Latest one directory -Journal of Clinical Pediatric Surgery

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[801-805]Current status and practical considerations in the treatment of congenital pseudarthrosis of the tibia in children

[Zhao Ding, Zhu Guanghui]

DOI:10.3760/cma.j.cn101785-202501062

[Absract] Objective As one of the most challenging rare diseases in pediatric orthopedics,congenital pseudarthrosis of the tibia (CPT) is characterized by segmental tibial dysplasia,a failure of normal bone formation and pseudarthrosis.It is frequently accompanied by angulation deformity,pathological fracture and lower limb length discrepancy.Surgery remains a primary treatment modality.However,its overall prognosis is still disappointing,with high refracture rates and long term complications.In... [MORE...]

[PDF: 1135KB](109)

[806-810]Clinical application of individualized preoperative planning based upon three dimensional printing and finite element analysis in adolescent periacetabular osteotomy

[Qi Zhi, Chen Wenjian, Zhang Sicheng, Cai Chunhui, Ning Bo]

DOI:10.3760/cma.j.cn101785-20260624-00287

[Absract] Objective Objective To evaluate the efficacy and safety of a preoperative planning model assisted by a combined application of three-dimensional reconstruction,three dimensional (3D) printing and finite element analysis in periacetabular osteotomy (PAO) for adolescents with developmental dysplasia of the hip (DDH).Methods Retrospective review was performed for the relevant clinical data of 40 DDH children undergoing PAO at Children’s Hospital of Fudan University from ... [MORE...]

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[811-815]Short-term follow-ups of traumatic hip dislocation in children:a single-center retrospective study

[Lu Xiaokun¹, Wang Jiansi¹, Zeng Huiyi¹, Ye Pingping¹, Lin Xiuming², Li Bingzuan¹]

DOI:10.3760/cma.j.cn101785-20260106-00008

[Absract] Objective Objective To explore the clinical characteristics of traumatic hip dislocation (THD) in children and summarize the short-term follow-up results after treatment.Methods A retrospective review of clinical data was performed for 20 children with traumatic hip dislocation hospitalized at the Department of Pediatric Orthopedics,Quanzhou Orthopedic-traumatological Hospital from January 2016 to March 2023.Gender,age,affected side,fracture type,concurrent fractures,... [MORE...]

[PDF: 1396KB](99)

[816-820]Nomogram prediction modeling for residual acetabular development after Salter pelvic osteotomy in children with developmental dysplasia of the hip

[Tang Zidan, Chen Xinghao, Yang Han, Kang Xiaopeng, Xu Taotao, Zhou You]

DOI:10.3760/cma.j.cn101785-202407035

[Absract] Objective Objective To explore the risk factors for residual acetabular dysplasia (RAD) in children with developmental dysplasia of the hip (DDH) after Salter pelvic osteotomy and establish a Nomogram prediction model.Methods The relevant clinical data were retrospectively reviewed for 67 DDH hips in children undergoing Salter pelvic osteotomy and retaining complete intraoperative joint imaging at Department of Orthopedics,Kunming Children’s Hospital from January 2018... [MORE...]

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[821-825]Preliminary efficacy of robot-assisted percutaneous radiofrequency ablation for femoral neck osteoid osteoma in children and adolescents

[Yang Hao, Han Yuyang, Lu Ming, Yang Zheng, Xu Gang]

DOI:10.3760/cma.j.cn101785-20260814-00359

[Absract] Objective Objective To preliminarily evaluate the clinical efficacy of robot-assisted percutaneous radiofrequency ablation for osteoid osteoma of the femoral neck in children and adolescents.Methods A retrospective review was conducted for the relevant clinical data of 14 children and adolescents with osteoid osteoma of the femoral neck receiving robot-assisted percutaneous radiofrequency ablation at Department of Pediatric Orthopedics,Beijing Jishuitan Hospital,Capit... [MORE...]

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[826-831]Comparison of the efficacy of laparoscopic end-to-side ureteroureterostomy and ureteral reimplantation for ureteral duplication in children

[Wang Zhaohui, Peng Qianlong, Tian Wen, Zhao Yaowang]

DOI:10.3760/cma.j.cn101785-20260526-00250

[Absract] Objective Objective To compare the safety and efficacy of laparoscopic end-to-side ureteroureterostomy (LUU) and laparoscopic upper-pole ureteral reimplantation (LUR) for the treatment of ureteral duplication in children.Methods The clinical data of 33 children with ureteral duplication who underwent LUU or LUR at Hunan Children’s Hospital from October 2018 to August 2025 were retrospectively analyzed,including 12 patients in the LUU group and 21 patients in the LUR g... [MORE...]

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[832-836]Application of indocyanine green-assisted laparoscopic lymphatic preservation in Palomo surgery

[Liu Xiaomeng, Xu Yi, Cui Xiaomeng, Zhang Chenjie, Bai Dongsheng]

DOI:10.3760/cma.j.cn101785-20251025-00014

[Absract] Objective Objective To investigate the clinical effect of indocyanine green (ICG)-assisted lymphatic preservation during laparoscopic Palomo surgery.Methods 55 children with varicocele who underwent surgical treatment in the Department of Urology,Capital Center for Children’s Health,Capital Medical University,from January 2025 to July 2025 were selected and divided into an ICG-assisted laparoscopic lymphatic-sparing Palomo surgery group (ICG group,n=24) and a c... [MORE...]

