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[201-205]Several key issues for operative quality optimizing of choledochal cysts in children
[Li Aiwu]
DOI:10.3760/cma.j.cn101785-20251120-00073
[Absract] Objective With greater popularization and rapid development of endoscopic technology,significant advances have been made for managing common bile duct cysts.However,proper control of surgical procedures and accurate identification of rare deformities may directly affect the final efficacy and require urgent solutions.This review focused upon the relevant literature and clinical operative standards to systematically address treatment timing,cyst resection ranging,determining jejunal asc... [MORE...]
[PDF: 806KB](81)
[206-213]Laparoscopic treatment for pediatric choledochal cyst from the perspectives of etiologies,surgical approaches and long-term prognoses:25-year experiences
[Gao Ruyue1, Chen Wei1, Ming Anxiao2, Diao Mei2, Li Long1,2]
DOI:10.3760/cma.j.cn101785-20251125-00089
[Absract] Objective Laparoscopy for choledochal cyst (CC) has shown a rapid development trend.This review was based upon 25-year clinical practices and systematic researches in laparoscopic treatment of pediatric CC.It systematically summarized technical know-how,surgical evolutions and professional team training in this field.As one of the pioneers in pediatric laparoscopic technology in China,the authors have devoted to improving the safety and generalizability of this procedure by leading nat... [MORE...]
[PDF: 1017KB](77)
[214-219]Efficacy and safety of robotic assisted surgery versus conventional laparoscopy for pediatric choledochal cyst
[Tao Boyuan1, Zhong Zhizu1, Zeng Jixiao2, Ye Min3, Liu Fei1, Xu Xiaogang1, Zhong Xiaoying1]
DOI:10.3760/cma.j.cn101785-20251226-00131
[Absract] Objective Objective To compare clinical efficacy between da Vinci robot assisted hepaticojejunostomy (RAH) versus conventional four-port laparoscopic hepaticojejunostomy (CLH) for pediatric choledochal cyst.Methods From January 2020 to June 2025,133 children with choledochal cyst were hospitalized.According to the inclusion criteria,the relevant clinical data were retrospectively examined.RAH (n=49) and CLH (n=83) were performed.Baseline profiles,intraop... [MORE...]
[PDF: 1329KB](73)
[220-226]Diagnosis and treatment of choledochal cysts complicated with complications in children
[Liu Denghui1, Xiao Xiaoyi1, Liu Yuanzhuo1, Tang Xianglian1, Li Ming1, Ouyang Hongjuan2, Li Yong1,3]
DOI:10.3760/cma.j.cn101785-20251120-00071
[Absract] Objective Objective To summarize the clinical characteristics,diagnostic and therapeutic experience of choledochal cysts (CDCs) with complications in children.Methods For this retrospective case series study,the relevant clinical data were reviewed for 176 children withfrom January 2015 to December 2024.There were 40 boys and 136 girls with an age range of 2 months and 15 days to 9 years and a median age of 4 years and8months.The complications included biliary perfora... [MORE...]
[PDF: 1175KB](94)
[227-231]Retrospective analysis and treatment of mid/long-term complications after single-center laparoscopic radical resection of common bile duct cysts
[Zhang Jiayi, Li Jiamin, Liu Xingjian, Wang Yixuan, Zhang Yujie, Hou Peimin, Zhang Qiangye, Li Aiwu, Wang Dongming]
DOI:10.3760/cma.j.cn101785-20251120-00072
[Absract] Objective Objective While there are numerous reports on perioperative complications after laparoscopic treatment of choledochal cysts,reports on medium-and long-term complications are relatively scarce.This study was intended to explore the incidence,influencing factors,management strategies and outcomes of medium-and long-term complications at Month 3 after laparoscopy for choledochal cysts.Methods Retrospective analysis was conducted for the clinical and follow-up d... [MORE...]
[PDF: 857KB](85)
[232-237]Analysis of risk factors for clinical symptoms and exploration of surgical timing in prenatally identified congenital choledochal cysts
[Zheng Weijun, Zhu Lanxin, Chen Fei, Liu Mingkun, Wu Dianming, Fang Yifan]
DOI:10.3760/cma.j.cn101785-202510011
[Absract] Objective Objective To explore the risk factors for clinical symptoms in prenatally identified congenital choledochal cysts (CDC) and determine the optimal timing of surgical intervention.Methods A retrospective analysis was performed for the relevant clinical data of 44 CDC children operated from January 2018 to May 2025.Inclusion criteria: a) Prenatal ultrasonic hint of CDC; b) Confirmation by intraoperative cholangiography and postoperative pathology; c) Surgical a... [MORE...]
