Surgical Case Reports外科病例报告
Surgical Case Reports(英文缩写 SURG CASE REP),ISSN 2198-7793,eISSN 2198-7793,中文译名:外科病例报告 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-10-01 至 2026-09-30，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 未收录 | N/A |
| 2022 | 0.800 | N/A |
| 2023 | 0.700 | Q4 |
| 2024 | 0.700 | Q4 |
| 2025 | 0.700 | Q4 |
Surgical Case Reports 最新收录文献
-
1. Twelve-Year Follow-Up of a Pure Ground-Glass Opacity Initially Detected at 14 Years of Age and Treated by Extended Segmentectomy: A Case Report.
PMID:日期:2026-10-02Persistent pure ground-glass opacities (GGOs) are often associated with indolent lung adenocarcinoma, yet their natural history beginning in adolescence has rarely been documented. We report an exceptionally rare case of adenocarcinoma in situ (AIS) diagnosed after 12 years of radiological follow-up of a pure GGO initially detected at 14 years of age. A 26-year-old never-smoker was referred to our department because of gradual enlargement of a pure GGO in the right upper lobe. The lesion had been incidentally detected during preoperative evaluation for dermatofibrosarcoma protuberans of the left upper arm at 14 years of age. Serial chest CT demonstrated slow enlargement from 5.4 to 12 × 9 mm over 12 years without development of a solid component. Because primary lung adenocarcinoma was strongly suspected, the patient underwent video-assisted thoracoscopic extended right posterior segmentectomy (S2). Histopathological examination demonstrated lepidic proliferation of atypical pneumocytes without stromal invasion, confirming AIS (pTisN0M0, Stage 0). The postoperative course was uneventful, and the patient remains recurrence-free 2 years after surgery. This case provides a rare opportunity to observe the natural history of an AIS-associated pure GGO from adolescence to adulthood. Persistent enlargement of a pure GGO, even without development of a solid component, may warrant consideration of surgical resection in appropriately selected young patients.
-
2. A Case of Pancreatic Cancer Complicated by Active Pulmonary Tuberculosis Successfully Managed through a Multidisciplinary Treatment Strategy.
PMID:日期:2026-10-02Pancreatic cancer complicated by active pulmonary tuberculosis (TB) presents a therapeutic dilemma because timely oncologic treatment must be balanced against infection control. Evidence guiding the curative-intent management of pancreatic cancer complicated by active TB remains extremely limited. An 81-year-old man with a history of tuberculous peritonitis and diabetes mellitus presented with weight loss and poor glycemic control. Contrast-enhanced CT revealed a 14-mm pancreatic head tumor and multiple nodular lesions in the right upper lobe. Sputum examination was positive for acid-fast bacilli and . After 4 weeks of initial 4-drug anti-TB therapy, sputum smear conversion and drug-susceptible TB were confirmed. Re-evaluation imaging revealed enlargement of the tumor to 21 mm with less than 180° portal vein abutment, and endoscopic US-guided fine-needle aspiration confirmed pancreatic ductal adenocarcinoma (PDAC). Although the tumor was anatomically resectable, active pulmonary TB was considered a host-related risk, and treatment was planned according to a strategy analogous to the International Association of Pancreatology concept of borderline resection on the basis of conditional factors. Following multidisciplinary discussion and shared decision-making with the patient, concurrent maintenance anti-TB therapy and 6 cycles of neoadjuvant gemcitabine plus nab-paclitaxel (GnP) were administered. The planned treatment was completed successfully without TB reactivation, resulting in a partial radiological response that permitted subtotal stomach-preserving pancreatoduodenectomy with portal vein resection. Histopathological examination revealed an R0 resection with a Grade 1b therapeutic response. After completing adjuvant chemotherapy, the patient developed a local recurrence 16 months after surgery but remained alive with stable disease under systemic chemotherapy 33 months after the initiation of anti-TB therapy, without TB reactivation. Although further accumulation of similar cases is needed, this case demonstrates that curative-intent treatment of PDAC complicated by active TB can be achieved through careful multidisciplinary management.
