Frontiers in Surgery最新文献

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Undifferentiated carcinoma with osteoclast-like giant cells of the pancreas: a rare case report and review of the literature. 胰腺未分化癌伴破骨细胞样巨细胞:一例罕见病例报告及文献复习。
IF 1.6 4区 医学
Frontiers in Surgery Pub Date : 2025-07-18 eCollection Date: 2025-01-01 DOI: 10.3389/fsurg.2025.1584200
Lu Si, Yihan Liu, Zhiyu Lin, Qiuwen Qin, Yuxu Zhang, Demao Deng, Zhao Lu
{"title":"Undifferentiated carcinoma with osteoclast-like giant cells of the pancreas: a rare case report and review of the literature.","authors":"Lu Si, Yihan Liu, Zhiyu Lin, Qiuwen Qin, Yuxu Zhang, Demao Deng, Zhao Lu","doi":"10.3389/fsurg.2025.1584200","DOIUrl":"https://doi.org/10.3389/fsurg.2025.1584200","url":null,"abstract":"<p><strong>Background: </strong>Undifferentiated carcinoma with osteoclast-like giant cells of the pancreas (UC-OGCP) is an exceedingly rare malignant tumour that accounts for less than 1% of all pancreatic nonendocrine neoplasms.</p><p><strong>Case presentation: </strong>We present a case of UC-OGCP in a 46-year-old male patient who was referred to our hospital after the incidental identification of a cystic tumour in the pancreas. Computed tomography (CT) revealed a 1.4 × 1.4 × 1.6-cm mass in the pancreatic head. Surgical resection was performed because it was difficult to determine the degree of malignancy of the tumour through clinical assessment. Intraoperative frozen-section pathology confirmed that the tumour was a malignant neoplasm. Pancreaticoduodenectomy was subsequently conducted. Histopathological studies confirmed the diagnosis of UC-OGCP.</p><p><strong>Conclusion: </strong>The clinical symptoms of UC-OGCP are nonspecific, and there are no distinct serological markers. Diagnosis relies primarily on endoscopic biopsy or postoperative pathology. We report this case of UC-OGCP and provide a literature review on the clinicopathological features, differential diagnosis, treatment, and prognosis of UC-OGCP, aiming to improve the understanding of this disease.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1584200"},"PeriodicalIF":1.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of early vs. routine removal of abdominal drainage tube after laparoscopic appendectomy for perforated appendicitis: a retrospective cohort study. 腹腔镜阑尾切除术治疗穿孔性阑尾炎早期与常规切除腹腔引流管的比较:回顾性队列研究。
IF 1.6 4区 医学
Frontiers in Surgery Pub Date : 2025-07-18 eCollection Date: 2025-01-01 DOI: 10.3389/fsurg.2025.1617312
Jun He, Gang Qian, Yefei Mao, Lei Gao
{"title":"Comparison of early vs. routine removal of abdominal drainage tube after laparoscopic appendectomy for perforated appendicitis: a retrospective cohort study.","authors":"Jun He, Gang Qian, Yefei Mao, Lei Gao","doi":"10.3389/fsurg.2025.1617312","DOIUrl":"https://doi.org/10.3389/fsurg.2025.1617312","url":null,"abstract":"<p><strong>Background: </strong>The utility of abdominal drainage is common in laparoscopic appendectomy (LA) for acute appendicitis with perforation to prevent postoperative complications, such as intraabdominal abscess (IAA) and stump fistula. Nevertheless, the drain tube placement is considered to be associated with postoperative IAA formation in cases of complicated appendicitis. Our study aims to determine whether early removal of abdominal drainage tube after LA can improve prognosis for patients with perforated appendicitis.</p><p><strong>Methods: </strong>A total of 182 patients who underwent abdominal drainage tube placement during LA due to acute appendicitis with perforation were divided into experimental group and control group by random number table method, including 87 patients in the experimental group and 95 patients in the control group. Patients in the experimental group had their abdominal drainage tube removed within 48 h after surgery. Patients in the control group removed the drainage tube after 48 h routinely. Variables of demographic and clinical characteristics of these patients between the two groups were analyzed. Postoperative outcomes, including overall complications, IAA, superficial surgical site infection (SSI), stump fistula, ileus, bleeding, postoperative length of stay (LOS), hospitalization costs and readmission to hospital, were compared.