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瞭解更多顯微淋巴結皮瓣移植的適合對象、手術結果、術前及術後的對比和分析，全部來自於鄭明輝教授的多年經驗。 Gallery Treatment of Moderate to Severe Lymphede Vascularized Lymph Node Flap Transfer (VLNT) - Upper Limbs Case 1 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 這是一名61歲的女性，她在乳房切除術，腋窩19顆淋巴結廓清術和放療後10年內，患有右上肢乳腺癌相關淋巴水腫。使用壓力袖套和彈繃加壓治療，她每年發生2次蜂窩性組織炎。 接受顯微淋巴結皮瓣移植手術後，在2個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上27%和肘下10％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後12個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上36%和肘下15％。 術後在14及27個月，右手腕淋巴結皮瓣進行外觀修整手術，同時進行肘上抽脂手術，術後36個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上60%和肘下10％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後72個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上100%和肘下50％。 術後75個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上100%和肘下40％。 Case 2 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 這是一名53歲的女性，她在乳房切除術，腋窩淋巴結廓清術和放療後36個月內，患有右上肢乳腺癌相關淋巴水腫。使用壓力袖套和彈繃加壓治療，她每年發生2次蜂窩性組織炎。 接受顯微淋巴結皮瓣移植手術後，在3個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上38%和肘下25％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後6個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上32%和肘下15％。 術後12個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上30%和肘下15％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後14個月，右手腕淋巴結皮瓣進行外觀修整手術，同時進行肘上抽脂手術，術後18個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上90%和肘下40％。 術後22個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上100%和肘下35％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後36個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上100%和肘下85％。 Case 3 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 這是一名56歲的女性，她在乳房切除術，腋窩淋巴結廓清術和放療後36個月內，患有左上肢乳腺癌相關淋巴水腫。使用壓力袖套和彈繃加壓治療，她每年發生5次蜂窩性組織炎。 接受顯微淋巴結皮瓣移植手術後，在12個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上40%和肘下15％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後14個月，左手腕淋巴結皮瓣進行外觀修整手術，同時進行肘上抽脂手術，術後21個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上70%和肘下30％。 術後29個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上100%和肘下65％。 Case 4 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 這是一名70歲的女性，她在乳房切除術，腋窩淋巴結廓清術和放療後36個月內，患有左上肢乳腺癌相關淋巴水腫。使用壓力袖套和彈繃加壓治療，她每年發生1次蜂窩性組織炎。 接受顯微淋巴結皮瓣移植手術後，在6個月的隨訪中，病人感到肢體變柔軟，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上20%和肘下15％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後14個月，左手腕淋巴結皮瓣進行外觀修整手術，同時進行肘上抽脂手術，術後20個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上53%和肘下15％。 術後24個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上60%和肘下50％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後33個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上50%和肘下25％。 術後50個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上80%和肘下45％。 Case 5 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 這是一名59歲的女性，她在乳房切除術，腋窩淋巴結廓清術和放療後12個月內，患有左上肢乳腺癌相關淋巴水腫。使用壓力袖套和彈繃加壓治療，她每年發生2次蜂窩性組織炎。 接受顯微淋巴結皮瓣移植手術後，在3個月的隨訪中，病人感到肢體變柔軟，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上22%和肘下25％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後6個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上35%和肘下25％。 術後12個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上30%和肘下20％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後14個月的隨訪中，左手腕淋巴結皮瓣進行外觀修整手術，同時進行肘上抽脂手術，不使用壓力袖套，術後24個月的隨訪中，患肢的手臂周長的減少率分別為肘上35%和肘下30％。 術後38個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上35%和肘下30％。 Case 6 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 這是一名51歲的女性，她在乳房切除術，腋窩淋巴結廓清術和放療後6個月內患有左上肢乳腺癌相關第二期淋巴水腫。使用壓力袖套和彈繃加壓治療，她每年發生1次蜂窩性組織炎。 接受顯微淋巴結皮瓣移植手術後，在12個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上50%和肘下33％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 接受顯微淋巴結皮瓣移植手術後，在12個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上50%和肘下33％。 術後20個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上50%和肘下77％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後20個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上50%和肘下77％。 