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  1. Open complete transection of the femoral artery and vein following blunt trauma is extremely rare. Furthermore, even if the patient has been successfully resuscitated, it is sometimes difficult in most patient...

    Authors: Hoshi Himura, Kenichiro Uchida, Masahiro Hiyashita and Yasumitsu Mizobata

    Citation: Surgical Case Reports 2021 7:177

    Content type: Case Report

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  2. Patients with acquired hemophilia A (AHA) who require open heart surgery have a life-threatening risk of hemorrhage. Limited data exist to guide perioperative management of these patients.

    Authors: Emre Gok, Mehmet H. Akay, Ismael Salas de Armas, Kimberly Klein, Hlaing Tint, Paul M. Allison, Alice J. Chen, Bindu Akkanti, Biswajit Kar and Igor D. Gregoric

    Citation: Surgical Case Reports 2021 7:176

    Content type: Case Report

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  3. Coagulopathy induced by COVID-19 has received much attention. Arterial and venous thrombosis of multiple organs due to COVID-19-related coagulopathy is associated with a poor outcome.

    Authors: Keita Nakatsutsumi, Akira Endo, Hiraaki Okuzawa, Iichiro Onishi, Anri Koyanagi, Eiki Nagaoka, Koji Morishita, Junichi Aiboshi and Yasuhiro Otomo

    Citation: Surgical Case Reports 2021 7:175

    Content type: Case Report

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  4. Pancreaticoduodenal artery aneurysms (PDAAs) are rare visceral aneurysms, and prompt intervention/treatment of all PDAAs is recommended at the time of diagnosis to avoid rupture of aneurysms. Herein, we report...

    Authors: Shuhei Kii, Hirofumi Kamachi, Daisuke Abo, Takuya Kato, Yousuke Tsuruga, Kenji Wakayama, Tatsuhiko Kakisaka, Takeshi Soyama, Toshiya Kamiyama, Tomonori Ooka, Satoru Wakasa and Akinobu Taketomi

    Citation: Surgical Case Reports 2021 7:174

    Content type: Case Report

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  5. Ectopic thymomas often occur in the upper mediastinum; however, they rarely arise in the middle mediastinum, especially on the dorsal side of the innominate vein and superior vena cava in the peribronchial reg...

    Authors: Michiko Fukahori, Naoko Kimura, Yoshihiro Miyauchi, Kazuhiko Hirano, Kohei Morimoto, Miyuki Takahashi, Ayaka Ueda, Sayano Okazaki, Keisuke Taguchi, Yu Tsukahara, Sakurako Hattori, Yuki Suematsu, Masahiro Yan, Nobuhisa Teranishi, Kazuhiko Wakabayashi and Yutaka Itoh

    Citation: Surgical Case Reports 2021 7:173

    Content type: Case Report

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  6. The robotic system has been applied in the treatment of gastric cancer (GC), and the procedure has been found to be safe and feasible. Situs inversus totalis (SIT) is a relatively rare autosomal recessive cong...

    Authors: Atsushi Takeno, Toru Masuzawa, Shinsuke Katsuyama, Kohei Murakami, Kenji Kawai, Yoshiteru Katsura, Yoshiaki Ohmura, Yoshinori Kagawa, Yutaka Takeda, Taishi Hata and Kohei Murata

    Citation: Surgical Case Reports 2021 7:172

    Content type: Case Report

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  7. We report a patient with thymic squamous cell carcinoma who underwent multiple rounds of surgical resection and definitive radiotherapy for both primary tumor and postoperative recurrence. However, the patient...

    Authors: Toru Kimura, Masahiko Higashiyama, Keiichiro Honma, Harumi Nakamura, Tomohiro Maniwa and Jiro Okami

    Citation: Surgical Case Reports 2021 7:171

    Content type: Case Report

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  8. While many studies have verified the effect of recent anti-cancer treatment in patients with COVID-19, there are no data on the optimal time for cancer treatment resumption, as well as the safety of chemothera...

    Authors: Julian Horiguchi, Ayako Nakashoji, Naoki Kawahara, Akira Matsui and Takayuki Kinoshita

    Citation: Surgical Case Reports 2021 7:170

    Content type: Case Report

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  9. Bochdalek hernia is a common congenital diaphragmatic defect that usually manifests with cardiopulmonary insufficiency in neonates. It is very rare in adults, and symptomatic cases are mostly left-sided. Diaph...