</p><p><strong>Results: </strong>These two groups were similar regarding demographic and perioperative clinical characteristics like age, sex, duration of symptoms and hematological examination indicators (<i>P</i> > 0.05). Although there was no significant difference in superficial SSI and ileus between the two groups (<i>P</i> > 0.05), patients in the experimental group was associated with a lower rate of overall complications (3.4% vs. 17.9%, <i>P</i> = 0.002), declined incidence of IAA (3.4% vs. 11.6%, <i>P</i> = 0.040), a shorter LOS [4 (4,4) vs. 6 (5,6) days, <i>P</i> < 0.001] and less hospitalization costs [9,705 (8,621-10,402) vs. 10,851 (9,704-11,752) CNY, <i>P</i> < 0.001] compared with patients in the control group. No stump fistula and intraabdominal bleeding occurred in both groups. There was no significant difference in readmission rate within 30 days after surgery between the two groups (<i>P</i> = 0.684).</p><p><strong>Conclusions: </strong>It is safe and effective to remove abdominal drainage tube within 48 h after LA for patients with perforated appendicitis. This approach can accelerate the recovery time, decline the incidence of IAA and reduce hospitalization costs.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1617312"},"PeriodicalIF":1.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The clinical spectrum of central neurocytomas ranges from benign to leptomeningeal disseminating disease: a single institutional surgical series of 33 patients. 中枢神经细胞瘤的临床范围从良性到轻脑膜播散性疾病:单一机构手术系列33例患者。
IF 1.6 4区 医学
Frontiers in Surgery Pub Date : 2025-07-18 eCollection Date: 2025-01-01 DOI: 10.3389/fsurg.2025.1534566
A Harun Yaşar, Ayça Erşen-Danyeli, Baran Bozkurt, M İmre Usseli, Mustafa Güdük, Koray Özduman, M Necmettin Pamir
{"title":"The clinical spectrum of central neurocytomas ranges from benign to leptomeningeal disseminating disease: a single institutional surgical series of 33 patients.","authors":"A Harun Yaşar, Ayça Erşen-Danyeli, Baran Bozkurt, M İmre Usseli, Mustafa Güdük, Koray Özduman, M Necmettin Pamir","doi":"10.3389/fsurg.2025.1534566","DOIUrl":"https://doi.org/10.3389/fsurg.2025.1534566","url":null,"abstract":"<p><strong>Background: </strong>Central neurocytomas (CN) are rare neuroepithelial neoplasms primarily found in the lateral ventricles. While generally considered benign, their clinical behavior varies, with some cases displaying atypical features associated with increased recurrence risk.</p><p><strong>Material and methods: </strong>This is a retrospective analysis of 33 adult CN patients that were operated and followed over a 25-year period by a single surgeon. Demographic (age, gender), anatomical (localization), histopathological (atypical histology, Ki67 index, p75NTR expression), extent of resection (GTR vs. STR), adjuvant treatments (radiotherapy and radiosurgery) were analyzed as potential prognostic factors.</p><p><strong>Results: </strong>Gross total resection (GTR) was associated with favorable outcomes, with adjuvant radiotherapy effective after subtotal resection (STR). Notably, a subset of aCN cases exhibited p75NTR immunopositivity, suggesting its potential as a prognostic marker for aggressive behavior. Leptomeningeal dissemination was rare but observed in one case.</p><p><strong>Conclusion: </strong>CN cases demonstrate clinical heterogeneity, emphasizing the importance of tailored management. Close follow-up is crucial, particularly in atypical cases, to optimize patient outcomes. GTR remains the goal in surgery, while p75NTR expression may serve as a prognostic indicator but further research is needed to validate p75NTR as a prognostic factor in CN.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1534566"},"PeriodicalIF":1.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Meta-analysis of prognostic factors in patients with knee arthroplasty. 膝关节置换术患者预后因素荟萃分析。
