關於這個擔心,在德州大學安得森癌症中心做過統計,在早期的乳癌患者,如第一期或第二期的病患,有或沒有進行乳房重建的病患的局部復發率跟全身性轉移率在統計上是沒有意義的。在皮膚保留性乳房切除的比率是6.7%,在一般乳房切除是7%,這兩個在統計學上是沒有差異的,也就是說,做立即性重建及皮膚保留性乳房切除是不會增加乳癌復發的機會,也不會影響萬一乳癌復發時的偵測。 一般來說,乳癌的復發有較高的機會在表淺處,有四分之三是在皮下脂肪,這些皮下脂肪因為可以觸摸得到,每個月的自我檢查或醫師的例行檢查通常可以發現,另有四分之一的復發是在深層,位在肋骨之下或肋膜及肺部,這些復發則必須經由骨骼掃描或電腦斷層才能偵測出來,重建並不影響檢查的準確。 在一些高危險群的病人,如祖母、母親或姐妹有乳癌, 而且自己已經有單側發現有乳癌時,有越來愈多的病患詢問關於預防性乳房切除的可能性,也就是說當進行乳房切除時,除了切除患有癌症的一側外,連正常側的乳房都一起切除,在極嚴謹的評估下,若患者選擇這個手術方式,立即性重建也能提供患者兩側的乳房重建,由腹部拿自由式脂肪移植或自由式橫腹直肌移植進行重建,重建後的乳房仍可以對稱而好看。 什麼時候可以做立即性重建呢? 一般來說,早期的乳癌都可以選擇做立即性重建,也就是說,如果腫瘤在五公分以下,腋下淋巴結術前沒有腫大,都可以選擇接受立即性乳房重建,而腫瘤大於五公分,或是腋下淋巴結有多顆腫大的情況下,立即性重建在過去仍有一些爭議,主要的考量點在於術後放射線治療的必要,而重建乳房是否影響放射線的投予?先做放射線治療後再做重建則會比較困難,近年來,在德州大學安得森中心以及幾個大型癌症醫院的經驗,他們發現腹直肌皮瓣都可以忍受放射線治療,而重建的乳房也不影響放射線治療的結果,因此,自體組織乳房重建就不再受限,尤其是年輕的病人若有意願接受立即性重建,還是可行而值得鼓勵的。 不適合的對象: 1. 病人意願不高時,如果病人意願不高或者是不了解這種手術的過程,把重建的選項延後考慮是比較適合的方式。 2. 肥胖病人,如果術前BMI大於30,手術的失敗率會稍微提高一些。 3. 癌症的癒後不好,病人已經是癌症末期,但這點可能略具爭議,畢竟重建的目的在於提高生活品質以及病患心理重建,若病患接受重建的意願極高,在不影響治療的情況下,仍可以考慮以簡單的方式重建,病患狀況若十分虛弱,不適合長時間麻醉,或癒後很不好時,則不適合選擇立即性重建。 立即性重建對病人而言是是個方便、經濟、沒有危險或壓力的選擇,美觀上的復原也極佳。合併皮膚保留式乳房切除術, 可以達到最完美的結果,且不會增加乳癌復發的機會。一般外科醫師在做皮膚保留式乳房切除術時,會比傳統性的乳房切除術困難,引此,選擇經驗豐富的一般外科醫師,對病人術後的結果是很有幫助的。 對患者而言,最大的疑慮莫過於重建後會不會干擾放射線治療,現在的放射線治療已是三度空間的治療計畫,且放射線治療可以調整放射劑量及深度,重建並不會干擾治療的。當然如果腫瘤大於五公分,還需配合其他全身性的化學治療, 至於腫瘤已經侵犯到週圍組織時,或者是因為切除範圍過大而需要進行重建時(也就是說,切除傷口過大,無法直接縫合,須配合自體組織重建),也是可以同時重建乳房的。唯一的缺點是,接受立即性重建後,再接受放射治療,重建的乳房發生脂肪壞死或纖維化的機率較高,這是術前須有的心理準備。 一般來說立即性乳房重建不會干擾化學治療的進行,但是化學治療應在術後6週後開始進行,所以選擇的乳房重建方法需以"可能發生的後遺症"愈少愈好,才不會至於干擾化學治療的療程。 回到乳房重建中心
- Information | 安德森整形外科診所
GENERAL INFORMATIONS 2024 WSLS Symposium Program Venue Symposium Location: 2F, Taipei Garden Hotel (No. 1, Section 2, Zhonghua Rd, Zhongzheng District, Taipei City, Taiwan) 台北花園大酒店 Taipei Garden Hotel Learn more Taipei 101 Located in the finest district Taipei has to offer, TAIPEI 101 is the largest engineering project ever in the history of the Taiwan construction business. At 382 meters above the ground the 89F Observation Floor offers visitors a commanding view of the city and Taipei Basin at all directions. Yehliu Geopark Yehliu Geopark is truly a park of natural wonders: rocks carved by wave-cutting and weathering over years and years were formed into shapes resembling figures that are real. The most famous one is of course the Queen’s Head, among other “statues” that are named the Fairy’s Shoe, the Mushroom Rocks, the Tofu Rocks, and the Elephant Rocks, along with many interesting potholes. Do not forget to bring your camera. Sun Moon Lake The Sun Moon Lake National Scenic Area is praised for its five major recreational systems, including the lake, Shueili River, Puli, Jhuoshuei River, and Jiji. The surrounding areas stretch to cover known tourist spots including Taumi, Checheng, Jiji, Shueisheda