Surgical Case Reports最新文献

{"title":"Surgical Resection of a Pseudoaneurysm of the First Dorsal Metatarsal Artery after Unsuccessful Embolization: A Case Report and Literature Review.","authors":"Hiroto Yasumura, Kenichi Arata, Goichi Yotsumoto, Hideyuki Satozono, Koichiro Shimoishi, Yoshihiro Fukumoto, Yuki Ogata, Tomoyuki Matsuba, Yoshiharu Soga","doi":"10.70352/scrj.cr.24-0020","DOIUrl":"10.70352/scrj.cr.24-0020","url":null,"abstract":"<p><strong>Introduction: </strong>Aneurysms of peripheral foot arteries are extremely rare. Dorsalis pedis artery aneurysms account for 0.5% of peripheral artery aneurysms of the lower limbs. Here, we present a case of pseudoaneurysm of the first dorsal metatarsal artery of the foot and discuss the therapeutic strategy based on a literature review.</p><p><strong>Case presentation: </strong>A 76-year-old man with no history of foot trauma presented with pain and a pounding mass in the dorsum of the left foot. Echography revealed a 29 × 18 × 20 mm saccular aneurysm with to-and-fro blood flow. Contrast-enhanced computed tomography revealed an aneurysm in the first dorsal metatarsal artery. Angiography of the aneurysm revealed no arterial drainage. Embolization was subsequently performed only for the feeding artery, which was the proximal first dorsal metatarsal artery, using the 2 Target nanocoils (Stryker; Boston, MA, USA), resulting in successful occlusion. However, echography performed a few months after embolization revealed a recurrence of blood flow and enlargement of the coiled aneurysm. Nine months after embolization, the pain in the dorsum of the foot recurred. Therefore, we performed a surgical resection of the dorsal metatarsal artery aneurysm (38 × 26 × 26 mm) under general anesthesia. The first distal dorsal metatarsal artery exhibited pulsatile bleeding, and angiography of the distal dorsal metatarsal artery revealed a patent pedal arch and posterior tibial artery. Therefore, revascularization was not performed. The postoperative course was uneventful. The pathological examination indicated that the mass was a pseudoaneurysm.</p><p><strong>Conclusions: </strong>The treatments for peripheral foot artery aneurysms include observation, thrombin injection, ultrasound compression, embolization, surgical excision, and ligation. As the long-term outcomes of embolization for such aneurysms are unknown and cases are limited, surgical excision that is safe and definitive is recommended as the first-line treatment.</p>","PeriodicalId":22096,"journal":{"name":"Surgical Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459414","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}

{"title":"Robotic Distal Pancreatectomy for Adult Pancreatoblastoma with Tumor Extension to the Main Pancreatic Duct: A Case Report.","authors":"Hiroaki Sugita, Koji Amaya, Chihiro Kawata, Yasuhiro Nagaoka, Yoshitaka Iwaki, Yoji Nishida, Atsushi Hirose, Tomoya Tsukada, Takashi Nakamura, Masahiro Hada, Masaki Takeshita, Akemi Yoshikawa, Masahide Kaji","doi":"10.70352/scrj.cr.25-0037","DOIUrl":"https://doi.org/10.70352/scrj.cr.25-0037","url":null,"abstract":"<p><strong>Introduction: </strong>Adult pancreatoblastoma (PB) is an extremely rare malignant pancreatic epithelial tumor. Although no standard treatment strategy has been established, complete resection is recommended for long-term survival. Here, we presented a case of an adult patient with PB who successfully underwent complete resection via robotic surgery. Furthermore, this is the first report of robotic surgery for PB, highlighting its novelty and potential clinical relevance.</p><p><strong>Case presentation: </strong>A 40-year-old man presented with epigastric pain, and image examination revealed a well-defined tumor in the pancreatic tail extending into the main pancreatic duct (MPD) and reaching the pancreatic neck. With no evidence of distant metastases, surgery was planned following 2 courses of gemcitabine and S-1 chemotherapy for tumor shrinkage. There were no significant changes in the tumor's extension after chemotherapy, but no new lesions appeared, and robotic distal pancreatectomy was performed. Intraoperative findings confirmed the tumor extension into the MPD just above the superior mesenteric vein (SMV). The pancreas was sharply divided at the right edge of the SMV, and a negative transection margin was obtained. The pancreatic stump was closed by suture. The postoperative course was uneventful, and the pathological diagnosis confirmed PB with MPD and inferior mesenteric vein invasion.</p><p><strong>Conclusions: </strong>We successfully resected an adult case of PB with tumor extension into the MPD via robotic surgery. Robotic surgery enabled precise pancreatic transection at the right edge of the SMV, ensuring a negative pancreatic transection margin in this case. In addition, robotic surgery contributed to the safe and secure suture closure of the pancreatic stump.</p>","PeriodicalId":22096,"journal":{"name":"Surgical Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064696","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}