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[837-841]Imaging characteristics and surgical strategies for symmetrical hemivertebrae of thoracic and lumbar spine in children

[Liu Haonan¹, Li Duoyi², Guo Dong¹, Yao Ziming¹, Zhao Mengqi¹, Zhang Hanwen¹]

DOI:10.3760/cma.j.cn101785-202502043

[Absract] Objective Objective To analyze the imaging characteristics of symmetric thoracolumbar hemivertebrae deformity in children and summarize the individualized surgical strategies.Methods Retrospective review was conducted for the relevant clinical data of 19 children (7 boys and 12 girls) with symmetric thoracolumbar hermivertebrae deformity who were admitted to Beijing Children’s Hospital,Capital Medical University.The average age was 3.1 years.The coronal and sagittal s... [MORE...]

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[842-846]Comparison of the efficacy of percutaneous transcatheter closure versus traditional surgical repair for permembranous ventricular septal defect with aortic valve prolapse

[Huang Ting¹, Liu Jinqiao¹, Xiao Yunbin²]

DOI:10.3760/cma.j.cn101785-202506033

[Absract] Objective Objective To explore the efficacy of percutaneous transcatheter closure versus traditional surgical repair for permembranous ventricular septal defect with aortic valve prolapse and identify the risk factors of percutaneous interventional closure failure and adverse cardiac events,so as to provide evidence for clinical treatment selection.Methods A total of 96 children with perimembranous ventricular septal defect (pmVSD) combined with aortic valve prolapse ... [MORE...]

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[847-851]Clinical analysis of Nuss procedure for extremely severe pectus excavatum:a report of 93 cases

[Xu Huijiao¹, Lai Guanyu¹, Jiang Qin¹, Ma Junmei¹, Hou Fang¹, Liu Wenying², Xu Bing¹]

DOI:10.3760/cma.j.cn101785-202509020

[Absract] Objective Objective To explore the surgical strategies,safety and short/middle-term efficacy of Nuss procedure for extremely severe pectus excavatum.Methods A retrospective analysis was performed for the relevant clinical data of 93 children with extremely severe pectus excavatum admitted into Department of Pediatric Surgery at Sichuan Provincial People’s Hospital from June 2010 to January 2023.All cases underwent Nuss surgery for correction.Different surgical approac... [MORE...]

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[852-858]Mechanism of MEG3 in the pathogenesis of Hirschsprung’s disease through TGF-β mediated regulation of EMT in ENCCs

[Xiang Luping, Zhai Wei, Xu Shiyu, Tang Chengyan, Jin Zhu, Liu Yuanmei]

DOI:10.3760/cma.j.cn101785-202510002

[Absract] Objective Objective To investigate the mechanism of MEG3 in regulating the TGF-β/Rac1/JNK pathway to influence the EMT of ENCCs in the pathogenesis of HSCR.Methods Western blot and qRT-PCR were used to detect the expression levels of TGF-β in the stenotic and normal anastomotic segments of the intestine from 40 children with HSCR.Dual-luciferase assays were used to detect the binding and targeted regulatory relationship between MEG3 and TGF-β.ENCCs were extracted from... [MORE...]

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[859-862]Diagnosis and treatment of adrenal-region tumors in children:an analysis of 72 cases

[Yang Li, Xu Sheng, Yang Binyi, Wei Jiabin, Dong Jiaojiao, Lu Hongting]

DOI:10.3760/cma.j.cn101785-202411029

[Absract] Objective Objective To investigate the clinical features,diagnosis,treatment,and prognosis of adrenal-region tumors in children.Methods This was a retrospective case series study.Seventy-two children with adrenal-region tumors who underwent surgical treatment in Qingdao Women and Children’s Hospital and the Department of Pediatric Surgery of the Affiliated Hospital of Qingdao University from July 2009 to May 2022 were included.Data on clinical features,diagnosis,treat... [MORE...]

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[863-866]Clinical outcomes of early versus delayed treatment for fresh lateral humeral condyle fracture in children

[Wu Yu, Chen Wenhao]

DOI:10.3760/cma.j.cn101785-20260304-00086

[Absract] Objective Objective To compare the clinical outcomes between early surgery and delayed surgery for fresh lateral humeral condyle fracture in children.Methods A retrospective analysis was performed for the relevant clinical data of 169 children hospitalized with fresh lateral humeral condyle fractures at Children’s Hospital,Zhejiang University School of Medicine from January 2020 to December 2023.According to the interval between injury and surgery,they were assigned i... [MORE...]

