Surgery Case Reports最新文献_第6页

Thrombectomy under deep hypothermic circulatory arrest (DHCA) for renal cell carcinoma with atrio-caval thrombus 在深低温体外循环（DHCA）下进行血栓清除术治疗伴有齿状腔血栓的肾细胞癌

Surgery Case Reports Pub Date : 2024-06-15 DOI: 10.1016/j.sycrs.2024.100036

Siegfredo R. Paloyo , Ferri P. David-Paloyo , Czarlo M. Dela Victoria , Grace G. Gana , Anna Melissa F. Hilvano-Cabungcal , Tricia Angela G. Sarile , Eduardo R. Bautista

{"title":"Thrombectomy under deep hypothermic circulatory arrest (DHCA) for renal cell carcinoma with atrio-caval thrombus","authors":"Siegfredo R. Paloyo , Ferri P. David-Paloyo , Czarlo M. Dela Victoria , Grace G. Gana , Anna Melissa F. Hilvano-Cabungcal , Tricia Angela G. Sarile , Eduardo R. Bautista","doi":"10.1016/j.sycrs.2024.100036","DOIUrl":"10.1016/j.sycrs.2024.100036","url":null,"abstract":"<div><p>Renal cell carcinoma accounts for 85–90 % of all primary renal neoplasms and has the propensity to expand and directly invade contiguous structures such as the inferior vena cava predisposing to thrombus formation in approximately 10 % of cases. Overall, 70 % of patients survive for 5 years. While several classifications have been published to characterize the level of thrombus involvement and subsequently define the appropriate surgical treatment, the prognosis of such remains to be ascertained. Furthermore, controversies exist as to the most appropriate surgical approach particularly for atrial thrombus (Level IV). Although traditionally such thrombus level is addressed using cardiopulmonary bypass with or without deep hypothermic arrest, there have been recent reports of a less invasive maneuver using a transdiaphragmatic approach, essentially milking the thrombus down, avoiding sternotomy. We present our initial case of a 59-year-old male having a right renal mass with extensive thrombus from the inferior vena cava up to the right atrium managed with radical nephrectomy and thrombectomy under cardiopulmonary bypass with deep hypothermic circulatory arrest. Patient remains tumor-free after 1 year of follow-up.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100036"},"PeriodicalIF":0.0,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000367/pdfft?md5=f9a47648a291ff0b071f2982952a2265&pid=1-s2.0-S2950103224000367-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141410676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hirase technique: A step-by-step procedure for fingertip sub/amputation in children with cooling composite graft Hirase 技术：使用冷却复合移植物治疗儿童指尖下/截肢的分步法。

Surgery Case Reports Pub Date : 2024-06-15 DOI: 10.1016/j.sycrs.2024.100031

Andrea Minini , Alessandro Fagetti , Mario Cherubino , Anna Brandolini , Emanuele Mascherpa , Julien Teodori , Federico Tamborini , Giuseppe Mosillo

引用次数: 0

Complete Androgen Insensitivity Syndrome (AIS) in a young female: A rare form of sexual development disorder 年轻女性完全雄激素不敏感综合征 (AIS)：一种罕见的性发育障碍

Surgery Case Reports Pub Date : 2024-06-14 DOI: 10.1016/j.sycrs.2024.100037

Ayesha Huma , Hira Waris , Muhammad Farhan , Tooba Iqbal , Mir Ahmad Talha Mustafa , Ammna Kouser , Usama Shafiq , Shahzaib Maqbool , Zubair Amin

{"title":"Complete Androgen Insensitivity Syndrome (AIS) in a young female: A rare form of sexual development disorder","authors":"Ayesha Huma , Hira Waris , Muhammad Farhan , Tooba Iqbal , Mir Ahmad Talha Mustafa , Ammna Kouser , Usama Shafiq , Shahzaib Maqbool , Zubair Amin","doi":"10.1016/j.sycrs.2024.100037","DOIUrl":"10.1016/j.sycrs.2024.100037","url":null,"abstract":"<div><p>Androgen Insensitivity Syndrome (AIS) is a rare genetic condition affecting individuals with 46 XY genotypes. We present a case of Complete AIS (CAIS) in a 16-year-old phenotypically female patient with primary amenorrhea and bilateral inguinal masses. Despite male karyotype (46XY), physical examination and imaging revealed the absence of Müllerian structures and the presence of testes-like structures. The diagnosis was confirmed through hormone profiling and karyotyping. Management involved multidisciplinary collaboration, including surgical interventions (gonadectomy) and counseling. Early recognition and intervention in CAIS can mitigate psychological distress and optimize outcomes. This case also highlighted the importance of considering AIS in the differential diagnosis of primary amenorrhea, particularly in the presence of inguinal hernias.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"3 ","pages":"Article 100037"},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000379/pdfft?md5=90068e5091c9a162aca08acaa7f8f34d&pid=1-s2.0-S2950103224000379-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141391822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical therapy of a Fetal Lung Interstitial Tumor (FLIT) in an infant – A case report and review of surgical considerations 婴儿胎儿肺间质瘤 (FLIT) 的手术治疗 - 病例报告和手术注意事项回顾

Surgery Case Reports Pub Date : 2024-06-11 DOI: 10.1016/j.sycrs.2024.100038

Jonas Zimmer , Philippe Grieshaber , Michael Allgäuer , Patrick Günther , Bernd Beedgen , Helmut Rauch , Albrecht Stenzinger , Matthias Gorenflo , Hauke Winter , Martin Eichhorn , Tsvetomir Loukanov

引用次数: 0

Brain metastasis originating from papillary renal cell carcinoma: A rare case report and literature review 源自乳头状肾细胞癌的脑转移：罕见病例报告和文献综述