{"title":"Thoracoscopic Congenital Esophageal Stenosis Repair and Thal Fundoplication by Right Thoracic Approach: A Case Report.","authors":"Kazuya Nagayabu, Wataru Sumida, Kazuki Ota, Yasuyuki Ono","doi":"10.70352/scrj.cr.24-0180","DOIUrl":"https://doi.org/10.70352/scrj.cr.24-0180","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital esophageal stenosis (CES) is a rare clinical condition found in 1 in 25000-50000 live births. Surgical treatment is required when endoscopic balloon dilatation is ineffective. Laparoscopic and thoracoscopic approaches are selected based on lesion location. Gastroesophageal reflux (GER) is often observed as a postoperative complication that necessitates additional fundoplication. We report a case of CES in the lower third of the esophagus that was treated with simultaneous thoracoscopic resection and Thal fundoplication using the right thoracic approach.</p><p><strong>Case presentation: </strong>The patient was a 6-month-old boy who presented with vomiting after consuming solid food. Although he had been previously treated by a physician, he was referred to our hospital for further examination because of persistent symptoms at 1 year and 7 months of age. As his oral intake was insufficient, he was thin compared with his twin brother. On esophagography, an abruptly narrowing lesion was found at the Th9-10 level, and congenital esophageal stenosis was diagnosed. Since balloon dilatation under upper gastrointestinal endoscopy was ineffective, the patient was treated surgically. Thoracoscopic esophagectomy (end-to-end anastomosis) and fundoplication (Thal procedure) were simultaneously performed via the right thoracic cavity. Although transient postoperative gastric paresis due to vagus nerve injury was observed, the patient improved with medical treatment and was discharged on postoperative day 14. He is currently able to ingest solid food orally, without GER.</p><p><strong>Conclusions: </strong>CES can be a surgical indication for a thoracoscopic approach, depending on the site of the lesion. This is the first case in which anti-reflux surgery was performed simultaneously with thoracoscopic CES repair. We consider that this technique is useful for preventing not only GER, but also anastomotic leakage.</p>","PeriodicalId":22096,"journal":{"name":"Surgical Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11982622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039610","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}

{"title":"Left S3 + S8 Segmentectomy with Rare Interlobar A3 Vascular Anomaly: A Case Report.","authors":"Hiroki Imabayashi, Takahide Toyoda, Kazuhisa Tanaka, Yuki Sata, Terunaga Inage, Hajime Tamura, Masako Chiyo, Yukiko Matsui, Hidemi Suzuki","doi":"10.70352/scrj.cr.24-0013","DOIUrl":"https://doi.org/10.70352/scrj.cr.24-0013","url":null,"abstract":"<p><strong>Introduction: </strong>Segmentectomy is being accepted as a valid operative procedure for small peripheral non-small cell lung cancer. Understanding pulmonary artery (PA) variations is essential to ensure safe and reliable surgeries. Herein, we report a case of left S3 and S8 segmentectomy involving a complete interlobar branch of the left A3, a relatively rare anomaly reported in less than 0.56% of cases in previous studies.</p><p><strong>Case presentation: </strong>A woman in her sixties was referred to our hospital with two nodules in the left upper lobe anterior segment (S3, 1.1 × 0.8 cm) and the lower lobe anterior basal segment (S8, 1.8 × 1.7 cm), suggestive of double primary lung cancer. Preoperative thin-slice computed tomography (CT) and three-dimensional CT revealed a vascular anomaly in which the entire left A3 branched from the interlobar PA. Left S3 and S8 segmentectomies were performed via thoracotomy. The interlobar A3 branched at nearly the same level as the A6. After cutting the V3b and V3c veins, the intersegmental plane and the interlobar A3 were sequentially divided using staplers. To prevent torsion of the remaining lung, the edges of the apico-posterior segment (S1+2) and the lingular segment were loosely secured with silk sutures. The operative times were 4 h and 8 min with minimal blood loss. Pathological examination revealed that both nodules were squamous cell carcinomas of the lungs (pT1bN0M0, pStage IA2). The patient remained recurrence-free for over 1 year.</p><p><strong>Conclusions: </strong>Complete interlobar branching of the left A3 is uncommon. During left S3 segmentectomy in cases involving an interlobar A3, the S1+2 and lingular segments may become solitary blocks, necessitating measures to prevent torsion.</p>","PeriodicalId":22096,"journal":{"name":"Surgical Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12055235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049249","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}