[PDF: 1347KB](84)
[238-242]Application value of Da Vinci robot in one-stage radical resection for perforated choledochal cyst in children
[Yang Binbin1, Cai Duote1, Zhu Yueling2, Chen Zhongyu3, Chen Xiaoli1, He Yuchen1, Cheng Zehai1, Chen Qingjiang1, Gao Zhigang1]
DOI:10.3760/cma.j.cn101785-20251103-00038
[Absract] Objective Objective To explore the application value of Da Vinci robotic surgery in one-stage radical resection for choledochal cyst perforation in children.Methods A retrospective analysis was conducted for the relevant clinical data of 23 children with choledochal cyst perforation at our hospital from January 2018 to June 2025.Based upon specific surgical approaches,they were assigned into two groups of Da Vinci robotic surgery and laparoscopy.Success rate of one-st... [MORE...]
[PDF: 914KB](70)
[243-248]Analysis of short/medium-term efficacies and influencing factors in biliary atresia infants with a low level of ¦Ã-glutamyl transferase
[Guo Shuoshuo1, Zeng Jixiao2, Xu Xiaogang1, Tao Boyuan1, Ye Zhihua1, Lan Menglong1, Zhang Hong1, Li Sijin1, Liu Fei1]
DOI:10.3760/cma.j.cn101785-202505005
[Absract] Objective Objective To explore the short/medium-term efficacies and prognostic factors of Kasai operation in infants with biliary atresia (BA) and a low preoperative level of ¦Ã-glutamyl transferase (¦Ã-GGT) (<300 IU/L).Methods A retrospective review was conducted for the relevant clinical data of BA infants undergoing Kasai portoenterostomy at Guangzhou Women and Children¬ðs Medical Center from June 2016 to October 2023.Based upon a preoperative serum ¦Ã-glutamyl tran... [MORE...]
[PDF: 967KB](82)
[249-255]Influencing factors for treatment failure within 30 days post-hydrocephalus surgery in children and developing a risk prediction model
[Zhang Jinwei1, Su Jun1, Wu Shuihua1, Yuan Liping2]
DOI:10.3760/cma.j.cn101785-20251028-00022
[Absract] Objective Objective To identify the risk factors for treatment failure within 30 days after surgery in children with hydrocephalus and develop a clinically applicable individualized prediction model.Methods We retrospectively analyzed 326 children undergoing initial operation (VPS/ETV) from July 2016 to September 2025 at a tertiary center.Primary outcome was treatment failure within 30 days.Candidate variables were screened by univariate tests and entered into multiva... [MORE...]
[PDF: 1505KB](74)
[256-262]Prognostic value of systemic immune-inflammation index plus International Neuroblastoma Risk Group stratification in neuroblastoma
[Zhang Chenglong1, Wang Xiaoyu2, Niu Huizhong1, Zhang Pengju1, Geng Jianlei1]
DOI:10.3760/cma.j.cn101785-20250104
[Absract] Objective Objective Neuroblastoma (NB) is a common solid tumor in children.While survival rates for low/intermediate-risk cohorts have improved,the prognosis for high-risk individuals remains poor.Previous studies have demonstrated that systemic inflammatory markers play an important role in assessing tumor prognosis.This study was intended to evaluate the prognostic value of Systemic Immune-Inflammation Index (SII) in NB children and explore the potential role of combining ... [MORE...]
[PDF: 1390KB](84)
[263-267]Efficacy of robot-assisted laparoscopic partial splenectomy for benign splenic lesions in children
[Xuan Xiaoxiao, Luo Wenjuan, Huang Zongwei, Chen Ken, Jin Yi, Wang Linyan, Gao Zhigang, Xiong Qixing, Chen Qingjiang]
DOI:10.3760/cma.j.cn101785-202412068
[Absract] Objective Objective To evaluate the safety and clinical efficacy of robot-assisted laparoscopic partial splenectomy in the treatment of benign splenic lesions in children.Methods This retrospective cohort study analyzed the clinical data of 23 children with benign splenic lesions who underwent laparoscopic or robot-assisted laparoscopic partial splenectomy at the Children¬ðs Hospital,Zhejiang University School of Medicine between June 2015 and July 2024.Surgical outcom... [MORE...]