術後24個月的隨訪中，左手腕淋巴結皮瓣進行外觀修整手術，術後36個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上36%和肘下50％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後24個月的隨訪中，左手腕淋巴結皮瓣進行外觀修整手術，術後36個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上36%和肘下50％。 術後40個月的隨訪中，患肢的手臂周長的減少率分別為肘上70%和肘下75％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後40個月的隨訪中，患肢的手臂周長的減少率分別為肘上70%和肘下75％。 Case 7 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 這是一名59歲的女性，她在乳房切除術，腋窩淋巴結廓清術和放療後18個月內患有左上肢乳腺癌相關第二期淋巴水腫，曾給其他醫師做過淋巴結移植術無效，使用壓力袖套和彈繃加壓治療，她每年發生2次蜂窩性組織炎。 接受顯微淋巴結皮瓣移植手術後，在3個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上10%和肘下23％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後10個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上20%和肘下30％。 術後14個月的隨訪中，左手肘淋巴結皮瓣進行外觀修整手術，術後20個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上100%和肘下42％。 Case 8 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 這是一名46歲的女性，她在乳房切除術，腋窩淋巴結廓清術和放療後二年，患有右上肢乳腺癌相關淋巴水腫，使用壓力袖套和彈繃加壓治療，她每年發生1次蜂窩性組織炎。 接受顯微淋巴結皮瓣移植手術後，在3個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上20%和肘下15％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後24個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上37%和肘下20％。 術後38個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上40%和肘下25％。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 手 術後70個月的隨訪中，不使用壓力袖套，患肢的手臂周長的減少率分別為肘上75%和肘下50％。 Vascularized Lymph Node Flap Transfer (VLNT) - Lower Limbs Case 1 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 腳 這是一位65歲女性，子宮頸癌術後，左腳淋巴水腫症狀 3年，淋巴水腫第4期。 接受顯微淋巴結皮瓣移植術後，術後3個月追蹤，患者大腿水腫改善 30%，小腿改善 40%，術後不需要穿壓力套。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 腳 接受顯微淋巴結皮瓣移植術後，術後9個月追蹤，患者大腿水腫改善 10%，小腿改善 85%，術後不需要穿壓力套。 Case 2 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 腳 這是一位67歲女性，子宮頸癌術後，右腳淋巴水腫症狀8年，淋巴水腫第4期，長期穿壓力襪8年。 接受顯微淋巴結皮瓣移植術後，術後6個月追蹤，患者大腿水腫改善 15%，小腿改善 5%，術後不需要穿壓力套。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 腳 接受皮瓣減積術後，術後67個月追蹤，患者大腿水腫改善 62%，小腿改善 50%，術後不需要穿壓力套。 Case 3 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 腳 這是一位15歲女性，先天性淋巴水腫，左腳淋巴水腫症狀2年。 接受顯微淋巴結皮瓣移植術後，術後的24個月追蹤，患者大腿水腫改善 10%，小腿改善 30%，術後不需要穿壓力套。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 腳 接受皮瓣修整減積術後，術後的2個星期追蹤，患者大腿水腫改善 10%，小腿改善 30%，術後不需要穿壓力套。 Case 4 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 腳 這是一位5歲小孩，先天性淋巴水腫，右腳淋巴水腫症狀2年。 接受顯微淋巴結皮瓣移植術後，術後的15個月追蹤，患者大腿水腫改善 20%，小腿改善 15%，術後不需要穿壓力套。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 腳 接受皮瓣減積術後，術後的6個月追蹤，患者大腿水腫改善 25%，小腿改善 20%，術後不需要穿壓力套。 Case 5 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 腳 這是一位40歲男性，先天性淋巴水腫，左腳淋巴水腫症15年，長期穿壓力襪。 接受顯微淋巴結皮瓣移植術後，術後的6個月追蹤，患者大腿水腫改善 5%，小腿改善23%，術後不需要穿壓力套。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 腳 接受皮瓣減積術後，術後的36個月追蹤，患者大腿水腫改善55%，小腿改善56%，術後不需要穿壓力套。 Case 6 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 腳 這是一位52歲女性，子宮頸癌術後，雙腳淋巴水腫症5年，左腳淋巴水腫第2期，右腳淋巴水腫第1期，穿壓力襪5年。 左腳接受淋巴結皮瓣移植，右腳接受淋巴管靜脈吻合術後，術後1個月追蹤，右大腿水腫改善2公分，小腿改善 1公分，左大腿改善4公分，左小腿改善2公分，術後不需要穿壓力套。 顯微淋巴結皮瓣移植 (Vascularized Lymph Node Transfer, VLNT) - 腳 左腳接受淋巴結皮瓣移植，右腳接受淋巴管靜脈吻合術後，術後19個月追蹤，右大腿水腫改善3公分，小腿改善 1.5公分，左大腿改善5公分，左小腿改善3公分，術後不需要穿壓力套。

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 Learn more

揮別壓力衣！鄭教授的獨門顯微手術，改善淋巴水腫帶來的不適，了解不同淋巴水腫治療方式的比較及安德森的專業

Primary Lymphedema 淋巴管靜脈吻合術：​安德森的專業技術， 您的安心選擇及​案例分享 Lymphovenous Anatomosis (LVA) Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Lymphedema A common problem cancer survivors face is post-operative lymphedema. Lymphedema is caused by excess fluid that collects in the body’s tissue, causing swelling (edema). The symptoms are typically swollen limbs due to lymphatic circulation blockage. Some patients may also experience skin problems (eczema, rough skin, unidentified protrusion), repeated cellulitis or toe mold infection. Award winning plastic surgeon Dr. Cheng specializes in reconstructive surgery and is an expert in the lymphovenous anatomosis (LVA) technique, a minimally-invasive microsurgery procedure that can address the symptoms of lymphedema. Since lymphedema is not always treatable with non-surgical rehabilitation, LVA surgery can greatly improve the condition. 