Mountain, Sangyong Falls, Mingtan Reservoir, and Shueili River. Sun Moon Lake features the only full-range 3D tours (lake, sky and land) in Taiwan. The lake cycling trail has been recognized by CNNGO, CNN as one of the most beautiful cycling trails in the world. *Travel Visa Information : National Immigration Agency www.taiwan.net.tw Taroko National Park Taroko is famous for its spectacular mountains and marble canyons. Cliffs and canyons stretch along Liwu River. The waterfalls characterized Taroko National Park and the most famous ones are Baiyang Waterfall, Yindai Waterfall, Changchun Waterfall, and Lushui Waterfall. Swallow Grotto (Yanzikou) and Tunnel of Nine Turns (Jiuqudong) are the most impressive natural scenes in Taroko and the canyons here are the narrowest.
- Liposuction | 安德森整形外科診所
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
- Exsome | 安德森整形外科診所
安德森整形外科使用通過衛福部檢驗,來自於人類臍帶幹細胞分泌的外泌體。這些外泌體具有分子小、純度高的特點,免疫排斥反應的風險較低,安全性更高。 革新醫療: 外泌體讓你健康與美麗兼得 Exosomes 外泌體的廣泛應用 再生醫學:外泌體在促進組織修復和再生方面具有巨大的潛力,已廣泛應用於創傷修復、骨再生和心臟修復等領域。 抗衰老:外泌體含有豐富的生物活性分子,能夠促進皮膚細胞更新和修復,改善皮膚質量,減少皺紋,延緩衰老。 免疫調節:外泌體能調節免疫系統,對抗炎症反應,有助於治療自體免疫疾病和慢性炎症性疾病。 安德森整形外科的 外泌體優勢 安德森整形外科使用通過衛福部檢驗,這些外泌體具有分子小、純度高的特點,免疫排斥反應的風險較低,安全性更高。 邀請您體驗外泌體的奇蹟 外泌體,這一細胞間通信的微小信使,正帶領我們進入醫療科技的新時代。安德森整形外科邀請您共同來體驗外泌體帶來的健康與美麗,見證更多奇蹟與希望。
- About Dr. Cheng | 安德森整形外科診所
鄭明輝 院長為乳房重建及淋巴水腫權威,瞭解更多有關鄭院長的的專業領域和各式創舉,例如:亞洲第一位引進及執行自體組織乳房重建技術 鄭明輝 院長 乳房重建及淋巴水腫權威 亞洲第一位引進及執行自體組織乳房重建技術 全球乳癌相關診斷分級、顯微手術發明者 世界排名前2%頂尖科學家、知名整形外科聖手 乳房重建手術就像移花接木,雖然手術繁瑣,但看到患者術後人生由黑白變彩色,成就感難以言喻。 -鄭明輝院長 認識鄭明輝院長:淋巴水腫領域 接受鄭教授的淋巴水腫顯微手術後,完全不需再穿戴壓力衣鄭明輝教授是經過國際專業認可的整形外科專科醫師,同時也是美國重建顯微外科學會2006年Godina獎得主,是第一位亞洲整形外科醫師得獎者。截至目前為止,鄭教授已經完成了2100多例顯微手術,包括頭頸部重建,乳房重建,顱內外動脈血管吻合手術,淋巴管靜脈吻合術和顯微淋巴結皮瓣移植手術。 接受鄭教授的淋巴水腫顯微手術後,完全不需再穿戴壓力衣鄭明輝教授是經過國際專業認可的整形外科專科醫師,同時也是美國重建顯微外科學會2006年Godina獎得主,是第一位亞洲整形外科醫師得獎者。截至目前為止,鄭教授已經完成了2100多例顯微手術,包括頭頸部重建,乳房重建,顱內外動脈血管吻合手術,淋巴管靜脈吻合術和顯微淋巴結皮瓣移植手術。 認識鄭明輝院長:乳房重建領域 國內每年約新增16,000名乳癌患者,乳房切除後重建比率卻不到5%,鄭明輝院長20多年前投入內視鏡乳房重建領域,至今已幫助超過1000多名失去乳房的女性重建乳房、找回自信。乳房重建手術就像「移花接木」,雖然手術繁瑣,但看到患者術後人生從黑白變彩色,成就感難以言喻。 1998年,受時任長庚大學醫學院長魏福全教授指派,到美國安德森癌症中心專研乳房重建,行前還叮嚀:「務必成為亞洲頂尖的乳房重建權威!」經過1年2個月的研習帶回許多新觀念、技術,不負期待,更首創獨步全球的「深下腹動脈穿通枝皮瓣術」,拿取患者的腹部脂肪用於乳房重建,改善傳統鹽水袋重建乳房的異物感,還有豐胸、對稱的效果,這項創新手術已發表在國際權威期刊《整形與重建外科手術》上。
- 美麗見證 | 案例分享 | 好評推薦 | 安德森整形外科診所
鄭明輝院長投入內視鏡乳房重建領域20多年,至今已幫助超過1000多名失去乳房的女性重建乳房、找回自信。 台灣的乳癌患者切除乳房後,有1/4罹患憂鬱症,感謝勇敢的乳癌姐妹們,給自己一次機會找回人生希望,希望透過她們的分享,鼓勵乳癌姊妹們勇敢重建。 五星好評推薦 感謝每一位來到安德森的朋友 你們的回饋是我們前進的動力,我們會持續將最好的醫療服務帶給各位 素人美麗見證 選擇安德森後,她們都重新蛻變 希望與大家分享這份喜悅 隆乳+縮乳頭 案例分享 從小就是個小胸人,一直到懷孕哺乳,才體會到什麼叫胸🤣。 產後為了減肥,把剩餘僅存的胸(脂肪)都減掉了(哭哭)。 看著自己的身材慘不忍睹,進而開始尋求中醫豐胸,花了不少錢。 精神睡眠是有好一點,但胸部一點進展都沒有😭。 意外從網路得知一些隆乳的資訊,就開始做些功課。 除了上網查些相關資料,還有Line的社群可以詢問。 從開始諮詢到決定手術時間很快,因為我怕我後悔就不敢做了 既然有想法就趕快速速決定。 預防性切除+義乳重建案例分享 18歲時知道自己有BRCA1,就一直周旋醫院 每年都要去和信治癌中心追蹤 照波 粗針切片 這一來一回的好多年就這樣過去 原本其實一直想著40歲再切除 隆乳案例分享 鄭教授的淋巴顯微手術,術後不需再穿壓力衣 淋巴水腫案例分享 自然、永久、美觀,健康窈窕再現 乳房重建案例分享