IF 1.6 4区 医学
Frontiers in Surgery Pub Date : 2025-07-18 eCollection Date: 2025-01-01 DOI: 10.3389/fsurg.2025.1584238
Fengying Guo, Xiaoxia Shi, Honghui Song, Shendong Wang
{"title":"Meta-analysis of prognostic factors in patients with knee arthroplasty.","authors":"Fengying Guo, Xiaoxia Shi, Honghui Song, Shendong Wang","doi":"10.3389/fsurg.2025.1584238","DOIUrl":"https://doi.org/10.3389/fsurg.2025.1584238","url":null,"abstract":"<p><strong>Objective: </strong>To identify specific factors predicting functional outcomes, pain reduction, and patient satisfaction following knee arthroplasty through systematic review and meta-analysis.</p><p><strong>Methods: </strong>A comprehensive search of multiple databases (Pubmed, Embase, OVID, Medline, Cochrane Library, CNKI, Wanfang, VIP) was conducted for studies published from database inception to December 2024. Studies reporting associations between preoperative factors and standardized outcomes after knee arthroplasty were included. Two reviewers independently screened articles, extracted data, and assessed study quality using modified Jadad scale for randomized trials and MINORS for non-randomized studies. Random-effects meta-analyses were performed for pain duration and red blood cell distribution width (RDW), with meta-regression to assess their prognostic value for functional outcomes measured by standardized knee scores. Heterogeneity was assessed using I<sup>2</sup> statistics, and publication bias was evaluated using Egger's and Begg's tests.</p><p><strong>Results: </strong>Eight studies were included in the final analysis: Four studies examining pain duration (<i>n</i> = 576 patients) and four studies examining RDW (<i>n</i> = 612 patients) met inclusion criteria. Significant heterogeneity was observed in both analyses (I<sup>2</sup> = 87% and I<sup>2</sup> = 91%, respectively, <i>p</i> < 0.01). Meta-regression revealed that shorter pain duration (<3 years) was significantly associated with better functional outcomes at 12-month follow-up [Weighted Mean Difference (WMD) = -4.532, 95%CI = (-6.439,-2.626), <i>p</i> < 0.001]. Normal preoperative RDW values (11.5-14.5%) were also significantly associated with improved functional outcomes [WMD = -1.742, 95%CI = (-2.371,-1.114), <i>p</i> < 0.001]. Subgroup analyses indicated that the predictive value of these factors was consistent across different surgical techniques (<i>p</i> = 0.42). Publication bias assessment showed no significant bias (Egger's test <i>p</i> = 0.2094, Begg's test <i>p</i> = 0.0833). The high heterogeneity limits the direct clinical application of these pooled estimates and necessitates cautious interpretation.</p><p><strong>Conclusion: </strong>This meta-analysis identified shorter preoperative pain duration and normal RDW values as independent predictors of better functional outcomes following knee arthroplasty. However, the small number of included studies and high heterogeneity observed warrant cautious interpretation of these findings. These findings can help clinicians identify patients at risk of suboptimal outcomes and potentially guide personalized perioperative interventions. Further research is needed to establish optimal cutoff values and to evaluate the combined predictive power of these factors in clinical practice.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1584238"},"PeriodicalIF":1.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Therapeutic efficacy of superficial vein-anastomosed spiral propeller flap in elderly patients with foot and ankle soft tissue defects. 浅静脉吻合式螺旋螺旋桨皮瓣治疗老年足、踝软组织缺损的疗效观察。
IF 1.6 4区 医学
Frontiers in Surgery Pub Date : 2025-07-18 eCollection Date: 2025-01-01 DOI: 10.3389/fsurg.2025.1629340
Guangmou Chen, Zhidong Liao, Guoqiang Ruan, Huirun Chen, Guihe Lv, Jiashang Cai, Jin Chen, Bo Liang