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. Case 57歲女性，左上肢淋巴水腫12個月 前（左）： 這是一名57歲的女性，在左乳房切除術和放射治療後，左上肢淋巴水腫12個月。 術後（右）： 接受淋巴管靜脈吻合術後，在15個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘部和肘部以下86％和100％。 56歲女性，右上肢淋巴水腫10個月 術前（左）： 這是一名56歲女性，右乳房切除術和腋窩31顆淋巴結廓清術和放射治療後，右上肢淋巴水腫10個月。 術後（右）： 接受淋巴管靜脈吻合術後，在36個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別在肘部和肘部以上100％和100％。 39歲的女性，左上肢淋巴水腫第一級 術前（左）： 39歲的女性，接受過左乳房切除術、清除31顆腋下淋巴結後接受放射線治療，左上肢淋巴水腫第一級，持續6個月。 術後（右）： 接受淋巴管靜脈吻合術，追蹤3個月的結果。不穿戴壓力袖套的狀態下，患肢手臂周長減少率分別為肘上35%及肘下60%。 64歲女性，左上肢淋巴水腫12個月 術前（左）： 這是一名64歲的女性，右乳房切除術和腋窩淋巴結清掃術和放射治療後左上肢淋巴水腫12個月。 術後（右）： 接受淋巴管靜脈吻合術後，在36個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別在肘部和肘部以上100％和100％。 Candidates for LVA Cancer patients that have had lymph nodes removed due to the disease Patients who have not experienced relief from non-surgical therapies Cheng’s grading I, and early grade II lymphedema Partial obstruction on lymphoscintigraphy Patent lymphatic ducts on ICG lymphography Determining a Treatment Plan For patients with grade I to IV lymphedema, an individualized treatment plan is determined based on imaging studies. Patients with grade I and early II lymphedema will undergo a lymphodynamic evaluation by indocyanine green (ICG) lymphography. The ICG injection allows Dr. Cheng to evaluate the presence and location of open, functioning lymphatic channels or dermal backflow (obstruction of lymphatic flow). This type of image study is performed via injections into the second and fourth web spaces of the fingers or toes. Images are obtained at 5 minutes, and then again after 20 hours. These image studies enable Dr. Cheng to create a customized treatment plan for each patient depending on their degree of lymphedema. How Does LVA Surgery Work? The most advanced, minimally invasive super-microsurgical techniques relieve lymphedema through small incisions (around 3cm). Preoperatively, ICG lymphography is used to map the lymphatic system on the skin and locate the incisions. Once the lymphatic channel and a suitable vein have been identified and prepared, a connection between them is created to give the lymphatic fluid an alternative route to escape from the affected area. The lymph fluid will then drain effectively through the vein. Surgical Techniques If LVA surgery is chosen for a patient, Dr. Cheng’s preference is to perform one or two Side-To-End (lymph-to-vein) anastomosis. Using super-microsurgery techniques, Dr. Cheng performs the LVA surgery so that the lymph can drain into the vein from both proximal and distal directions. Into the planned incision, allowing the lymphatic channels to be easily detected. The can then be seen draining from the lymphatic channel into the vein, confirming LVA surgery success. ICG fluorescence may also be used to verify a successful LVA surgery. Side-to-end (Cheng’s Technique) End-to-end (Koshima’s Technique) End-to-end (A and B) end-to-side (C and D) anastomosis are shown. The decision to perform one versus another is based on the intrinsic functionality of the native lymphatic and the inherent pumping mechanism. If the venous pressure is greater than the lymphatic pressure, the blood is regurgitated and causes the anastomosis thrombosis (B and D). Bidirectional lymph will flow into the vein in a side-to-end fashion (C and D). Data source: 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, page 63. Patency test of the side-to-end lymphovenous anastomosis using indocyanine green lymphography (right) and patent blue (left) Q1 What does the lymphatic system do? The lymphatic system is vital to ensure a healthy body. It is responsible for circulating protein-rich lymph fluid though the body. During this process, it collects bacteria, viruses and waste. The fluid gets carried through the lymph vessels to the lymph nodes where the waste is filtered out by infection-fighting cells. The lymphatic system is part of the body's immune system and a crucial aspect of a person's health. Q2 What are the causes of lymphedema? Lymphedema occurs when your lymphatic system is unable to properly