- Make an Appointment | 安德森整形外科診所
為維護良好的醫療品質與看診舒適,本院採預約制,您可先以電話、電子郵件、LINE或填寫線上表單等方式預約,我們會盡快與您聯繫! Let's Connect How to Make an Appointment? To ensure high-quality medical care and a comfortable consultation experience, our clinic operates on an appointment-only basis. You can schedule an appointment via phone, email, LINE, or by filling out the online form. We will contact you as soon as possible! Business Hours: Monday to Friday, 8:00 AM to 6:00 PM. Closed on weekends. Notice Please download and complete the Client Information Form from our website. The information you provide will allow the A+ Surgery Clinic to select the most suitable team of specialists to assist you with your medical or personal needs. On the form, please clearly specify your preferred appointment dates as well as any special requests or personal needs that you may have. We will try our best to make you feel as close to home as possible. Please provide all detailed medical reports at least from the past 3 months, including lab or pathology reports and imaging files (X-rays, CT, MRI, Ultrasounds, Lymphoscintigraphy, etc.). If you have medical information, please provide it. Please send (1) and (2)to A+ surgery clinic at aplussurgery@gmail.com and Miffy Lin. Within two business days, A+ surgery clinic or Miffy Lin will contact you by email with further appointment details or medical questions once we receive and review your application form. Any information you provide will be kept strictly confidential under the Medical and Personal Data Protection Laws in Taiwan. Treatment Plan After gaining understanding of your medical background, our medical team will draft and present to you a treatment schedule specifically tailored to your personal needs. At the same time, a detailed statement describing the treatment process and estimated costs will be sent to you by email. Appointment Confirmation Once you have confirmed and accepted Dr. Cheng’s treatment plan, your medical coordinator will proceed to set up, double check, and confirm your previously made appointment date, as well as make the necessary travel visa preparations, airport pickup, and hotel accommodations for you, to make your stay with us carefree. Address 3rd Floor, No. 337, Fuxing North Road, Songshan District, Taipei City (MRT Zhongshan Junior High School Station) Map Phone (+886) 02-2712-3373 Phone (+886) 0966-523-737 Phone Email aplussurgery@gmail.com Social Media LINE Name Gender * Male Female Other Email Region * Taiwan Others Phone Convenient contact time 選擇一個時段 Remark Send Appointment successful !
- Gallery | 安德森整形外科診所
GALLERY The World Symposium for Lymphedema Surgery 2013 2016 2019

