Abstract：
Lipomas, benign adipose tissue tumors, are a common occurrence but currently, the options for their treatment are limited, with surgical excision being the most frequently used management pathway. This scenario can often lead to unsatisfactory cosmetic results and significant patient discomfort. This paper introduces a novel technique, percutaneous microwave ablation with liposuction, to address these challenges. The innovative procedure aims to enhance patient satisfaction, minimize post-operative discomfort, and improve aesthetic outcomes. The technique involves two key steps: (1) the application of percutaneous microwave ablation to selectively disrupt the lipoma cells, followed by (2) a targeted liposuction procedure to remove the ablated lipoma tissue. Our approach optimizes the removal of the lipoma and preserves the surrounding healthy tissue, reducing the risk of local recurrence and improving the cosmetic result. The use of preoperative ultrasound imaging allows for precise localization and delineation of the lipoma, aiding in the planning and execution of the procedure. This novel approach to lipoma treatment is reliable, associated with minimal morbidity, and consistently yields effective results. Additionally, it provides a new perspective on lipoma management, potentially changing the paradigm of current treatment approaches.Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
摘要：
脂肪瘤,良性脂肪组织肿瘤，是常见的情况，但目前，他们的治疗选择是有限的，手术切除是最常用的管理途径。这种情况通常会导致不令人满意的美容效果和显著的患者不适。本文介绍了一种新颖的技术，经皮微波消融术与吸脂术，来应对这些挑战。创新程序旨在提高患者满意度，尽量减少术后不适，提高审美效果。该技术涉及两个关键步骤:(1)应用经皮微波消融选择性地破坏脂肪瘤细胞,然后是（2）靶向吸脂术以去除消融的脂肪瘤组织。我们的方法优化了脂肪瘤的去除并保留了周围的健康组织，降低局部复发的风险并改善美容效果。术前超声成像的使用可以精确定位和描绘脂肪瘤，协助程序的规划和执行。这种治疗脂肪瘤的新方法是可靠的，与最低发病率相关，并始终如一地产生有效的结果。此外,它为脂肪瘤的管理提供了新的视角，有可能改变当前治疗方法的范式。证据级别IV本期刊要求作者为每篇文章分配一个级别的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