drain lymph fluid. While primary lymphedema occurs on its own, secondary lymphedema, which is more common, is caused by a disease or condition. Secondary lymphedema is usually seen when the lymph nodes are removed, oftentimes as part of a cancer treatment. Lymphedema can also be caused by damage to the lymph nodes, from radiation treatment or infection. Should there be a blockage in the lymphatic system, the lymph fluid will not drain well. This leads to fluid buildup and swelling, which generally occurs in the arms and legs. Q3 How can LVA surgery improve lymphedema? LVA surgical approaches, like Dr. Cheng's advanced LVA technique, are effective in reducing or eliminating lymphedema swelling and discomfort. The LVA method directly connects the lymphatic vessels in the affected area to nearby veins. This allows the built-up lymph fluid to drain, which improves the fluid circulation in the body. Typically, LVA is an outpatient procedure, with most patients returning home the same day as the surgery. 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

Dr. Cheng have trained 87 international fellows and 714 short-term international visiting scholars since 2000. Some of them are actively practicing Lymphedema Microsurgery in their own countries. International Fellows Dr. Cheng have trained 87 international fellows and 714 short-term international visiting scholars since 2000. Some of them are actively practicing Lymphedema Microsurgery in their own countries. MD Joseph H Dayan Fellowship: 2008-2009, Present position: Associate Professor at Division of Plastic Surgery, Memorial Sloan Kettering Cancer Center MD, PhD, FACS Holger Engel Fellowship: 2008-2009, Present position: Professor at Division of Plastic Surgery, BG Trauma Center Ludwigshafen, Germany MD, PharmD Dung Nguyen Fellowship: 2010-2011, Present position: Associate Professor at Division of Plastic Surgery, Stanford University Medical Center MD Wei Fen Chen Fellowship: 2010-2011, Present position: Professor at Division of Plastic Surgery, Cleveland Clinic MD Dhruv Singhal Fellowship: 2011-2012, Present position: Assistant Professor at Division of Plastic Surgery, Beth Israel Deaconess Medical Center/ Harvard Medical School MD, MBA John Chieh-Han Tzou Fellowship: 2012-2013, Present position: Professor at Division of Plastic Surgery, Medical University of Vienna, Austria MD Ketan M. Patel Fellowship: 2013-2014, Present position: Assistant Professor at Division of Plastic Surgery, University of Southern California MD Shan Shan Qiu Fellowship: 2013-2014, Present position: Assistant Professor at Division of Plastic Surgery, Maastricht University Medical Center, the Netherlands MD, FRCSC Hattan Aljaaly Fellowship: 2014-2015, Present position: Assistant Professor at Division of Plastic Surgery, King Abdulaziz University, Jeddah, Saudi Arabia MD, MS, FRCSC Olivia Ho Fellowship: 2016-2017, Present position: Assistant Professor at Division of Plastic Surgery, Mayo Clinic MD, MSc Marco Pappalardo Fellowship: 2016-2017, Present position: Assistant Professor at Division of Plastic Surgery, University of Palermo, Italy MD, FRCSC Arash Izadpanah Fellowship: 2017-2018, Present position: Assistant Professor at Division of Plastic Surgery, University of Manitoba MD Ines Tinhofer Fellowship: 2018-2019, Present position: Assistant Professor at Division of Plastic Surgery, Medical University of Vienna, Austria MD Satomi Koide Fellowship: 2018-2019, Present position: Assistant Professor at Division of Plastic Surgery, St. Vincent Hospital, Australia MD Chrisovalantis Lakhian Fellowship: 2019-2020, Present position: Assistant Professor at Division of Plastic Surgery, Georgetown University Medical Center MD Onur Aksoy Fellowship: 2023-2024, Present position: Prof Dr Cemil Tascioglu City Hospital, Department of Plastic and Reconstructive Surgery, Istanbul, Turkey