    Authors: Naoki Enomoto, Kazuhiko Yamada, Daiki Kato, Shusuke Yagi, Hitomi Wake, Kyoko Nohara, Nobuyuki Takemura, Tomomichi Kiyomatsu and Norihiro Kokudo

    Citation: Surgical Case Reports 2021 7:169

    Content type: Case Report

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  10. A colo-duodenal fistula is a very rare complication of colon cancer that presents with not only severe clinical symptoms, but a poor prognosis due to locally advanced cancer. A novel immune checkpoint inhibito...

    Authors: Tetsuro Tominaga, Takashi Nonaka, Akiko Fukuda, Masaaki Moriyama, Shosaburo Oyama, Mitsutoshi Ishii, Masato Nishimuta, Yuta Fujise, Terumitsu Sawai and Takeshi Nagayasu

    Citation: Surgical Case Reports 2021 7:168

    Content type: Case Report

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  11. Some patients with the compression of the celiac trunk by the median arcuate ligament (MAL) suffer pancreatic artery aneurysms (PAAs) due to excessive blood flow from the superior mesenteric artery. These aneu...

    Authors: Hideaki Uchiyama, Sosei Kuma, Mayumi Ishida, Eiji Tsujita, Yoshinari Nobuto, Yuta Kasagi, Keita Natsugoe, Takehiko Aoyagi, Tomohiro Iguchi and Hiroyuki Itoh

    Citation: Surgical Case Reports 2021 7:167

    Content type: Case Report

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  12. Although there are many studies on primary esophageal adenocarcinoma arising from Barrett's esophagus or ectopic gastric mucosa, reports on adenocarcinoma arising from esophageal cardiac glands are extremely r...

    Authors: Naoki Kuwayama, Isamu Hoshino, Hisashi Gunji, Takeshi Kurosaki, Toru Tonooka, Hiroaki Soda, Itaru Sonoda, Ryotaro Eto, Nobuhiro Takiguchi, Yoshihiro Nabeya, Makiko Itami and Wataru Takayama

    Citation: Surgical Case Reports 2021 7:166

    Content type: Case Report

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  13. A congenital prepubic sinus (CPS) is a rare congenital anomaly in which a duct remnant extends from the skin opening near the pubic symphysis to various parts and the lesions are mostly located in the preperit...

    Authors: Masahiro Fukuhara, Shun Onishi, Yusuke Yonemura, Tomoe Sato, Satoshi Tsutsumi, Toshio Bandoh, Tohru Utsunomiya and Genshiro Esumi

    Citation: Surgical Case Reports 2021 7:165

    Content type: Case Report

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  14. Foreign body granuloma is a rare surgery-related complication that can masquerade as cancer recurrence during postoperative surveillance. It may therefore deceive clinicians and lead to unnecessary interventio...

    Authors: Shih-Feng Huang, Chia-Ling Chiang and Ming-Hung Lee

    Citation: Surgical Case Reports 2021 7:164

    Content type: Case Report

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  15. The narrowness of the thoracic inlet is often a problem in retrosternal reconstruction after esophagectomy. We report here three cases in which compression of the gastric conduit behind the sternoclavicular jo...

    Authors: Yasunori Kurahashi, Yudai Hojo, Tatsuro Nakamura, Tsutomu Kumamoto, Yoshinori Ishida and Hisashi Shinohara

    Citation: Surgical Case Reports 2021 7:163

    Content type: Case Report

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  16. Spontaneous regression of hepatocellular carcinoma (HCC) is a rare event, and its clinicopathological features and underlying mechanism are not fully understood.

    Authors: Toshihisa Kimura, Takanori Goi, Shigehiro Yokoi, Kenji Ohnishi, Tamotsu Togawa, Atsushi Iida, Makoto Ishida and Yasunori Sato

    Citation: Surgical Case Reports 2021 7:162

    Content type: Case Report

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  17. Laparoscopic transabdominal preperitoneal patch (TAPP) is now commonly used in the repair of inguinal hernia. Barbed suture can be a fast and effective method of peritoneal closure. We report two rare cases of...

    Authors: Liming Wang, Taku Maejima, Susumu Fukahori, Shoji Nishihara, Daitaro Yoshikawa and Toru Kono

    Citation: Surgical Case Reports 2021 7:161

    Content type: Case Report

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  18. Gastrointestinal stromal tumor (GIST) is a rare tumor, however, simultaneous development of gastric cancer and gastric GIST has been documented more frequently in recent years. Rupture of gastric GIST is even ...

    Authors: Raisuke Nishiyama, Toshihito Ogasawara, Nana Mamuro, Yutarou Kamei, Misuzu Yamada, Daisuke Furukawa, Toshiyuki Suzuki, Takayuki Nishi and Hideo Shimada

    Citation: Surgical Case Reports 2021 7:160

    Content type: Case Report

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  19. Myotonic dystrophy (dystrophia myotonica [DM]) is an autosomal-dominant inheritance, and myasthenia gravis (MG) is an autoimmune disease characterized by weakness of skeletal muscles. Cases of both DM and MG a...

