title: Endoscopic extraction of lipomas using an ultrasonic suction scalpel.
abstract: Lipomas were extracted with an ultrasonic suction scalpel, assisted by an endoscope, with good results. The combined surgical technique is described in this paper. Preoperative clinical findings and diagnostic imaging of the patients provided a preoperative diagnosis of lipomas. For the procedure, the endoscope was inserted through a small incision immediately above the tumor. The tumor was endoscopically confirmed and then extracted with an ultrasonic scalpel. Complete lipoma extraction was achieved in all patients without recurrence. The patients had good cosmetic results with only minimal postoperative scarring. The endoscopic extraction of lipomas with an ultrasonic scalpel is proven to be highly useful, especially for large tumors, and permits a less invasive and more reliable surgical operation.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Toho University Hospital, Ohtaku, Tokyo, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Sawaizumi
authors.forename: Y
authors.initials: Y
authors.lastname: Maruyama
authors.forename: K
authors.initials: K
authors.lastname: Onishi
authors.forename: Y
authors.initials: Y
authors.lastname: Iwahira
authors.forename: E
authors.initials: E
authors.lastname: Okada
mesh_terms: D000328:Adult; D000368:Aged; D019723:Endoscopes; D004867:Equipment Design; D005260:Female; D006801:Humans; D008067:Lipoma / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012983:Soft Tissue Neoplasms / Q000601:surgery*; D013396:Suction / Q000295:instrumentation*; D016896:Treatment Outcome; D014464:Ultrasonic Therapy / Q000295:instrumentation*