Advanced Diagnostic Technology 淋巴管攝影檢查： 循血綠 Indocyanine Green（ICG）淋巴管攝影、ADRONIC ICG 螢光攝影機、Mitaka顯微鏡 Advanced Diagnostic Technology Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery Indocyanine Green (ICG) Lymphography Indocyanine green (ICG) is a green colored dye. It binds to albumin (a kind of protein), which is transported within the lymph fluid. ICG has been used to test blood flow after being injected intravenously and has also been used to show lymphatics after low dose injection to the subcutaneous tissue. ICG lymphography uses a specialist infra-red camera to detect low dose injected ICG dye in the subcutaneous tissue with the depth of 10 mm. The lymphatic function can be checked on a screen during the scan. What does ICG lymphography image look like? Normal function of lymphatic system: After ICG is injected, it will quickly be taken by the lymphatics and transported in the lymphatic tubular duct as a linear lymphatic vessel (linear fluorescence). When functioning normally, the fluid and dye will rhythmically push up the lymph proximally. In lymphedema limb: In lymphedema limb, the one-way perfusion may be stuck. The lymphatic fluid remains in lymphatics, and the structure of the lymphatic duct will gradually be dilated, fibrotic then obstructed. As lymphedema progresses, the fluid will leak into subcutaneous tissue, causing dermal backflow (star-like fluorescence). ”ADRONIC” ICG “ADRONIC” Fluorescence Imaging System is a fluorescent image photography device, so that the surgeon can shoot, review, store high-quality fluorescent image device. “ADRONIC” Fluorescence Imaging System is used with fluorescent developer “Indocyanine Green” (Indocyanine Green). Including lymphatic vessels and blood vessels, as well as related applications during a variety of surgical procedures. Infrared transmitter can be controlled by the professional staff to adjust the distance or set up in the top of the camera to facilitate the operation, video recording can be immediately after the completion of the replay to review. Model: Adronic ICG Independent imaging with 3.5 inch screen Able to snapshot and record video Provides doctors with accurate location of vessel and lymph Case Sharing Breast cancer is a very common malignant tumor that women often experience. The number of cases is increasing over the years. In addition, it can seriously threaten women’s physical and mental health. Surgery and operation are still the common treatment that doctors use. However, it can cause detrimental complications to the human body. For example, upper limb lymphedema, bring great pain to the patient and seriously affects the quality of life of the patient. Doctor Cheng Ming-Huei, authority in plastic surgeon and ex-director of A+ Surgery Clinic, metioned that the fluorescence spectrum lymphangiography of ICG Video Scope can be used in breast cancer, breast augmentation and breast reduction. It brings applications to future clinical studies and reduces the recovery time needed after surgery. It also avoids the waste of medical resources due to the lower possibility of relapse. Features of ICG Video Scope Monitors edema of lymph in flaps Monitors the Lymphatic reconstruction and the recanalization Distinguishes different lymph drainage of breast and upper limb to decrease the possibility of Lymphedema after surgery Monitors the different pathological changes of muscle by the patients with Lymphedema The Fluorescence Imagining system is highly sensitive and provides reliability to the examination of Vessel Lymphedema Mitaka Microscope & Zeiss Pentero 900-Microscope The Mitaka Surgical Microscope is high resolution at 160 line-pairs per millimeter and 42x, making it ideal for working in the sub-1mm environment. Spy Elite SPY Elite, a fluorescent imaging system, may be used by surgeons to help determine whether certain tissues in the body have a strong enough blood supply for transplant purposes. Analyzing the blood circulation of tissues throughout the body may help our surgeons identify healthy donor tissue that may be harvested for such purposes, or compare the viability of various donor sites they are considering.

