Jung‐Ju Huang

Refinement of robot-assisted nipple-sparing mastectomy utilizing the da Vinci SP system and SP access port device: the RASPB-1 Pilot Trial

Wen‐Ling Kuo, Chia‐Huei Chu, Jung‐Ju Huang, Chia-Fang Chen et autres

The most updated version of the da Vinci single-port (SP) system features a single robotic arm and a balloon-shaped access port for stable entry and efficient multi-jointed instrument use in tight spaces. We conducted a prospective trial in a single-arm design to …

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International Microsurgery Club for 10 Years—A New Online Education Platform and Beyond

Patrick Szu-Ying Yen, Jung‐Ju Huang, Johnny Chuieng Lu, Tommy Nai‐Jen Chang

The rapid evolution of digital communication has transformed medical education, a shift accelerated by the COVID-19 pandemic. The International Microsurgery Club (IMC), founded in 2016 as a private Facebook group for verified professionals, exemplifies how social media can democratize microsurgical education on …

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The systemic adverse effects of endoscopic thoracic sympathectomy are underrecognized: a questionnaire-based study

Cheyenne Wei‐Hsuan Sung, Lisa Wen‐Yu Chen, Che‐Hsiung Lee, Johnny Chuieng‐Yi Lu et autres

Endoscopic thoracic sympathectomy (ETS) is an established treatment for focal hyperhidrosis and facial blushing; however, its systemic adverse effects remain underrecognized. Beyond compensatory sweating (CS), the potential multisystemic and neuropsychological sequelae of sympathetic disruption have not been comprehensively characterized. An anonymous, cross-sectional …

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Clinical Scenarios Using Thoracodorsal and Lateral Thoracic Vessels Versus Internal Mammary Vessels in Bipedicled Deep Inferior Epigastric Perforator Flap Breast Reconstruction: A Comparative Study

Chia-Fang Chen, David Cheong, Wen‐Ling Kuo, Chi‐Chang Yu et autres

Abstract Autologous breast reconstruction using the bipedicled deep inferior epigastric perforator (DIEP) flap poses unique challenges in Asian patients with a low BMI and limited donor volume. While internal mammary vessels (IMA/Vs) remain the standard recipient site, the rise of minimally invasive …

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Complications and Donor Site Morbidity in Harvesting the Intercostal Main Nerve as a Graft for Breast Neurotization in Microsurgical Breast Reconstruction

Ying‐Hsuan Lee, Jung‐Ju Huang, Johnny Chuieng‐Yi Lu, David Cheong et autres

Abstract Breast neurotization using autologous grafts has been indicated to be effective. Previous studies focused mainly on restoring sensation and optimizing the operative techniques of neurotization in microsurgical breast reconstruction. There are few studies on the adverse effects and potential risks associated …

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Surgical Technique for Anterolateral Thigh Flap Harvesting: A Questionnaire Study From 263 International Microsurgeons

Joachim N. Meuli, Shiuan Shyu, Yu-Ting Chen, Elzat Elham et autres

Background: The anterolateral thigh (ALT) flap is a very popular perforator flap, but variations in design and in harvest techniques result in a broad spectrum of approaches that considerably differ from literature descriptions. We therefore designed this study to assess the differences …

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Comparative Efficacy of Stromal Vascular Fraction and Adipose-Derived Stem Cells in Ultraviolet B–Induced Skin Damage in Nude Mice

Hui‐Yi Hsiao, Chao-Yi Lai, Yung‐Chun Chang, Shih-Han Huang et autres

BACKGROUND: Chronic UVB exposure accelerates skin aging by inducing oxidative stress and inflammation, leading to dehydration, reduced collagen density, and impaired epidermal and dermal integrity. Stem cell-based therapies, including the use of the stromal vascular fraction (SVF) and adipose-derived stem cells (ASCs), …

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The Systemic Adverse Effects of Endoscopic Thoracic Sympathectomy Are Underrecognized: A Questionnaire-Based Study

Cheyenne Wei‐Hsuan Sung, Lisa Wen‐Yu Chen, Che‐Hsiung Lee, Johnny Chuieng‐Yi Lu et autres

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Transplantation of engineered vascularized lymphatic tissue using LEC and in vivo AV loop model to enhance lymphangiogenesis and restore lymphatic drainage in a lymphadenectomy rat model

Gina A. Mackert, Hui‐Yi Hsiao, Yung‐Chun Chang, Robin T. Wu et autres

Lymphedema has emerged as a significant health issue among cancer survivors. The primary goal of treatment is to restore lymphatic drainage function. Engineering vascularized lymphatic tissue offers a promising alternative to achieve this goal. Currently, lymphatic tissue engineering with the use of …

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The history and development of sympathetic trunk reconstruction: a 40-year journey from open surgery to robotic-assisted microsurgery

Lisa Wen‐Yu Chen, Yin‐Kai Chao, Allen Wei‐Jiat Wong, Po‐Huang Chen et autres

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Direct-to-implant versus two-stage implant-based breast reconstruction in patients requiring postmastectomy radiotherapy

Eva Yu-Hsuan Chuang, Wen‐Ling Kuo, Yi-Ting Huang, Frank Chun‐Shin Chang et autres

Aim: Postmastectomy radiation therapy (PMRT) has played an important role in advanced breast cancer. It may negatively impact the outcomes of implant-based reconstruction. The aim of this study was to investigate the impact of PMRT on the outcome of implant-based reconstruction. Methods: …

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Oncoplastic Entirely Robot-Assisted Approach: Incorporating Robotic Surgery in Both Mastectomy and DIEP Flap Reconstruction

Wen‐Ling Kuo, Allen Wei‐Jiat Wong, Chun-Yi Tsai, Yi-Fu Chen et autres

BACKGROUND: Breast cancer surgery involves a minimally invasive approach with the assistance of robotic technology. Robots can be used for harvesting free deep inferior epigastric artery perforator (DIEP) flaps for breast reconstruction to minimize donor-site morbidity. For the first time, the authors' …

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