    Authors: Michiyo Miyawaki, Mika Jikumaru, Kosuke Kamada, Noda Daiki, Miyuki Abe, Kentaro Anami, Hideya Takeuchi, Atsushi Osoegawa, Sintaro Iwao, Etsuro Matsubara and Kenji Sugio

    Citation: Surgical Case Reports 2021 7:159

    Content type: Case Report

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  20. Currently, there is an unwavering consensus that the standard surgery for congenital biliary dilation (CBD) is extrahepatic bile duct resection and choledochojejunostomy. However, decades prior, choledochocyst...

    Authors: Shunryo Minezaki, Takeyuki Misawa, Makoto Watanabe, Hideki Takahashi, Takashi Koenuma, Rie Kondo, Hiroe Toyoda, Kentaro Nemoto, Hiroyuki Tsukayama, Makoto Shibuya, Keita Wada, Keiji Sano, Yasunori Ohta, Satoe Numakura, Yuko Sasajima and Hiroshi Uozaki

    Citation: Surgical Case Reports 2021 7:157

    Content type: Case Report

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  21. Contrary to the increasing incidence of gastroenteropancreatic neuroendocrine tumors (GEP-NETs), GEP-NETs of the accessory papilla of the duodenum are extremely rare. Furthermore, there have been no recommenda...

    Authors: Kosei Takagi, Yuzo Umeda, Ryuichi Yoshida, Kazuhiro Yoshida, Kazuya Yasui, Hiroki Sato, Takahito Yagi and Toshiyoshi Fujiwara

    Citation: Surgical Case Reports 2021 7:156

    Content type: Case Report

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  22. Pancreatic serous cystic neoplasm (SCN) is an uncommon exocrine neoplasm, which is believed to be a benign entity. However, some of these neoplasms may occasionally attain metastatic ability. Von Hippel–Lindau...

    Authors: Takashi Kokumai, Masamichi Mizuma, Katsuya Hirose, Hideaki Karasawa, Masaharu Ishida, Hideo Ohtsuka, Kei Nakagawa, Takanori Morikawa, Takashi Kamei, Atsushi Masamune, Toru Furukawa and Michiaki Unno

    Citation: Surgical Case Reports 2021 7:155

    Content type: Case Report

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  23. Metastatic breast tumors from extramammary malignancies are quite rare. Characteristics of such tumors are unclear due to small number of reported cases. During 2012–2019, approximately 3,500 malignant breast ...

    Authors: Ryoko Semba, Yoshiya Horimoto, Atsushi Arakawa and Mitsue Saito

    Citation: Surgical Case Reports 2021 7:154

    Content type: Case Report

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  24. Cap polyposis (CP) is extremely rare in Japan, and there is no established cure. We report a case in which CP was improved by surgical treatment.

    Authors: Tomohiro Minagawa, Hiroki Ikeuchi, Kurando Kusunoki, Ryuichi Kuwahara, Yuki Horio, Takako Kihara, Seiichi Hirota and Motoi Uchino

    Citation: Surgical Case Reports 2021 7:153

    Content type: Case Report

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  25. Colorectal cancer (CRC) is the most malignant complication in patients with Crohn’s disease (CD). We report 6 cases of CD-related CRC treated surgically at our hospital.

    Authors: Kazuhide Ishimaru, Tetsuro Tominaga, Takashi Nonaka, Akiko Fukuda, Masaaki Moriyama, Shosaburo Oyama, Mitsutoshi Ishii, Terumitu Sawai and Takeshi Nagayasu

    Citation: Surgical Case Reports 2021 7:152

    Content type: Case Report

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  26. Ipsilateral recurrent laryngeal nerve paralysis is one of the rare complications during the superior mediastinal node dissection for lung cancer. However, very few reports of contralateral recurrent laryngeal ...

    Authors: Yasuyuki Nakamura, Yuma Shindo, Wataru Arai, Kodai Tsuruta, Ryunosuke Maki, Masahiro Miyajima and Atsushi Watanabe

    Citation: Surgical Case Reports 2021 7:151

    Content type: Case Report

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  27. Breast cancer patients are known to develop brain metastasis at a relatively high frequency. However, imaging findings of brain metastases vary, and it is sometimes very difficult to distinguish these from oth...