安心、安全、隱密 每間病房皆有獨立衛浴、冰箱、電視、舒適的陪病床...等，且與診間、大廳區隔，機能方便，隱私性高，24小時都有護理人員，住院更安心​ Peace of mind, safety, and privacy each patient room is equipped with a private bathroom, refrigerator, TV, and a comfortable companion bed. The rooms are separated from the consultation rooms and lobby, offering convenience and a high level of privacy. With nursing staff available 24 hours a day, hospitalization is even more reassuring.

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。 Gallery Treatment of Mild to Moderate Lymphedema Lymphaticovenous Anastomosis (LVA) - Upper Limbs Case 1 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 這是一名57歲的女性，在左乳房切除術和放射治療後，左上肢淋巴水腫12個月。 接受淋巴管靜脈吻合術後，在6個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上30％及肘下25％。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 在術後12個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上71％及肘下和100％。 在術後12個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上86％及肘下100％。 Case 2 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 這是一名56歲女性，接受右乳房切除術、腋窩31顆淋巴結廓清術和放射治療後，右上肢淋巴水腫10個月。 接受淋巴管靜脈吻合術後，在3個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上100％及肘下100％。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 接受淋巴管靜脈吻合術後，在6個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上100％及肘下100％。 接受淋巴管靜脈吻合術後，在12個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別分別為肘上100％及肘下100％。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 接受淋巴管靜脈吻合術後，在24個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上100％及肘下100％。 接受淋巴管靜脈吻合術後，在24個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上100％及肘下100％。 Case 3 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 這是一名64歲的女性，右乳房切除術和腋窩淋巴結廓清術和放射治療後左上肢 接受淋巴管靜脈吻合術後，在11個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分為肘上65％及肘下70％。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 接受淋巴管靜脈吻合術後，在18個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分為肘上55％及肘下40％。 接受淋巴管靜脈吻合術後，在24個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上90％及肘下50％。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 接受淋巴管靜脈吻合術後，在36個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上和100％及肘下100％。 Case 4 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 這是一名39歲的女性，接受左乳房切除術、腋窩31顆淋巴結廓清術和放療後，左上肢淋巴水腫6個月。 接受淋巴管靜脈吻合術後，在3個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上35％及肘下60％。 Case 5 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 這是一名49歲的女性，接受右乳房切除術、腋窩淋巴結廓清術和放療後，右上肢淋巴水腫6個月。 接受淋巴管靜脈吻合術後，在6個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上80%和肘下50％。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 手 接受淋巴管靜脈吻合術後，在20個月的隨訪中，不使用壓力袖套，患肢的手臂周長減少率分別為肘上85%和肘下60％。 Lymphaticovenous Anastomosis (LVA) - Lower Limbs Case 1 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 腳 這是一位50歲女性，子宮頸癌術後，右腳淋巴水腫症狀 14年。 接受淋巴管靜派吻合術後，術後一個月追蹤，患者大腿水腫改善 40%，小腿改善 30%。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 腳 接受淋巴管靜派吻合術後，術後7個月追蹤，患者大腿水腫改善 30%，小腿改善 25%。 Case 2 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 腳 這是一位36歲女性，先天性淋巴水腫，左腳淋巴水腫症狀 12年。 接受淋巴管靜派吻合術後，術後一個月追蹤，患者大腿水腫改善 60%，小腿改善 30%，術後不需要穿壓力套。 淋巴管靜脈吻合術 (Lymphovenous Anastomosis, LVA) - 腳 接受淋巴管靜派吻合術後，術後12個月追蹤，患者大腿水腫改善 60%，小腿改善 40%，術後不需要穿壓力套。 Case 3 子宮頸癌術後淋巴水腫 這是一位62歲女性，子宮頸癌術後，雙腳淋巴水腫症狀 2年，壓力襪使用。 接受淋巴管靜派吻合術後，術後一個月追蹤，患者雙腳大腿水腫改善 30%，小腿改善 20%，術後不需要穿壓力套。 Case 4 子宮頸癌術後淋巴水腫 這是一位67歲女性，子宮頸癌術後，雙腳淋巴水腫症14年，左腳淋巴水腫第1期，右腳淋巴水腫第4期，穿壓力襪12年。 右腳接受淋巴結皮瓣移植，左腳接受淋巴管靜脈吻合術後，術後16天追蹤，右大腿水腫改善11公分，小腿改善 20公分，左大腿改善5公分，左小腿改善2公分，術後不需要穿壓力套。