{"title":"Therapeutic efficacy of superficial vein-anastomosed spiral propeller flap in elderly patients with foot and ankle soft tissue defects.","authors":"Guangmou Chen, Zhidong Liao, Guoqiang Ruan, Huirun Chen, Guihe Lv, Jiashang Cai, Jin Chen, Bo Liang","doi":"10.3389/fsurg.2025.1629340","DOIUrl":"https://doi.org/10.3389/fsurg.2025.1629340","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the efficacy of superficial vein anastomoses spiral propeller flaps in improving venous return and reducing postoperative complications for elderly patients with foot and ankle soft tissue defects.</p><p><strong>Methods: </strong>A prospective study involving 15 elderly patients (65-90 years) underwent spiral propeller flap repair between 2020 and 2021. Flap perfusion, swelling, venous patency (Doppler ultrasound), and ankle function (AOFAS score) were assessed.</p><p><strong>Results: </strong>All flaps survived, with 2 cases of distal superficial necrosis healing after dressing. Postoperative swelling improved from Grade II (<i>n</i> = 10) to Grade I (<i>n</i> = 13) at 6 months. AOFAS scores showed 86.7% excellent/good outcomes.</p><p><strong>Conclusion: </strong>Venous anastomosis in spiral propeller flaps significantly enhances flap survival and functional recovery in elderly patients with comorbidities.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1629340"},"PeriodicalIF":1.6,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparative analysis of adolescent intramedullary nailing and locking plate fixation for femoral shaft fractures. 青少年股骨干骨折髓内钉与锁定钢板内固定的比较分析。
IF 1.6 4区 医学
Frontiers in Surgery Pub Date : 2025-07-17 eCollection Date: 2025-01-01 DOI: 10.3389/fsurg.2025.1614146
Jian Huang, Yiqun Bian
{"title":"Comparative analysis of adolescent intramedullary nailing and locking plate fixation for femoral shaft fractures.","authors":"Jian Huang, Yiqun Bian","doi":"10.3389/fsurg.2025.1614146","DOIUrl":"10.3389/fsurg.2025.1614146","url":null,"abstract":"<p><strong>Background: </strong>Femoral shaft fractures in adolescents are commonly treated with either antegrade intramedullary nailing (AIN) or lateral plate (LP) fixation. This study compared the clinical outcomes of these two methods.</p><p><strong>Methods: </strong>Adolescent patients with femoral shaft fractures were randomly assigned to either the AIN group (<i>n</i> = 62) or the LP group (<i>n</i> = 62). Surgical parameters, early recovery metrics, levels of inflammatory cytokines, pain mediators, and bone metabolism markers were assessed.</p><p><strong>Results: </strong>The AIN group had significantly shorter incision lengths (6.8 vs. 8.5 cm, <i>p</i> < 0.001) and lower intraoperative blood loss (120 vs. 170 ml, <i>p</i> < 0.001) compared to the LP group. AIN patients began weight-bearing activities earlier (34 vs. 47 days, <i>p</i> < 0.01). Three months post-operation, the AIN group showed superior proximal femoral geometry and hip function, with a higher non-arthritic hip score (NAHS, 87 vs. 75, <i>p</i> < 0.001). One-week post-operation, the AIN group had lower serum levels of inflammatory cytokines and pain mediators, indicating a reduced inflammatory response and less postoperative pain.</p><p><strong>Conclusions: </strong>AIN offers significant advantages over LP in treating adolescent femoral shaft fractures, including reduced surgical trauma, faster early recovery, lower inflammatory response, less postoperative pain, and enhanced bone healing.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1614146"},"PeriodicalIF":1.6,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of the perioperative complications of high intensity focused ultrasound vs. laparoscopic surgery for uterine fibroids: a retrospective study. 高强度聚焦超声与腹腔镜手术治疗子宫肌瘤围手术期并发症的回顾性研究。
IF 1.6 4区 医学
Frontiers in Surgery Pub Date : 2025-07-17 eCollection Date: 2025-01-01 DOI: 10.3389/fsurg.2025.1568000
Li Hu, Chunling Fang, Nenghuan Tang, Fan Xu
