Lipomas were extracted with an ultrasonic suction scalpel, assisted by
an endoscope, with good results. The combined surgical technique is d
escribed in this paper, Preoperative clinical findings and diagnostic
imaging of the patients provided a preoperative diagnosis of lipomas.
For the procedure, the endoscope was inserted through a small incision
immediately above the tumor, The tumor was endoscopically confirmed a
nd then extracted with an ultrasonic scalpel. Complete lipoma extracti
on was achieved in all patients without recurrence, The patients had g
ood cosmetic results with only minimal postoperative scarring, The end
oscopic extraction of lipomas with an ultrasonic scalpel is proven to
be highly useful, especially for large tumors, and permits a less inva
sive and more reliable surgical operation.