鄭明輝院長的榮譽獎項紀錄，多次獲得國內外頂尖機構認可，其中包含：舊金山哈里・邦克學會、美國重建顯微外科學會Godina、中山醫科大學和國家新創獎等 Awards Dr. Cheng's has been recognized by a great number of global awards in the medical and academic field. Dr. Cheng Is Made A Member Of The Harry Buncke Society Of San Francisco It was honored and humbled to receive a warm welcome and be made a member of Harry Buncke Society by Drs. Gregory Buncke and Bauback Safa during my visit to the Buncke Clinic. Dr. Harry Buncke is recognized as the Father of Reconstructive Microsurgery in the US. The Buncke Clinic has been at the forefront of the advancement of reconstructive microsurgery since 1970. The faculty, fellows, and residents (some from UC San Francisco) were very interested in my lymphedema researches and outcome of my speech. The canvas in the photo was entitled “The Opinion”. It illustrated a clinic of 84 plastic surgeons in an amphitheater discussing the repair of a childbirth deformity. I was told this portrait symbolizes the honor and passion of plastic surgeons that tirelessly seek for best solutions for the patients at Buncke Clinic. Dr. Cheng was honored to be selected as the 2006 Godina Traveling Fellow of American Society for Reconstructive Microsurgery Dr. Cheng was honored to be selected as the 2006 Godina Traveling Fellow of American Society for Reconstructive Microsurgery (the first one from Asia) and visited 13 top renowned institutes around the world. Dr. Cheng received the Outstanding Alumni Award from the Chung Shun Medical University and Distinguished Alumni Award from Chang Gung University in 2008 and 2013 respectively. Dr. Cheng was awarded the prestige Willian Zamboni Visiting Professor of American Society for Reconstructive Microsurgery in 2016 and had the opportunity to visit 5 more famous institutes in the United States. Dr. Cheng was awarded a top reviewer in Publons' Global Peer Review Awards 2018. Lymphedema Microsurgery Team was Awarded the 16th National Innovation Award by Research Center for Biotechnology and Medicine Policy, 2019 I want to express my sincere appreciation and hearty congratulation to our Lymphedema Microsurgery Team for winning the first place of Clinical Innovation Group at the 16th National Innovation Award by Research Center for Biotechnology and Medicine Policy, 2019. We are truly humbled and honored to receive this award. It particularly recognized our work and research in lymphedema and it’s an amazing feeling of getting acknowledged for the efforts that we put in lymphedema microsurgery over the past 20 years. It is appropriately deserved by our team who have implemented innovation, research, and practices that improve our ability to serve national and international lymphedema patients. We will maintain the same level of diligence in our work and keep creating innovative ideas in the same way for helping more patients.

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 Miffy Chia-Yu Lin Miffy Chia-Yu Lin, a Ph.D., is the lymphedema coordinator at the Center of Lymphedema Microsurgery. She is the contact person for patients to book consultations with Dr. Cheng. She can be contacted by phone, email, or WhatsApp. She is extremely knowledgeable in treating lymphedema patients and committed to strive for the continuous improvement of lymphedema care and treatment. She has been working at the center for over a decade. She is also a member of the Sigma Theta Tau International Honor Society of Nursing. Annie Nursing experience：27 years Judy Nursing experience ：27 years Joy Nursing experience ：12 years Fang Nursing experience ：19 years Cindy Nursing experience ：13 years Amy Nursing experience ：10 years Jenny Nursing experience ：6 years Ting Nursing experience ：4 years