    Authors: Toshitaka Uomori, Yoshiya Horimoto, Masashi Takanashi, Ayana Shikanai, Katsuya Nakai, Astushi Arakawa and Mitsue Saito

    Citation: Surgical Case Reports 2021 7:150

    Content type: Case Report

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  28. Acute mediastinitis is a rare disease that rapidly progresses with a high mortality rate. Its most common cause is direct injury of the mediastinum, including iatrogenic causes such as cardiac surgery or upper...

    Authors: Yoko Zaitsu, Takashi Nishizaki, Takuma Izumi, Daisuke Taniguchi, Yuichiro Kajiwara, Yumi Oshiro and Kazuhito Minami

    Citation: Surgical Case Reports 2021 7:149

    Content type: Case Report

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  29. Shotgun injuries are a relatively uncommon type of trauma, and therefore may present a challenge in management for trauma surgeons. This is particularly true in the case of surgeons unfamiliar with the unique ...

    Authors: J. Alford Flippin, Sami Kishawi, Hannah Braunstein and Alaina M. Lasinski

    Citation: Surgical Case Reports 2021 7:148

    Content type: Case Report

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  30. Leiomyosarcoma is a rare tumor that could originate from the gastrointestinal tract, uterus, kidney, retroperitoneum, and the soft tissues of the extremities. It accounts for only 1% of all gastrointestinal me...

    Authors: Toru Takagi, Shin Saito, Shinichiro Yokota, Yuki Kaneko, Kazuya Takahashi, Rihito Kanamaru, Kentaro Kurashina, Yoshinori Hosoya, Joji Kitayama, Hirotoshi Kawata, Hiroyuki Osawa and Naohiro Sata

    Citation: Surgical Case Reports 2021 7:146

    Content type: Case Report

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  31. Advanced hepatocellular carcinoma (HCC) can often spread as intrahepatic metastases. Extrahepatic metastasis (e.g., lung, lymph nodes, and bones) is rare, and gallbladder metastasis from HCC is extremely rare.

    Authors: Takaaki Hanazawa, Yasuyuki Fukami, Takaaki Osawa, Shintaro Kurahashi, Tatsuki Matsumura, Takuya Saito, Shunichiro Komatsu, Kenitiro Kaneko, Toyonori Tsuzuki and Tsuyoshi Sano

    Citation: Surgical Case Reports 2021 7:145

    Content type: Case Report

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  32. We describe herein an extremely rare case of intracardiac ectopic thymoma—only two pure cases have been reported to date—associated with myasthenia gravis, an infrequent complication of ectopic thymoma.

    Authors: Satoshi Takebayashi, Yasuji Yoshikawa, Masato Morita, Ryotaro Nagashima, Yuichi Nakazono and Shinji Miyamoto

    Citation: Surgical Case Reports 2021 7:144

    Content type: Case Report

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  33. Accessory liver lobe (ALL) is a rare liver malformation. An ALL develops due to malformation of the endodermal caudal foregut and segmentation of the hepatic bud in the third week of gestation. Most ALLs are a...

    Authors: Ayaka Nagano, Shun Onishi, Chihiro Kedoin, Mayu Matsui, Masakazu Murakami, Koshiro Sugita, Keisuke Yano, Toshio Harumatsu, Koji Yamada, Waka Yamada, Makoto Matsukubo, Mitsuru Muto, Tatsuru Kaji and Satoshi Ieiri

    Citation: Surgical Case Reports 2021 7:143

    Content type: Case Report

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  34. Idiopathic free-floating thrombus (FFT) of the aorta is a rare occurrence, but it can lead to catastrophic consequences. The initial symptoms are typically cerebral or peripheral embolisms. Surgical thrombecto...

    Authors: Naohiko Oki, Yoshito Inoue and Sohsyu Kotani

    Citation: Surgical Case Reports 2021 7:141

    Content type: Case Report

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  35. Median arcuate ligament syndrome (MALS), which results from compression of the median arcuate ligament (MAL), is a rare cause of abdominal pain and weight loss. Treatment is dissection of the MAL; however, the...

    Authors: Hiroshi Saito, Koichiro Sawada, Jyunichi Ogawa, Masashi Hashimoto, Masahiro Oshima, Masahiro Hada, Yosuke Kato, Kaeko Oyama, Masanori Kotake and Takuo Hara

    Citation: Surgical Case Reports 2021 7:140

    Content type: Case Report

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  36. Simultaneous pancreas and kidney transplantation (SPK) is a treatment option for patients with end-stage renal disease due to type 1 diabetes mellitus. We report a patient with a refractory fistula due to leak...