{"title":"Primary Cardiac Myxofibrosarcoma: A Case Report.","authors":"Takuya Matsushiro, Tomoki Tamura, Tetsuya Horai, Kento Misumi, Nobuyuki Inoue","doi":"10.70352/scrj.cr.24-0035","DOIUrl":"https://doi.org/10.70352/scrj.cr.24-0035","url":null,"abstract":"<p><strong>Introduction: </strong>Primary cardiac tumors are rare, with malignant myxofibrosarcoma cases being particularly uncommon, while cardiac myxoma is a common diagnosis in clinical practice. We present a case of cardiac myxofibrosarcoma, whose clinical course was quite unusual.</p><p><strong>Case presentation: </strong>A 67-year-old woman with no prior history of cardiac tumors was admitted for dyspnea and was found to have a 60 mm tumor in the left atrium. Despite initial resection, the tumor recurred twice, and a subsequent pleural mass biopsy revealed metastasis of myxofibrosarcoma. Retrospective analysis confirmed that the pathological findings of all the resected tumors were consistent with myxofibrosarcoma. Chemotherapy with doxorubicin was initiated, but severe side effects led to its discontinuation. The tumors continued to grow, causing significant pain, and she passed away a year later.</p><p><strong>Conclusions: </strong>The differential diagnosis of cardiac myxofibrosarcoma is challenging due to its similarity to benign myxomas. Accurate diagnosis requires thorough histological and immunohistochemical evaluation is essential.</p>","PeriodicalId":22096,"journal":{"name":"Surgical Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12066236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027892","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}

{"title":"Combined Endoscopic Submucosal Dissection and Transanal Minimally Invasive Surgery for Rectal Laterally Spreading Tumor after Prior Transanal Resection: A Case Report.","authors":"Takashi Inoue, Fumikazu Koyama, Yosuke Iwasa, Masayuki Sho","doi":"10.70352/scrj.cr.24-0166","DOIUrl":"10.70352/scrj.cr.24-0166","url":null,"abstract":"<p><strong>Introduction: </strong>Endoscopic submucosal dissection (ESD) is an effective procedure for resecting noninvasive colorectal neoplasms. However, submucosal fibrosis affects the technical difficulty of ESD. We experienced a combined ESD and transanal minimally invasive surgery (TAMIS) for a rectal neoplasm with submucosal fibrosis.</p><p><strong>Case presentation: </strong>We report our experience with a 75-year-old woman who had a rectal laterally spreading tumor with scarring from a prior transanal resection. She underwent combined ESD and TAMIS to overcome the procedural difficulty of ESD for submucosal fibrosis. The portion of the bowel without scarring was dissected using ESD, while the portion with scarring was dissected using TAMIS. A successful <i>en bloc</i> resection of the tumor was achieved, and there was no recurrence.</p><p><strong>Conclusions: </strong>Based on the findings from this case, the combination of ESD and TAMIS may be particularly effective under conditions such as rectal neoplasms with submucosal fibrosis.</p>","PeriodicalId":22096,"journal":{"name":"Surgical Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12122182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182615","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}

{"title":"A Case of Colon Leiomyosarcoma Arising from the Muscularis Mucosae: A Case Report and Literature Review.","authors":"Yuta Kasagi, Masahiko Sugiyama, Rena Yokomizo, Munehide Terashi, Taichiro Nagai, Naomichi Koga, Ayako Iwanaga, Yasue Kimura, Yutaka Koga, Kenichi Taguchi, Masaru Morita","doi":"10.70352/scrj.cr.25-0146","DOIUrl":"10.70352/scrj.cr.25-0146","url":null,"abstract":"<p><strong>Introduction: </strong>Colon leiomyosarcoma (CLMS) is an extremely rare neoplasm and the information regarding its clinical characteristics and specific treatment was still unclear.</p><p><strong>Case presentation: </strong>A 73-year-old female who had been diagnosed with transverse CLMS underwent laparoscopic surgery. The resected specimen showed that the tumor contained proliferation of spindle-shaped cells and arranged in fascicular pattern, which was immunohistochemically positive for smooth muscle actin and desmin. Moreover, the tumor bottom was not continuous with the muscularis propria and had a clear border in the submucosa layer. According to these findings, we finally diagnosed it as primary CLMS arising from the muscularis mucosa (MM). No recurrence was noted 24 months after surgery.</p><p><strong>Conclusions: </strong>This literature demonstrates CLMS arising from MM and suggests that its pathological diagnosis is associated with disease prognosis.</p>","PeriodicalId":22096,"journal":{"name":"Surgical Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12229794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584930","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}