[PDF: 1533KB](69)
[268-273]Incidence of postoperative complications and early predictive factors after minimally invasive repair in children with pectus excavatum
[Yang Fan, Chen Zhiguo, Yue Fang, Jia Zhenlei, Zhao Ling]
DOI:10.3760/cma.j.cn101785-202505026
[Absract] Objective Objective To analyze the incidence of postoperative complications in children with pectus excavatum after minimally invasive repair and to explore early predictive factors associated with postoperative complications.Methods A total of 238 children with pectus excavatum who underwent minimally invasive corrective surgery at Hebei Children¬ðs Hospital between January 2022 and May 2025 were included in this study.According to the occurrence of complications with... [MORE...]
[PDF: 1258KB](78)
[274-279]Imaging characteristics and diaghostic analysis of rare parotid gland tumors in children
[Cai Xuemei1, Yuan Wenying2, Xu Huafeng1]
DOI:10.3760/cma.j.cn101785-202506059
[Absract] Objective Objective To explore the clinical profiles and imaging features of rare parotid gland tumors and boost the preoperative diagnostic level of parotid gland lesions in children.Methods From January 2014 to May 2025,the relevant clinical data were retrospectively reviewed for 13 children of rare parotid gland tumors confirmed by pathological examination.Both computed tomography (CT) and magnetic resonance imaging (MRI) were systematically examined.Results... [MORE...]
[PDF: 1520KB](74)
[280-284]Specific predictive model for complications of acute appendicitis in children:value of systemic inflammatory index I and exploration of potential inflammatory mechanisms
[Shu Xin1, Ma Chuncan1, Peng Zhiwen2, Zhang Fan2, Xiang Fubo2]
DOI:10.3760/cma.j.cn101785-20260106-00006
[Absract] Objective Objective To construct and validate a predictive model for complications of acute appendicitis in young children (age <3 years) through integrating systemic inflammatory index (SII) with clinical indicators,develop clinical tools and explore the inflammatory mechanism.Methods From June 2020 to September 2024,a retrospective study was conducted for 1109 surgical children (326 cases aged under 3 years).They were divided into two groups of complication (n... [MORE...]
[PDF: 671KB](74)
[285-288]Clinical characteristics,diagnoses and treatments of gastrointestinal perforation due to blunt abdominal injury in children
[Wang Li, Huang Liuming, Wang Dayong, Liu Tingting, Li Xianling, Shen Qiulong, Li Shuanling]
DOI:10.3760/cma.j.cn101785-202305040
[Absract] Objective Objective To summarize the clinical characteristics,diagnoses,treatments and prognoses of gastrointestinal perforation (GP) due to blunt abdominal trauma (BAT) in children.Methods A retrospective analysis was conducted for the relevant clinical data of 20 GP children due to BAT from January 2016 to January 2023.The causes of injury,clinical manifestations,combined injuries,imaging examinations,treatments and prognoses were examined.Results There were ... [MORE...]
[PDF: 813KB](83)
[289-292]Left-sided renal immature teratoma in neonates:one case report
[Qi Yanwei1, Sun Huiyuan2, Zhang Wenhui1, Dong Zheng1, Zhong Zhiyong1]
DOI:10.3760/cma.j.cn101785-20251119-00068
[PDF: 1526KB](71)
[293-295]Pediatric tracheal typical carcinoid:one case report with a review of literature
[Liao Jiachi, Lin Zefeng, Huang Dongmei, Zeng Jiahang, Wang Fenghua, Tang Jue, Liang Jianhua, Yang Qinglin, Li Le]
DOI:10.3760/cma.j.cn101785-202502015
[PDF: 1315KB](71)
[296-300]Research progress of percutaneous nephrolithotripsy in children
[Zhao Huimin, Yang Boyu, Zhou Houyu, Zhao Youquan, Wang Xiaochuan, Zhang Shao, Li Jun]
DOI:10.3760/cma.j.cn101785-202404059
[Absract] Objective Percutaneous nephrolithotomy (PCNL) is one of the key surgical methods for treating upper urinary tract stones in children and is the standard method for large kidney stones.Common surgical positions for PCNL include prone,supine,and lateral positions.Over decades of development,the surgical tract used in PCNL has progressively become smaller,reducing surgical trauma and lowering the risk of complications while maintaining high stone clearance rates.Current research focuses o... [MORE...]
[PDF: 672KB](76)