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[867-871]Clinical application of transjugular wedge hepatic venography with retrograde portal venography in preoperative evaluations for cavernous transformation of the portal vein

[Yang Yang¹, Lyu Zhenyu¹, Wang Zhiyuan¹, Wang Zengmeng², Peng Chunhui², Wu Dongyang², Cao Yongli³, Xiao Yanyan¹]

DOI:10.3760/cma.j.cn101785-202505020

[Absract] Objective Objective To explore the clinical value and interventional procedural techniques of transjugular wedge hepatic vein retrograde portography for preoperative evaluation in children with portal cavernous transformation.Methods Twenty-five children with portal cavernous transformation admitted from January 2021 to December 2024 were recruited.The cohort comprised 12 boys and 13 girls with a mean age of (91.74±40.44) month at admission.Transjugular wedge hepatic ... [MORE...]

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[872-876]Establishment of diagnostic system and treatment outcome for urethrovaginal reflux in girls

[Zhang Gaofeng, Wang Yuxiang, Li Zhijuan, Kang Lei, Guo Tao, Tan Congzhu, Bai Ming]

DOI:10.3760/cma.j.cn101785-20260325-00133

[Absract] Objective Objective To explore the clinical features of urethrovaginal reflux (UVR) in girls and improve pediatricians’ recognition of this disease.Methods Retrospective review was performed for the relevant clinical data of 4 UVR girls from January 2021 to January 2026.And the public databases of PubMed,Wanfang Database,CNKI and VIP were searched for literature items on UVR in girls published up to March 2026.Clinical presentations,diagnostic approaches,treatment str... [MORE...]

[PDF: 1235KB](115)

[877-881]Fluid dynamics analysis and clinical application of three-dimensional reconstruction of aortic constriction

[Ouyang Da, He Peng, Pan Bo, Jin Xin, Tian Jie]

DOI:10.3760/cma.j.cn101785-202503023

[Absract] Objective Objective To explore the clinical role and significance of fluid dynamics analysis after three-dimensional reconstruction in the diagnosis and treatment of coarctation of the aorta (COA).Methods A retrospective analysis of the clinical data and imaging findings of 40 patients with COA (coarctation group) and 20 normal children (normal group) admitted from March 1,2017 to February 28,2021，combined with statistical methods and computational fluid dynamics (CFD... [MORE...]

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[882-887]Establishment and validation of an early nomogram for predicting prolonged length of stay in children with perforated appendicitis

[Wan Chengliang, Bai Qiang, Zhang Chuanbo, Duan Yunying, Huang Chunfeng, Zheng Chenjun, Hai Bo]

DOI:10.3760/cma.j.cn101785-202312066

[Absract] Objective Objective To establish an early nomogram model for predicting prolonged length of stay in children with perforated appendicitis (PA).Methods The relevant clinical data were retrospectively reviewed for 818 PA children undergoing laparoscopic appendectomy at the Department of General Surgery,Kunming Children’s Hospital from January 2019 to December 2022.All patients were randomized at a ratio of 7∶3 into a derivation cohort (n=575) and a validation coh... [MORE...]

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[888-893]Comparison of laryngeal mask airway combined with bronchial blocker versus endotracheal tube combined with bronchial blocker in pediatric thoracoscopic surgery

[Lin Zixin¹, Hu Jing¹, Liu Heqi¹, Li Lijing¹, Zheng Tiehua¹, Guo Jifeng², Wang Fang¹, Zhang Jianmin¹]

DOI:10.3760/cma.j.cn101785-202410024

[Absract] Objective Objective This study aimed to investigate whether a laryngeal mask airway combined with a bronchial blocker provides a superior airway management strategy compared with an endotracheal tube combined with a bronchial blocker.Methods This was a prospective randomized controlled trial.A total of 43 pediatric patients who underwent elective thoracoscopic mediastinal tumor resection at Beijing Children’s Hospital,Capital Medical University,between November 2023 a... [MORE...]

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[894-896]Gastroparesis syndrome after repairing thoracoscopic diaphragmatic hernia in children:one case report

[Zhang Tianyi¹, Hao Xiwei¹, Mi Jie¹, Li Fujiang¹, Jiang Zhong¹, Zhang Huanyu¹, Shang Cong¹, Dong Qian^1,2, Yan Xue³]

DOI:10.3760/cma.j.cn101785-202501057

[PDF: 2087KB](119)

[897-900]Interpretation of the 2025 SVS-APSA International Consensus on Iatrogenic Vascular Injuries in Infants and Toddlers:Implications for Clinical Practice in China

[Zhu Liqin¹, Zhang Yue¹, Yao Li¹, Wu Yingchun¹, Tang Fang¹, Yue Xiaojie²]

DOI:10.3760/cma.j.cn101785-20260112-00015

[Absract] Objective Despite a low incidence,iatrogenic vascular injuries (IVIs) tend to have serious complications in infants and toddlers.There is a rapid progression to limb ischemia or even necrosis within a few hours and some individuals may eventually require amputation.Specific age characteristics of newborns,such as a femoral artery diameter of <2 mm,immature development of intima in tube wall and immature coagulation system,make it difficult for adult management experience to be direc... [MORE...]

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