{"title":"Jejunal Interposition with Overlap Esophago-Jejunal Anastomosis for an Esophageal Stricture due to Repeated Endoscopic Dilation for Esophageal Achalasia: A Case Report.","authors":"Yasuto Suzuki, Shinsuke Takeno, Fumiaki Kawano, Kousei Tashiro, Makoto Ikenoue, Kazunosuke Yamada, Atsushi Nanashima","doi":"10.70352/scrj.cr.25-0033","DOIUrl":"10.70352/scrj.cr.25-0033","url":null,"abstract":"<p><strong>Introduction: </strong>Achalasia is a primary esophageal motility disorder of unknown origin. The clinical manifestations are caused by the loss of peristalsis of the esophagus and functional obstruction at the esophagogastric junction. There are several treatment strategies for esophageal achalasia, such as medications, endoscopic treatment, and surgery. The successful treatment of a case of jejunal interposition surgery with overlap esophago-jejunal anastomosis for an esophageal stricture due to repeated endoscopic dilation for esophageal achalasia is reported.</p><p><strong>Case presentation: </strong>The patient was a 67-year-old man who was diagnosed with esophageal achalasia 13 years earlier. Partial esophagectomy of the portion with the stricture and esophago-jejunal anastomosis using the overlap method were performed for the esophageal stricture due to rupture during endoscopic balloon dilatation. The patient's postoperative recovery was unremarkable, and the dysphagia due to esophageal stricture disappeared.</p><p><strong>Conclusions: </strong>The overlap technique in esophago-jejunal anastomosis after partial esophagectomy was very effective for an esophageal stricture in a patient with achalasia because it made possible the additional resection of endoluminal muscle.</p>","PeriodicalId":22096,"journal":{"name":"Surgical Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12229793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584933","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}

{"title":"Optimal Surgical Strategy for Kommerell's Diverticulum Associated with a Right-Sided Aortic Arch: A Report of Four Cases.","authors":"Yumeka Tamai, Tatsuya Ogawa, Ryusuke Hamada, Genichi Sakaguchi","doi":"10.70352/scrj.cr.25-0049","DOIUrl":"10.70352/scrj.cr.25-0049","url":null,"abstract":"<p><strong>Introduction: </strong>Kommerell's diverticulum is often associated with a right-sided aortic arch. It presents as a saccular aneurysm. Although various surgical strategies have been reported, optimal treatment has not been established.</p><p><strong>Case presentation: </strong>Four patients with right-sided aortic arch underwent different surgeries for Kommerell's diverticulum. The pattern of aortic arch was a mirror-image of the normal left aortic arch in Cases 1 and 2. In Cases 3 and 4, it was right-sided aortic arch with an aberrant left subclavian artery as its last branch. Cases 1 and 3 presented with compression symptoms caused by Kommerell's diverticulum. They underwent open surgery or thoracic endovascular aortic repair through the different approaches. Their postoperative courses were favorable.</p><p><strong>Conclusions: </strong>The surgical strategy for Kommerell's diverticulum with a right-sided aortic arch should be selected based on the anatomical characteristics of the cervical vessels, compression symptoms, and surgical risks.</p>","PeriodicalId":22096,"journal":{"name":"Surgical Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12229790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584936","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}

{"title":"Coexisting Remnants of the Omphalomesenteric Duct and Urachus in an Infant.","authors":"Noboru Oyachi, Fuminori Numano","doi":"10.70352/scrj.cr.25-0003","DOIUrl":"10.70352/scrj.cr.25-0003","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital anomalies of the umbilicus, including remnants of the omphalomesenteric duct and urachus, result from the incomplete regression of fetal structures around the 10th week of gestation. The coexistence of these anomalies in a single patient is exceptionally uncommon. This report presents the case of a neonate with an umbilical nodule and periumbilical cyst, subsequently identified as coexisting remnants of the omphalomesenteric duct and urachus.</p><p><strong>Case presentation: </strong>This study reports the case of a 17-day-old female infant who presented with a small moist umbilical nodule and a persistent yellowish mucinous discharge. Initial treatment for umbilical granuloma failed to resolve the lesion. Imaging revealed a 2-cm cyst beneath the umbilicus and a cord-like structure connecting it to the bladder. Surgical exploration identified a 6-cm fibrous band extending from the cyst to the ileal wall, consistent with an omphalomesenteric duct remnant, and a 5-mm diameter urachal remnant connecting the cyst to the bladder. Histological analysis confirmed the presence of intestinal mucosa and transitional epithelium. The postoperative recovery of the patient was without complications.</p><p><strong>Conclusions: </strong>This case elucidates the diagnostic challenges posed by persistent umbilical lesions and highlights the importance of detailed imaging and surgical exploration for identifying rare congenital anomalies. Histopathological confirmation is essential for an accurate diagnosis. Further research is required to clarify the embryological basis and clinical implications of these anomalies.</p>","PeriodicalId":22096,"journal":{"name":"Surgical Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12197850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508374","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}