{"title":"Comparison of the perioperative complications of high intensity focused ultrasound vs. laparoscopic surgery for uterine fibroids: a retrospective study.","authors":"Li Hu, Chunling Fang, Nenghuan Tang, Fan Xu","doi":"10.3389/fsurg.2025.1568000","DOIUrl":"10.3389/fsurg.2025.1568000","url":null,"abstract":"<p><strong>Objective: </strong>To compare the perioperative complications following high intensity focused ultrasound (HIFU) or laparoscopic surgery for uterine fibroids.</p><p><strong>Methods: </strong>A retrospective cohort was conducted involving patients with uterine fibroids (UFs) who underwent HIFU or laparoscopic surgery. The primary outcome was the incidence of perioperative complications. Secondary outcomes included the Numerical Rating Scale (NRS) for pain assessment, duration of hospital stay, hospitalization costs, and the incidence of short-term postoperative complications within 1 month. Univariate and multivariate logistic regression analyses were conducted to identify the influencing factors.</p><p><strong>Results: </strong>A total of 140 patients were included in the study, with an overall perioperative complication rate of 72.9%. Among them, 46 patients underwent HIFU treatment, while 94 underwent laparoscopic surgery. The HIFU group experienced significantly fewer total complications (52.2% vs. 83.0%, <i>P</i> < 0.001) and grade ≥ II complications (4.3% vs. 26.6%, <i>P</i> = 0.021) compared to the laparoscopic group. Further multivariate logistic regression revealed that treatment modality (Laparoscopic Surgery vs. HIFU: OR 5.48, 95% CI: 1.17-25.65, <i>P</i> = 0.031) was independent risk factors for grade ≥ II complications. Moreover, the HIFU group also experienced less pain on postoperative day 1, 2, and 3 compared to the laparoscopic surgery group (2.50 vs. 4.00, <i>P</i> < 0.001; 1.00 vs. 4.00, <i>P</i> < 0.001; 1.00 vs. 3.00, <i>P</i> < 0.001; respectively). Additionally, subgroup analyses showed that laparoscopic myomectomy (LM) group had fewer grade ≥ II complications than laparoscopic hysterectomy (LH) group (15.4% vs. 40.5%, <i>P</i> = 0.006).</p><p><strong>Conclusion: </strong>HIFU treatment is associated with a lower rate of perioperative complications, including grade ≥ II complications, reduced postoperative pain, shorter hospital stays, and lower hospitalization costs compared to laparoscopic surgery. These findings suggest that HIFU may serve as a viable alternative strategy for the management of uterine fibroids.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1568000"},"PeriodicalIF":1.6,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Challenges in the diagnosis of primary squamous cell carcinoma of the prostate: a case report and literature review. 原发性前列腺鳞状细胞癌诊断的挑战:1例报告及文献复习。
IF 1.6 4区 医学
Frontiers in Surgery Pub Date : 2025-07-17 eCollection Date: 2025-01-01 DOI: 10.3389/fsurg.2025.1532669
Shengyou Song, Yalin Song
{"title":"Challenges in the diagnosis of primary squamous cell carcinoma of the prostate: a case report and literature review.","authors":"Shengyou Song, Yalin Song","doi":"10.3389/fsurg.2025.1532669","DOIUrl":"10.3389/fsurg.2025.1532669","url":null,"abstract":"<p><strong>Introduction: </strong>Prostate squamous cell carcinoma (SCCP)is a rare malignancy that accounts for 1% of prostate cancer cases. In resource-limited settings, it is often at an advanced stage due to the limitations of PSA/imaging-based methods, and pathological confirmation is needed for a definitive diagnosis, particularly in elderly patients with comorbidities.</p><p><strong>Case presentation: </strong>A 71-year-old male with benign prostatic hyperplasia presented with urinary obstruction confirmed by urine flowmetry. Digital rectal examination of the prostate revealed severe enlargement, a firm consistency and an irregular surface; B-mode ultrasonography revealed calcifications without focal lesions. Laboratory tests revealed hematuria, elevated RBC counts, reduced WBC counts, normal serum PSA, and negative microbiological cultures. Cystoscopy revealed bladder wall thickening with multiple diverticula, suggesting chronic obstructive sequelae. Through physical, laboratory, and imaging examinations, we diagnosed the patient with benign prostatic hyperplasia before surgery. The postoperative pathological diagnosis was SCCP. The patient was discharged 7 days post-surgery and treated for prostate cancer (PCa) at a higher-level hospital.