Speaker

Cha-Chun Chen

Shin Kong Wu Ho-Su Memorial Hospital, Taiwan

Date
Time
Topic
Location
2022/6/30
12:05-12:30
The application of ICG in breast surgery
-How I do it~
Ircad Taiwan – 1F(大講堂)
[For Course A + B]

        Lots of studies have demonstrated the utility of indocyanine green(ICG) angiography, especially with the assistance of SPY system, can predict the flap condition, both donor and recipient sites. In breast reconstruction after mastectomy, especially with DIEP flap or pedicled TRAM flap, we have to assess such a flap with large volume but various vascular conditions as well as to assess the skin condition after mastectomy. In the past time, to realize the vascularity of flap and experiences is important. However, with the assistance of ICG, we can choose the best part of flap and also, to sacrifice regions with poor vascularity easier. Not only flap monitor but also lymph node detection, in some conditions, ICG can be used to assess sentinel lymph nodes(SLNs), such as melanoma of toes to inguinal regions and breast cancers to axilla. Intradermal injection by ICG was done at the periareolar regions and the breast quadrants in which the tumor resided, following breast massage for around 10 min. The ICG can used to detect SLN with better effectiveness than methyl blue, even if slightly lower than technetium 99m. Therefore, applications of ICG have dual benefits in patients with breast cancer  surgery and reconstruction.

CURRENT POSITION

  • 2012.8~ to now Plastic Surgeon (attending physician) in Shin Kong Wu Ho-Su Memorial Hospital
  • 2012.12~to now Adjunct Plastic Surgeon in LeedSeed Hospital
  • 2016.06~to now Chief of Burn Center in Shin Kong Wu Ho-Su Memorial Hospital
  • 2016.07~to now Adjunct Plastic Surgeon for burn scar laser in New Taipei City Hospital
  • 2017.02~to now Lecturer in National Taipei University of Nursing and Health Science

Educational Background

  • Medical Doctor by Kaohsiung Medical University 
  • Doctoral student in Institute of Traditional Medicine, National Ying-Ming University

Experience

  • 2005.9-2007.6 Resident in the department of surgery in Shin Kong Wu Ho-Su Memorial Hospital
  • 2007.7-2011.6 Resident in the department of plastic surgery in Shin Kong Wu Ho-Su Memorial Hospital
  • 2011.7-2012.1 Fellowship in Shin Kong Wu Ho-Su Memorial Hospital
  • 2012.2-2012.8 Visiting Fellowship in Case-Western University of Hospital, Ohio State, USA
  • 2019.03 Tour Conductor license (English)
  • 2018.08.26 General Secretory in the International SKH congress (topic: migraine surgery)
  • 2018.10.28~2020.10.28 Supervisor for Taiwan Society of Aesthetic Plastic Surgery
  • 2018.03 Tour Conductor license (Chinese)
  • 2017 Medical team for 2017 Summer Universiade in Taiwan