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  • The Journey of Dr.Cheng | Lymphedema

    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 1988 1991 1997 1998-1999 2001 2002 2003 2004 2006 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2019 2020 2021 2022 2024 自中山醫學大學醫學系畢業 進入林口長庚醫院接受六年的整形外科住院醫師訓練 獲得台灣整形重建外科專科醫師資格 在美國知名的休士頓安德森癌症中心(MD Anderson Cancer Center) 完成顯微乳房重建及基礎研究的專業訓練(Fellowship) 創立網站台灣乳房重建協會(www.nicebreast.com.tw ),將乳房重建的知識傳播到全台灣,到目前為止已有超過29萬人次造訪 創辦了台灣乳房重建協會 成為美國整形外科醫學會國際會員 在林口長庚醫院舉辦了第一次亞洲乳房整形重建醫學會(Asian Symposium for Breast Plastic and Reconstructive Surgery) 創立乳房重建補助專款,補助全台乳房重建病患 身為顯微重建外科主任以「技冠全球:重建生命的奇蹟」申請生策會國家品質獎,並且獲得醫療院所類金獎 晉升為林口長庚醫院專任教授 被任命為林口長庚副院長,負責開刀房的整頓與提升,之後開刀房績效每年提升10%,積極推動各科第三代達文西手術,一年後達文西手術數量領先全台灣 在台灣舉辦世界淋巴水腫手術醫學會(World Symposium for Lymphedema Surgery)榮獲長庚大學的傑出校友 創立了林口長庚的組織工程中心 成立台灣第一個淋巴水腫治療中心 八仙塵炸事件共有65位病人送到林口長庚醫院治療。鄭副院長被任命為指揮官,全權負責這些平均43%的燙傷面積的病人,在三個月後都順利出院,是全世界治療燙傷最好的成績之一 接受美國顯微外科醫學會遴選為Zamboni訪問教授 在台灣舉辦世界淋巴水腫手術醫學會 (World Symposium for Lymphedema Surgery)由董事會提升為林口長庚醫院總院院長。他以創辦人的“人本濟世”為中心 思想,提升服務品質及效率,推動肺臟移植團隊整合,批准五個手移植臨床試驗案例,繼續推動國際醫療,並且積極提升林口長庚的學術研究和國際知名度,和密西根大學簽下合作協議,共同舉辦學術會議 被聘為密西根大學 (University of Michigan) 整形外科的兼任教授,成為二十多年來第三位獲得該職位的外國醫師 創立網站淋巴水腫顯微手術(www.lymphedemamicrosurgery.com ) ,將淋巴水腫顯微手術的知識傳播到全世界 帶領的淋巴水腫顯微手術團隊,以「顯微下頜淋巴結移植手術治療淋巴水腫」獲得生策會第十六屆國家新創獎新創醫療技術獎的臨床新創組第一名 在台灣舉辦世界淋巴水腫手術醫學會 (World Symposium for Lymphedema Surgery) 他的淋巴水腫顯微手術治療團隊,以「建立世界級淋巴水腫診斷、治療、研 究與教育標竿」獲生策會國家品質獎-醫療院所類(SNQ)銀獎 入選美國史丹佛大學公佈之:從全球800萬名科學家中遴選出世界排名前2%的 科學家 被世界顯微外科醫學會任命為秘書長,繼續在顯微外科領域做出貢獻 榮獲臺南ㄧ中100週年校慶第十五屆學術教育類校友傑出成就獎 入選美國史丹佛大學公佈之:從全球800萬名科學家中遴選出世界排名前2%的 科學家 從林口長庚醫院退休,並創立安德森整形外科診所,開始自行執業 出版第二本中文書「乳癌奇蹟治癒」,是博客來網路書店及誠品書店中文醫 療書籍的暢銷排行榜前3名 入選美國史丹佛大學公佈之: 從全球800萬名科學家中遴選出世界排名前2%的 科學家 在台灣舉辦世界淋巴水腫手術醫學會 (World Symposium for Lymphedema Surgery) 入選美國史丹佛大學公佈之: 從全球800萬名科學家中遴選出世界排名前2%的 科學家 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