-
3. Retrograde Transvenous Lymphatic Embolization for Refractory Chylous Ascites after Laparoscopic Distal Gastrectomy: A Case Report.
PMID:日期:2026-10-02Chylous ascites is a rare complication of gastric cancer surgery and is usually managed conservatively. However, treating refractory cases with persistent high-output drainage remains challenging. Although lymphangiography with subsequent embolization has recently emerged as a minimally invasive treatment option, the identification of the leakage site is often difficult using conventional intranodal approaches. In such cases, retrograde transvenous lymphangiography and embolization may be feasible and safe. Herein, we describe a case of refractory postoperative chylous ascites after laparoscopic gastrectomy that was successfully treated with retrograde transvenous lymphangiography and subsequent embolization. An 85-year-old man underwent a laparoscopic distal gastrectomy with D1+ lymph node dissection for gastric cancer. On POD 4, chylous ascites developed after the initiation of oral intake. Despite conservative management, including fasting and the administration of a somatostatin analog, the high-output drainage persisted at 1000-2000 mL/day, resulting in severe hypoalbuminemia. Intranodal lymphangiography failed to identify the leakage site. Therefore, retrograde transvenous lymphangiography was performed through the left venous angle, which revealed leakage at the level of the 3rd lumbar vertebra. Subsequently, lymphatic embolization was performed, which led to a rapid decrease in the drainage output. No complications were observed during the procedure. The patient recovered without any recurrence and was discharged 22 days after the procedure. Retrograde transvenous lymphatic embolization may be an effective and safe treatment option for refractory chylous ascites after gastrectomy, particularly when the leakage site cannot be identified using conventional intranodal lymphangiography.
-
4. Desmoid-Type Fibromatosis of the Proximal Jejunum Mimicking Gastric Gastrointestinal Stromal Tumor: Diagnostic Pitfalls in Determining the Tumor Origin.
PMID:日期:2026-10-01Desmoid-type fibromatosis (DTF) of the small intestine is rare and often mimics gastrointestinal stromal tumor (GIST). Its infiltrative growth can also make identification of the true organ of origin difficult. A 56-year-old woman was referred with a suspected gastric GIST based on imaging and endoscopic US-guided fine-needle aspiration. Before the planned surgery, the patient developed anorexia and vomiting. Emergency CT revealed rapid tumor enlargement with duodenal obstruction. Urgent multi-organ resection was performed, including partial gastrectomy, jejunal resection, partial pancreatic resection, and partial colectomy. Intraoperatively, the tumor appeared to originate from the stomach; however, histopathological examination revealed DTF arising from the jejunum with secondary invasion into adjacent organs. The postoperative course was complicated by an intra-abdominal abscess, which was successfully managed. No recurrence was observed 12 months after surgery. DTF should be considered in rapidly enlarging peri-gastrointestinal tumors with bowel obstruction. This case highlights the difficulty not only in differentiating DTF from GIST but also in accurately identifying the organ of origin.
-
5. Curative Resection for Thoracic Esophageal Carcinoma with an Aberrant Right Subclavian Artery: A Case Report.
PMID:日期:2026-10-01Esophagectomy in the presence of an aberrant right subclavian artery (ARSA) is rare, and the anomalous vascular anatomy can complicate lymphadenectomy because of the risk of nerve injury. The patient was a 67-year-old man who presented with pharyngeal discomfort. Right pyriform sinus cancer and middle thoracic esophageal cancer were detected. After neoadjuvant chemotherapy with docetaxel, cisplatin, and 5-fluorouracil for the esophageal cancer, the pyriform sinus cancer disappeared, indicating a complete response. Accordingly, esophagectomy with reconstruction using a gastric conduit was planned, with preservation of the hypopharynx. Because the presence of an ARSA had been recognized preoperatively, cervical lymphadenectomy was first performed via a cervical approach. Esophagectomy was performed thoracoscopically without injury to the nonrecurrent inferior laryngeal nerve (NRILN). Esophagectomy in a patient with an ARSA was performed while preserving the NRILN by initiating cervical lymphadenectomy before the thoracoscopic procedure.