</p><p><strong>Conclusion: </strong><i>in vivo</i> fluorescence imaging and laboratory examination of PCa targets are needed to further promote noninvasive PCa diagnosis.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1532669"},"PeriodicalIF":1.6,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Valgus mechanism inducing a unique "terrible triad injury" pattern in the elbow: a detailed clinical and surgical analysis. 外翻机制诱发肘关节独特的“可怕的三联征损伤”模式:详细的临床和外科分析。
IF 1.6 4区 医学
Frontiers in Surgery Pub Date : 2025-07-17 eCollection Date: 2025-01-01 DOI: 10.3389/fsurg.2025.1570509
Yanmao Wang, Shiyang Yu, Jian Ding
{"title":"Valgus mechanism inducing a unique \"terrible triad injury\" pattern in the elbow: a detailed clinical and surgical analysis.","authors":"Yanmao Wang, Shiyang Yu, Jian Ding","doi":"10.3389/fsurg.2025.1570509","DOIUrl":"10.3389/fsurg.2025.1570509","url":null,"abstract":"<p><strong>Aims: </strong>The most accepted theory to explain the mechanism of \"terrible triad injury (TTI)\" of the elbow was proposed by O'Driscoll, describing it as a result of rotatory instability. However, a small subset of TTI cases appears to follow a different mechanism based on their clinical presentation. The aim of this study was to describe this injury pattern in detail and to suggest a treatment strategy that may lead to improved outcomes.</p><p><strong>Patients and methods: </strong>Cases of elbow dislocation treated between July 2017 and July 2019 were analyzed and identified as the valgus-type TTI through radiographs and surgical findings. Fractures and associated injuries were evaluated and compared with non-valgus TTIs. The current treatment method and prognosis were reviewed to formulate a preliminary feasible treatment plan.</p><p><strong>Results: </strong>Of 313 patients, 13 were diagnosed with valgus-type TTI. The mean age of these patients was 45.8 years, with the majority (84.6%) sustaining injury from low-energy trauma. No neurovascular injuries were observed. Three patients were treated non-operatively, while 10 underwent surgical treatment. In these 10 cases, coronoid avulsion of the medial collateral ligament (MCL) and continuity of the lateral ulnar collateral ligament were confirmed. Elbow function had a Mayo Elbow Performance Score of 98 and a Quick-Disabilities of the Arm, Shoulder, and Hand score of 6.38. No re-interventions were required after the initial treatment. Of the 13 patients, eight showed non-union of the MCL avulsion, though this did not affect stability. The remaining patients achieved radiographic union at an average of 10.7 weeks.</p><p><strong>Conclusion: </strong>Valgus-type TTI is a rare and distinct variant of TTI, but is less severe than the classic form. Surgeons should be aware of its associated injuries. The treatment strategy described here allows for targeted management of the injury's individual components, potentially reducing the risk of treatment failure.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"12 ","pages":"1570509"},"PeriodicalIF":1.6,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Awake versus intubated video-assisted thoracoscopic surgery for pleural disease: a retrospective cohort study from a single tertiary center. 清醒与插管电视胸腔镜手术治疗胸膜疾病:来自单一三级中心的回顾性队列研究
IF 1.6 4区 医学
Frontiers in Surgery Pub Date : 2025-07-17 eCollection Date: 2025-01-01 DOI: 10.3389/fsurg.2025.1635663
Omer Faruk Saglam, Burcu Kilic, Merve Ekinci Fidan, Nevzat Cem Sayilgan, H Volkan Kara, Akif Turna, Kamil Kaynak, Ezel Ersen
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