  • Lower Extremity Lymphedema | Lymphedema

    Lower Extremity Lymphedema 下肢淋巴水腫:成因與症狀、淋巴水腫診斷、治療方式 Lower Extremity Lymphedema Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery What is lower extremity lymphedema? The lower extremity lymphedema has a 10-49% occurrence in patients who suffer from gynecological cancers with pelvic lymph node dissection and radiation. Higher body mass index, a greater number of pelvic lymph node removal, and radiation are the top risk factors for lower extremity lymphedema caused by parasite infection (Filariasis). Primary lymphedema patients with unknown etiology for symptoms and signs are categorized by their ages of onset as congenital (less than 2 years), lymphedema praecox (2- 35 years), and lymphedema tadar (older than 35 years). The incidence is higher after cancer resection and lymph node dissection in vulva cancer followed by cervical and ovarian cancer. Recently, sentinel lymph node biopsy was selectively applied in gynecological cancer surgery to reduce the lower limb lymphedema. Symptoms of Leg Lymphedema Lymphedema then presents as chronic changes and swelling of the tissue and is often associated with adipogenesis or fibrotic changes in the lower limb as well. Severe fibrosis occurs with long-standing lymphedema due to the accumulation of protein-rich fluid in the interstitial spaces coupled with inflammation repeated bouts of cellulitis. It is common for lymphedema patients to experience depression, due to the physical discomfort, emotional distress and lowered quality of life. Diagnosis of Leg Lymphedema Dr. Ming-Huei Cheng developed a Cheng’s Lymphedema Grading tool to assess the severity of extremity lymphedema. Cheng Lymphedema Grading System is currently the most common used measurement, it is based on not only subjective criteria and clear objective findings that could facilitate discussions and meaningful comparison of the treatment proposed. The circumferential measurement is an objective analysis tool to assess the severity of lymphedema commonly by comparing the circumferential differences between the lymphedematous limb and the normal limb. Lymphoscintigraphy, computed tomography (CT), indocyanine green (ICG) lymphography, and magnetic resonance imaging (MRI) are other key diagnostic devices to determine the severity of lymphedema. The lymphoscintigraphy has been reported as the most effective indicator with 96% sensitive and 100% specific conclusion for diagnosing extremity lymphedema. The Taiwan Lymphoscintigraphy Staging systems was published in 2018 at Annals of Surgery. Lymphoscintigraphy computed tomography (CT) magnetic resonance imaging (MRI) indocyanine green (ICG) lymphography Treatment of Lower Extremity Treatments of lymphedema are aimed to control infection, to reduce the swelling of the extremity and to improve the quality of life. Basic treatments of lymphedema start with conservative physical therapy, including manual lymphatic drainage and compression bandage-centered decongestive lymphatic therapy. The efficacy of conservative physical therapy presents only when the patients are compliant with the treatment program. However, it also carries risks of intravascular cancer metastasis and thrombosis formation. Surgical treatments are indicated when first line conservative measures fail and when patients present with late stage disease. There are two main categories of surgical treatment: excisional and physiologic procedures. Excisional procedures are essentially a surgical reduction of excess fibro-adipose tissue in the affected limb while physiologic procedures reconstruct the lymphatic system to improve physiologic drainage. Surgical treatments are also “be cure and control”, the goals of treatment are similarly preventing progression of disease and reducing morbidities. Debulky surgery and circumferential suction-assisted lipectomy can be performed to reduce the severely, non-pitting lymphedematous extremity. More technical demanding surgeries, such as lymphaticovenous anastomosis and Free vascularized lymph node transfer The basic physiologic mechanism of the vascularized lymph node flap is that lymph is absorbed by the transferred lymph nodes and drained into a donor vein through natural lymphaticovenous connections inside a flap. The arterial flow from the recipient artery to the vascularized lymph node flap provides the driving force for venous return and hence, continuous lymph drainage. We report the transfer of a vascularized submental lymph node flap to the ankle is a novel approach for the effective treatment of lower extremity lymphedema. There was no donor site morbidity. At a mean follow-up of 8.7 ± 4.2 months, the mean reduction of the leg circumfer- ence was 64±11.5% above the knee, 63.7±34.3% below the knee and 67.3±19.2% above the ankle. All of the patients did not use compression garments post-operatively! 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. Recommended reading journal 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. Gynecol Oncol. 2012 Jul;126(1):93-8. https://www.ncbi.nlm.nih.gov/pubmed/22516659 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. https://www.ncbi.nlm.nih.gov/pubmed/26495226 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. https://www.ncbi.nlm.nih.gov/pubmed/29572824 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. https://www.ncbi.nlm.nih.gov/pubmed/30020232 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 | Lymphedema