-
6. Successful Re-Closure with Adjunctive Retention Sutures for Fascial Dehiscence after Mesh-Mediated Fascial Traction in Open Abdomen Management for Perforated Sigmoid Diverticulitis: A Case Report.
PMID:日期:2026-09-30Open abdomen management (OAM) is sometimes required in patients with severe peritonitis and septic shock when primary fascial closure is unsafe or impossible. Mesh-mediated fascial traction (MMFT) combined with negative pressure wound therapy (NPWT) is a useful strategy for delayed fascial closure. However, fascial dehiscence may still occur after definitive closure in patients with multiple risk factors for impaired wound healing. Reports describing retention sutures as a salvage adjunct for fascial dehiscence after MMFT are scarce. We report a high-risk case in which re-closure with adjunctive retention sutures maintained abdominal wall closure after fascial dehiscence following staged closure. A man in his 60s with obesity and ongoing corticosteroid therapy for interstitial pneumonia was transferred to our hospital with upper abdominal pain and profound septic shock. CT showed extraluminal gas predominantly in the upper abdomen and pelvic ascites, but the perforation site was unclear. Emergency exploratory laparotomy revealed perforated sigmoid diverticulitis. Because of severe hemodynamic instability, segmental sigmoid colectomy was performed, and OAM was initiated. After second-look surgery, primary fascial closure remained difficult because of marked bowel edema and obesity. MMFT combined with NPWT was therefore performed. The abdominal wall defect gradually decreased, and fascial closure was achieved on POD 13. However, fascial dehiscence occurred on POD 17, with the small intestine in direct contact with the fascial sutures. On POD 18, re-closure was performed using fascial re-suturing combined with 4 retention sutures. During closure, the fascia was gradually approximated toward the midline with manual lateral-to-medial compression of the trunk, and the skin was left open with continued NPWT. The patient was transferred for rehabilitation on POD 100. At 1-year follow-up, the wound was fully epithelialized, and no obvious incisional hernia was observed. Fascial dehiscence may occur even after staged closure with MMFT and NPWT in high-risk patients. Adjunctive retention sutures may be a salvage option for re-closure when conventional fascial re-suturing alone is considered insufficient.
-
7. Resection of Liver Metastasis from Lacrimal Gland Adenoid Cystic Carcinoma: A Case Report and Review of the Literature.
PMID:日期:2026-09-29Adenoid cystic carcinoma (ACC) is a rare malignancy that most commonly occurs in the major salivary and lacrimal glands. Although distant metastases frequently occur in the lungs, bones, and brain, liver metastases are uncommon, and the optimal management of metastatic lesions remains unclear. Here, we report a case of liver metastasis from a lacrimal gland adenoid cystic carcinoma (LGACC) treated with surgical resection. A 38-year-old man underwent tumor resection for LGACC 6 years previously. Bilateral pulmonary metastases were detected 2 years after the primary surgery and treated with partial lung resection. Two liver metastases were identified during follow-up imaging. Because curative resection was considered feasible, the patient underwent laparoscopic right anterior sectionectomy of the liver. The postoperative course was uneventful, and the patient remained recurrence-free for 11 months after hepatectomy. Surgical resection may be a potential treatment option for selected patients with liver metastases from ACCs.
-
8. Sequential Flow-Based Assessment of a Suspected Inferior Pancreaticoduodenal Artery-Derived Pathway Entering the Right Hepatic Artery during Pancreaticoduodenectomy: A Case Report.
