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Anomalous drainage of lingular vein into left inferior pulmonary vein during thoracoscopic lung cancer surgery.
J Cardiothorac Surg
January 2025
Department of Thoracic Surgery, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, China.
Background: The intricate anatomical variations in lung structure often perplex thoracic surgeons, and the accurate identification of these variations is closely associated with favorable surgical outcomes.
Case Presentation: A 53-year-old female patient who underwent computed tomography (CT) examination due to chest discomfort, revealing the presence of a partial solid nodule highly suspected of early-stage lung cancer, measuring approximately 2.8 × 2.
Cervical-First Approach in Thoracoscopic Esophagectomy With Intraoperative Nerve Monitoring for an Esophageal Cancer Patient With Aberrant Right Subclavian Artery.
Asian J Endosc Surg
January 2025
Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
An aberrant right subclavian artery (ARSA) is a rare vascular anomaly accompanied by nonrecurrent inferior laryngeal nerve (NRILN). Here, we described the cervical-first approach in thoracoscopic esophagectomy for an esophageal cancer patient with ARSA using the intraoperative nerve monitoring (IONM) system. First, a left cervical procedure proceeded to expose the left vagus nerve to attach the APS electrode of the IONM system, and the left cervical paraesophageal lymph nodes was dissected separately.
View Article and Find Full Text PDFRetroperitoneal Approach to D3-Lymph Node Dissection With Left Colic Artery Preservation in the Treatment of Sigmoid Cancer.
Dis Colon Rectum
September 2024
Department of Faculty Surgery No. 2, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Background: Laparoscopic approaches and robot-assisted operations are used for colorectal cancer surgery because of their minimal invasiveness. 1 However, changes in intra-abdominal pressure during laparoscopy can lead to cardiovascular complications in compromised patients; 2 obesity and intraabdominal adhesions may further interfere with laparoscopic procedures. The retroperitoneal approach may facilitate minimally invasive surgery, even in patients with comorbidities.
View Article and Find Full Text PDFHepatic resection for metastatic melanoma in the era of targeted therapy: A case report.
Int J Surg Case Rep
August 2024
The Canberra Hospital, Yamba Drive, Garran, Canberra, Australian Capital Territory, Australia.
Article Synopsis
- Novel therapies like immunotherapy have improved survival rates for metastatic melanoma, but may cause immune-related side effects and are complemented by surgical options like hepatic metastatectomy for select patients.
- Advanced imaging techniques, such as gadoxetic acid-enhanced MRI, provide better diagnostic accuracy for liver metastases compared to traditional methods, while fine-needle aspiration biopsy has a low risk of tumor seeding.
- A case study highlights the complexities in diagnosing and managing liver metastases in melanoma, emphasizing the importance of multidisciplinary team discussions for deciding on liver biopsy after systemic treatments.
Ulcerated CRTC1::TRIM11 cutaneous tumor with metastases.
J Cutan Pathol
October 2024
Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada.
CRTC1::TRIM11 cutaneous tumor (CTCT) is a rare skin tumor of uncertain differentiation. In the 49 reported cases, only four cases showed regional or distant metastasis, but follow-up remains limited. Herein, we present a case of metastatic CTCT with ulceration, a histological feature that has not been previously described.
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