    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。

  • Lymphedema | Lymphedema

    ​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:​鄭明輝教授團隊、認識與診斷淋巴水腫和手術治療方案 Say Goodbye to Compression Garments after Dr. Cheng's Lymphedema Microsurgery 1 DR. CHENG The Journey of Dr.Cheng Dr. Cheng's Team Publications Presentations Visiting Professorships Awards News 2 PROCEDURES What is Lymphedema Upper Extremity Lymphedema What is Lymphedema of The Legs? Primary Lymphedema Diagnosis of Lymphedema Advanced Diagnostic Technology WSLS 2024 3 CENTER Treatment Comparison Chart Am I A Candidate? Lymphovenous Anatomosis Vascularized Lymph Node Flap Transfer Cheng Lymphedema Grading Systems FAQ Video 4 GALLERY Treatment of Mild to Moderate Lymphedema Treatment of Moderate to Severe Lymphede Testimonials(Video & Letters) Post-Operative Care 5 PATIENT INFORMATION Make an Appointment Accommodation Information Travel Information Patient Rights About Lymphedema Microsurgery Dr. Cheng has been practicing Lymphedema microsurgery since 2000. He has invented some of the most advanced and effective surgical techniques to treat lymphedema. His ground-breaking innovation of vascularized submental lymph node (VSLN) and vascularized groin lymph node (VGLN) flap transfer to distal recipient site creates a physiologic drainage conduit to alter excess lymphatic fluid buildup and minimize the lymphedema associated side effects of tissue fibrosis and cellulitis. Dr. Cheng's lymphedema microsurgery outcomes show statistically significant circumferential reduction rates of affected limb circumference and impressive decreases in the episodes of cellulitis on the lymphedematous limb. His practice is the first in the world to immediately release patients from wearing compression garments postoperatively. Meet Dr. Cheng Ming-Huei Cheng MD, MBA, FACS, is a board certified plastic surgeon specialized in reconstructive microsurgery. Dr. Ming-Huei Cheng is listed among the most sought-after surgeons in the reconstructive microsurgery field. He has performed more than 2,000 microsurgical cases, including arm and leg reconstructions, head and neck reconstructions, breast reconstructions, extracranial-intracranial arterial bypasses, lymphovenous anastomosis and vascularized lymph node flap transfers. He finished a combined microsurgical and research fellow at Department of Plastic Surgery, MD Anderson Cancer Center, Houston, Texas in 1999. He is a member of the American Society for Reconstructive Microsurgery since 2003, a fellow of the American College of Surgeons since 2009, an international member of the American Society of Plastic Surgeons since 2012 and became an Adjunct Professor of the Department of Plastic Surgery at University of Michigan, USA in 2017. Learn more Dr. Cheng is Affiliated With Dr.Cheng’s Academic Journey for Lymphedema Microsurgery 鄭教授淋巴水腫顯微外科手術學術里程碑 出處:取自《乳癌奇蹟治癒》方舟出版社 News Dec 17, 2024 We appreciate the recognition and affirmation from our patients in the United States. Every word of encouragement is our driving force! Dec 10, 2024 Professor Cheng was invited to attend the 49th Global Plastic Surgery Conference held in Porto, Portugal. Sep 26, 2024 Gratitude from Canada — A Patient's Kindness Warms Our Hearts 1 2 3 4

  • News | Lymphedema

    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 Ming-huei Cheng Dec 17, 2024 Patient testimonials 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! 💪... 0 Post not marked as liked Ming-huei Cheng Dec 10, 2024 Presentations 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... 0 Post not marked as liked Ming-huei Cheng Sep 26, 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... 0 Post not marked as liked Ming-huei Cheng Sep 25, 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%... 0 Post not marked as liked Ming-huei Cheng Apr 24, 2024 Lymphedema 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... 0 Post not marked as liked Ming-huei Cheng Apr 30, 2022 Lymphedema 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... 0 Post not marked as liked Ming-huei Cheng Aug 12, 2020 Presentations 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... 0 Post not marked as liked Ming-huei Cheng Aug 2, 2020 Presentations 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... 0 Post not marked as liked Ming-huei Cheng Jan 12, 2020 Presentations 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... 0 Post not marked as liked Ming-huei Cheng Dec 19, 2019 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... 0 0 comments 0 Post not marked as liked Ming-huei Cheng Nov 15, 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... 0 Post not marked as liked Ming-huei Cheng Oct 16, 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... 0 Post not marked as liked

  • Video | Lymphedema

    安德森整形外科診所的醫師們的最新熱門影片,專業的和你分享醫療資訊及回答你可能對整形和重建的各式問題! Our Video Play Video Play Video 08:02 想改善淋巴水腫又不想穿壓力衣? 讓世界權威告訴你什麼是淋巴靜脈吻合術|安德森整形外科 鄭明輝教授 鄭在開講 Play Video Play Video 04:27 Lymphedema Treatment Testimony:In addition to excellent medical care, also enjoys Taiwanese cuisine Play Video Play Video 05:50 Mr. William from Australia Play Video Play Video 03:04 Ms.Vicki Ferg from Canada Play Video Play Video 07:58 Brenda Journey 200214a Play Video Play Video 04:18 Aza Journey 200213b Play Video Play Video 09:51 Lymphedema Treatment Testimony: Canadian Patient at A+ Surgery Clinic, Taipei, Taiwan"Video Content: 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 03:06 醫美界新星!「外泌體」3分鐘懶人包看這裡!|安德森整形外科 鄭明輝教授 鄭在開講 Load More Watch more...

安德森整形外科

Dr. Cheng, a world authority in micro-reconstructive plastic surgery and lymphedema treatment, provides surgical services such as lymphedema treatment, breast reconstruction, breast augmentation, double eyelids, eye bags, liposuction, wrinkle removal and lift.

 

The cases in this article have been published with the consent of the parties involved, and have signed a public authorization letter. The pre- and post-operative case photos in this article are only used as an introduction to surgical medical information. The treatment effect will vary depending on individual constitution and post-operative care.
Anderson Plastic Surgery Clinic reminds you that any surgery or medical treatment has potential risks and is not suitable for everyone. The content of this article is for reference only. The actual decision must be made by the doctor in person after evaluation and communication with you.

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