PMID:日期:2026-09-29During pancreaticoduodenectomy (PD), hepatic arterial ischemia is usually considered in patients with celiac artery stenosis or occlusion, in whom the gastroduodenal artery (GDA)-based pancreaticoduodenal arcade may serve as a critical collateral pathway. However, a similar but atypical pitfall may exist when the GDA and anterior superior pancreaticoduodenal artery (ASPDA) are absent: a prominent inferior pancreaticoduodenal artery (IPDA)-derived pathway may raise concern regarding hepatic inflow despite the anatomical presence of the common hepatic artery (CHA). A 75-year-old man with distal bile duct cancer underwent preoperative evaluation for PD. Contrast-enhanced CT showed an anatomically identifiable CHA measuring 3.4 mm, whereas the GDA and ASPDA were absent. A markedly developed IPDA-derived arterial pathway coursed cranially from the superior mesenteric artery and appeared to enter the main trunk of the right hepatic artery (RHA) within the hepatoduodenal ligament, raising concern that its division might affect hepatic arterial inflow. Balloon occlusion was performed immediately proximal to the point where the pathway appeared to enter the RHA. During occlusion, aortography showed opacification of the CHA and RHA through the CHA without visually apparent delay. Intraoperatively, temporary clamping with indocyanine green fluorescence imaging showed visually uniform liver surface fluorescence without a subjective right-left difference in fluorescence onset. The pathway was divided, and PD was completed without median arcuate ligament release or arterial reconstruction. Postoperative contrast-enhanced CT on POD 6 confirmed preserved hepatic arterial opacification without ischemic changes. An anatomically identifiable CHA does not necessarily guarantee secure hepatic arterial inflow during PD. When the GDA and ASPDA are absent and an IPDA-derived pathway is markedly developed, functional assessment should be considered before irreversible arterial division.
-
9. Pancreatic Cancer after Living-Donor Liver Transplantation: A Case Report of Long-Term Recurrence-Free Survival after Pancreaticoduodenectomy Followed by Adjuvant Chemotherapy.
9. 活体肝移植术后胰腺癌：胰十二指肠切除术后辅助化疗长期无复发生存一例报告PMID:日期:2026-09-26Malignancies are a major cause of late mortality after liver transplantation (LT), with an incidence significantly higher than that in the general population. Pancreatic cancer (PC) occurring after LT carries a dismal prognosis; however, the feasibility and outcome of surgery and perioperative chemotherapy remain unclear. A 73-year-old Japanese woman who had undergone living-donor LT 16 years earlier for hepatitis C virus-related cirrhosis was diagnosed with PC during routine CT surveillance in outpatient follow-up. A 23-mm hypovascular tumor in the pancreatic head was found to abut the portal vein (PV), without nodal or distant metastasis. After initiation of neoadjuvant gemcitabine plus S-1, treatment was discontinued during the first cycle because of S-1-induced enteritis requiring hospitalization and intravenous hydration. After recovery of her general condition, she underwent subtotal stomach-preserving pancreaticoduodenectomy with PV resection and reconstruction. During the operation, the pre-existing hepaticojejunostomy was preserved, and pancreaticojejunostomy was created using the blind end of the preserved afferent Roux limb. She was discharged on POD 25 without major complications. Pathological examination revealed well-differentiated pancreatic ductal adenocarcinoma, ypT2N0M0, Stage IB (UICC 9th edition). She subsequently completed 6 months of adjuvant gemcitabine without severe adverse events. No recurrence has been detected during 3 years of postoperative follow-up. Early detection and curative-intent surgery followed by adjuvant chemotherapy may contribute to long-term recurrence-free survival in selected LT recipients with localized PC. Careful multidisciplinary management may support safe oncologic treatment in these medically complex patients.
-
10. Preoperative Suspicion of Internal Hernia and Laparoscopic Repair of a Congenital Transmesocolic Hernia Presenting as Closed-Loop Small-Bowel Obstruction: A Case Report.
PMID:日期:2026-09-25Transmesocolic hernia is a rare cause of small-bowel obstruction, and preoperative diagnosis remains difficult because of nonspecific clinical and radiologic findings. A 69-year-old woman presented with abdominal pain and vomiting. Contrast-enhanced CT demonstrated a closed-loop small-bowel obstruction adjacent to the ligament of Treitz, raising suspicion of an internal hernia. Emergency laparoscopic exploration revealed incarceration of a 12-cm segment of jejunum through a transverse mesocolic defect. The bowel was successfully reduced laparoscopically without resection, and the defect was closed using a continuous barbed suture. Direct laparoscopic inspection demonstrated no communication between the defect and the lesser sac, suggesting that the incarcerated bowel remained confined within the transverse mesocolon. The postoperative course was uneventful, and the patient was discharged on POD 8. This case highlights the value of early laparoscopic intervention for transmesocolic hernia and provides additional insight into the anatomical variability of transverse transmesocolic hernias.