Surgery Case Reports Pub Date : 2024-06-11 DOI: 10.1016/j.sycrs.2024.100034

Abdul Azis , Syarif Syarif , Saidah Rahmat , Moh. Anfasa Giffari Makkaraka , Willy Adhimarta , Faradilla Anwar

引用次数: 0

Mycetoma affecting hand fingers: 3 Case reports 影响手部手指的霉菌瘤：3 个病例报告

Surgery Case Reports Pub Date : 2024-06-10 DOI: 10.1016/j.sycrs.2024.100041

Lamine Sarr , Badara Diop , Badara Dembélé , Khalifa Faye , Mouhamed Daffé , Alioune Badara Diouf , Charles Diémé

引用次数: 0

Multi-flap reconstruction for a recurrent giant phyllodes tumor 复发性巨大植物瘤的多瓣重建术

Surgery Case Reports Pub Date : 2024-06-10 DOI: 10.1016/j.sycrs.2024.100035

Ferri P. David-Paloyo , Mar Aristeo G. Poncio , Mario Emmanuel L. Lopez De Leon , Enrique A. Manalang , Siegfredo R. Paloyo

{"title":"Multi-flap reconstruction for a recurrent giant phyllodes tumor","authors":"Ferri P. David-Paloyo , Mar Aristeo G. Poncio , Mario Emmanuel L. Lopez De Leon , Enrique A. Manalang , Siegfredo R. Paloyo","doi":"10.1016/j.sycrs.2024.100035","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100035","url":null,"abstract":"<div><p>Few case reports have discussed the incidence and management of giant recurrent phyllodes tumors with borderline to malignant features. We report that of a recurrent case in a 57-year-old female who underwent wide excision with en bloc resection of the 3rd to 7th right anterior ribs and upper abdominal wall. Rigid chest wall reconstruction was achieved using methyl methacrylate and synthetic mesh. This is the first reported case wherein three locoregional flaps, namely the latissimus dorsi, thoracoepigastric and extended external oblique flaps were used to cover a defect measuring 1452 cm<sup>2</sup> in size. With this combination of flaps, deformity was minimized, and the resultant outcome was aesthetically and functionally acceptable. Reconstructive goals of intrathoracic organ protection, restoration of chest wall rigidity, maintenance of adequate respiratory function and soft tissue closure were achieved. Careful planning and individualized treatment together with multidisciplinary collaboration remains vital in the successful management of large recurrent malignant phyllodes tumors.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100035"},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000355/pdfft?md5=5a952e7b00d7ea6f0bf3697665993bb9&pid=1-s2.0-S2950103224000355-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141325624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical-functional evaluation of a patient undergoing proximal row carpectomy for Kienböck's disease: A literature review and a case report 对一名因 Kienböck 病而接受近端排骨切除术的患者进行临床功能评估：文献综述和病例报告

Surgery Case Reports Pub Date : 2024-06-10 DOI: 10.1016/j.sycrs.2024.100039

Grisell Guadalupe García-Catalán , Erik Agustín Márquez-Gutiérrez , Maykel González-Torres

{"title":"Clinical-functional evaluation of a patient undergoing proximal row carpectomy for Kienböck's disease: A literature review and a case report","authors":"Grisell Guadalupe García-Catalán , Erik Agustín Márquez-Gutiérrez , Maykel González-Torres","doi":"10.1016/j.sycrs.2024.100039","DOIUrl":"https://doi.org/10.1016/j.sycrs.2024.100039","url":null,"abstract":"<div><h3>Background</h3><p>Proximal row carpectomy (PRC) is often recommended for advanced-stage Kienböck's disease (KD), although there is no standardized treatment protocol. This study aimed to evaluate the efficacy of the PRC in managing KD.</p></div><div><h3>Methods</h3><p>A literature review and a clinical case study were conducted on a 40-year-old male with stage 3 KD.</p></div><div><h3>Results</h3><p>Postsurgery, the patient reported mild discomfort but significant functional improvement, with the Disabilities of the Arm, Shoulder, and Hand (DASH) score decreasing from 87 to 44. Observations included reduced pain, enhanced wrist trophism, and an expanded range of motion.</p></div><div><h3>Conclusions</h3><p>The PRC demonstrated positive outcomes, including symptom alleviation and functional restoration, supporting its viability as a tailored surgical intervention for KD, improving quality of life and reducing hospital stay.</p></div>","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":"2 ","pages":"Article 100039"},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950103224000392/pdfft?md5=16bc9247b856b625354437fd6a991fa0&pid=1-s2.0-S2950103224000392-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141328449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Major abdominal surgery under locoregional anesthesia in a patient with primary ciliary dyskinesia: Clinical case 原发性睫状肌运动障碍患者在局部麻醉下进行腹部大手术：临床病例

Surgery Case Reports Pub Date : 2024-06-10 DOI: 10.1016/j.sycrs.2024.100032

Filomena Fabiana Di Monte , Giulia Turri , Angelo Di Vittori , Ernesto De Giulio , Noemi Bicelli , Giacomo Faccioli , Ruben Sciortino , Alessandro Valdegamberi , Andrea Ruzzenente , Corrado Pedrazzani

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Multiple congenital bilateral trigger fingers in a 2-year-old child: A case report 一名 2 岁儿童的多发性先天性双侧扳机指：病例报告

Surgery Case Reports Pub Date : 2024-06-10 DOI: 10.1016/j.sycrs.2024.100040

Alejandro Corona-Figueroa , Francisco Ferreira-Aparicio , Erika Barlandas-Quintana , Maykel González-Torres

引用次数: 0