    Authors: Chisato Shirakawa, Masaaki Watanabe, Tsuyoshi Shimamura, Yasuyuki Koshizuka, Norio Kawamura, Ryoichi Goto, Takeshi Soyama, Daiki Iwami, Kiyohiko Hotta, Akinobu Taketomi and Daisuke Abo

    Citation: Surgical Case Reports 2021 7:139

    Content type: Case Report

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  37. Definitive chemoradiotherapy (dCRT) is the first choice treatment for patients with locally advanced non-small cell lung cancer (NSCLC), but up to 35% of dCRT-treated tumors may have persistent or recurrent di...

    Authors: Hsuan-Hsuan Yu, Yi-Wei Chen, Yi-Chen Yeh, Chien-Sheng Huang and Chao-Hua Chiu

    Citation: Surgical Case Reports 2021 7:138

    Content type: Case Report

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  38. Clostridioides (Clostridium) difficile infection (CDI) has become an increasingly significant disease not only as healthcare-associated infection, but also as community-acquired (CA) infection worldwide. CDI caus...

    Authors: Masayuki Hiraki, Rei Suzuki, Nobuo Tanaka, Hiroki Fukunaga, Yoshinori Kinoshita, Hayato Kimura, Shusaku Tsutsui, Masaru Murata and Shunji Morita

    Citation: Surgical Case Reports 2021 7:137

    Content type: Case Report

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  39. In living donor liver transplantation (LDLT) for patients with Budd‒Chiari syndrome (BCS), there are several concerns about reconstruction of the inferior vena cava (IVC) and hepatic veins. Herein, we report t...

    Authors: Norikazu Une, Kazuaki Tokodai, Norifumi Kanai, Yoshikatsu Saitoh, Mineto Ohta, Kengo Sasaki, Koji Miyazawa, Toshiaki Kashiwadate, Atsushi Fujio, Wataru Nakanishi, Shigehito Miyagi, Michiaki Unno and Takashi Kamei

    Citation: Surgical Case Reports 2021 7:136

    Content type: Case Report

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  40. The strategy for treating obstructive colon cancers with metastatic lesions remains unclear. Herein, we report a case of laparoscopic ileo-transverse colon bypass (LITB) before preoperative chemotherapy for an...

    Authors: Shunsuke Tabe, Toru Tonooka, Isamu Hoshino, Nobuhiro Takiguchi, Hiroaki Soda, Hisashi Gunji, Yoshihiro Nabeya and Masayuki Ohtsuka

    Citation: Surgical Case Reports 2021 7:135

    Content type: Case Report

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  41. Probiotics have been reported to be beneficial for the prevention of postoperative complications and are often used during the perioperative period. Among the probiotic-related adverse events, bacteremia is ra...

    Authors: Mitsuhiro Shimura, Masamichi Mizuma, Kei Nakagawa, Shuichi Aoki, Takayuki Miura, Tatsuyuki Takadate, Kyohei Ariake, Shimpei Maeda, Kei Kawaguchi, Kunihiro Masuda, Masaharu Ishida, Hideo Ohtsuka, Takanori Morikawa, Takashi Kamei and Michiaki Unno

    Citation: Surgical Case Reports 2021 7:133

    Content type: Case Report

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  42. Radiofrequency ablation (RFA) is widely used as a minimally invasive treatment for hepatocellular carcinoma (HCC). RFA has a low risk of complications, especially compared with liver resection. Nevertheless, v...

    Authors: Atsushi Morito, Shigeki Nakagawa, Katsunori Imai, Norio Uemura, Hirohisa Okabe, Hiromitsu Hayashi, Yo-ichi Yamashita, Akira Chikamoto and Hideo Baba

    Citation: Surgical Case Reports 2021 7:130

    Content type: Case Report

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  43. Video-assisted thoracoscopic surgery (VATS) is being used to treat esophageal submucosal tumors (SMTs) all over the world. However, this technique is difficult when the tumor is large and located on the left s...

    Authors: Kohei Kemuriyama, Satoru Motoyama, Yusuke Sato, Akiyuki Wakita, Yushi Nagaki, Hiromu Fujita, Ryohei Sasamori, Kazuhiro Imai, Masaki Aokawa and Yoshihiro Minamiya

    Citation: Surgical Case Reports 2021 7:129

    Content type: Case Report

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  44. Several reports have documented that the pulmonary sequestration is in communication with the gastrointestinal tract and the concept of bronchopulmonary foregut malformation (BPFM) has become more widespread. ...

    Authors: Noboru Oyachi, Fuminori Numano, Keiichi Koizumi, Tamao Shinohara and Hirochika Matsubara

    Citation: Surgical Case Reports 2021 7:128

    Content type: Case Report

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