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[701－705] Prospects of laparoscopic surgery for biliary atresia

[Xie Ting, Zhou Chonggao]

DOI:10.3760/cma.j.cn101785-202406003-001

[Absract] Objective Biliary atresia is a common cause of cholestasis in infants.As children grow,they may develop progressive liver fibrosis and cirrhosis,which,if not addressed promptly,can ultimately lead to liver failure.The Kasai procedure is the preferred surgical treatment for biliary atresia.While laparoscopic Kasai surgery offers advantages such as clearer visualization and improved maneuverability,its application in the treatment of biliary atresia remains controversial.Early laparoscop... [MORE...]

[PDF:6190KB](459)

[706－710] Emphasis on pulmonary vascular complications in children with a long-term survival after hepatoportal jejunostomy for biliary atresia

[Chen Gong, Zhang Jie]

DOI:10.3760/cma.j.cn101785-202406012-002

[Absract] Objective In children with a long-term survival after hepato-jejunostomy for biliary atresia (BA),chronic liver cirrhosis leads to hepatopulmonary syndrome (HPS) and portopulmonary hypertension (PoPH),causing diverse respiratory and circulatory system symptoms.The incidence of such complications in BA children is higher than that of other chronic liver diseases.With a faster progression,it endangers life in some severe cases.HPS and PoPH may coexist in the same child.Improving the unde... [MORE...]

[PDF:4705KB](469)

[711－715] Value of serum bile acid levels in prognostic evaluation of successful jaundice resolution after Kasai procedure for biliary atresia

[Yang Yifan, Jiang Jingying, Qian Manning, Chen Gong, Zheng Shan]

DOI:10.3760/cma.j.cn101785-202405062-003

[Absract] Objective Objective To explore the value of serum bile acid levels in the prognostic evaluation of children with successful jaundice resolution after the Kasai procedure for biliary atresia (BA).Methods A retrospective analysis was conducted on clinical data of 115 children with BA who underwent the Kasai procedure and achieved normal total bilirubin levels between January 2020 and December 2021 at Children’s Hospital of Fudan University.Based on serum bile acid level... [MORE...]

[PDF:4679KB](468)

[716－722] Curative effect of Kasai operation for neonatal biliary atresia

[Jin Yuyan, Liu Zhaozhou, Zhao Jiawei, Sun Dayan, Li Shuangshuang, Liao Junmin, Wang Dingding, Zhao Yong, Huang Jinshi]

DOI:10.3760/cma.j.cn101785-202402001-004

[Absract] Objective Objective To compare the clinical efficacy of Kasai procedure for biliary atresia (BA) between neonatal and non-neonatal periods.Methods From January 2018 to August 2022,the relevant clinical data were retrospectively reviewed for 52 hospitalized BA children.There were 24 boys (46.2%) and 28 girls (53.8%).Median age at admission was 32.5(6.0,57.0) day,median age at surgery 37.0(12.0,58.0) day and mean preoperative body weight (3992.6±685.1) gram.The clinical... [MORE...]

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[723－728] Prognostic value of preoperative serum levels of MMPs in children of biliary atresia

[Hu Shuqi, Han Yijiang, Zhao Xiaoxia, Fang Shu, Lai Dengming, Chen Rui, Huang Shoujiang, Lyu Chengjie, Qin Qi, Tou Jinfa]

DOI:10.3760/cma.j.cn101785-202405079-005

[Absract] Objective Objective To explore the correlation between preoperative serum matrix metalloproteinases (MMPs) levels and liver fibrosis, as well as the jaundice clearance rate, early cholangitis, and medium-to-long-term native liver survival following the Kasai procedure in children with Type Ⅲ biliary atresia, in order to identify predictive factors for the prognosis of biliary atresia after Kasai surgery.Methods A retrospective analysis was conducted on the preoperati... [MORE...]

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[729－736] Application of enhanced recovery after surgery strategies in the perioperative period of biliary atresia

[Zheng Ruifei, Lyu Xiaofeng, Zhang Jie, Lu Changgui, Geng Qiming, Tang Weibing, Jiang Weiwei]

DOI:10.3760/cma.j.cn101785-202310050-006

[Absract] Objective Objective To explore the safety and efficacy of various strategies of enhanced recovery after surgery (ERAS) during perioperative period in children with biliary atresia (BA).Methods From January 2019 to August 2023,retrospective analysis was conducted for the relevant clinical data of 103 BA children undergoing Kasai surgery.They were assigned into two groups of ERAS (implementing multiple new ERAS strategies during perioperative period) and control (tradit... [MORE...]

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[737－744] Antibiotic use for preventing cholangitis after Kasai portoenterostomy in biliary atresia patients:a systematic review

[Chen Di, Zheng Shan, Chen Gong]

DOI:10.3760/cma.j.cn101785-202405049-007

[Absract] Objective Objective To evaluate the effectiveness of oral and intravenous antibiotics in preventing cholangitis after Kasai portoenterostomy (KP) in biliary atresia (BA) patients.Methods Literature searches were conducted in five databases,including PubMed,Web of Science,EMBASE,Cochrane,and Clinical Trials,with the cutoff date being March 18,2024.Search terms included "biliary atresia","bile duct abnormalities","portoenterostomy",and "anti-bacterial agents"etc.The pri... [MORE...]

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[745－749] Role of bile acids in the progression of biliary atresia and related research advances

[Wu Hao¹, Han Yijiang¹, Gao Zhigang², Tou Jinfa¹]

DOI:10.3760/cma.j.cn101785-202208047-008

[Absract] Objective Biliary atresia,as the main component of bile,have physiological functions such as digesting lipids,regulating gut microbiota,and controlling metabolism.Children with biliary atresia often experience varying degrees of bile acid metabolism disorders.Bile acids are amphiphilic molecules,with hydrophobic bile acids generally exhibiting higher cytotoxicity.In the pathological state of biliary atresia,the inherent cytotoxicity of bile acid is amplified,contributing to a series of... [MORE...]

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[750－756] Surgical managements and risk factors of restenosis after pyeloplasty for ureteropelvic junction obstruction in children

[Wang Yanze¹, Xu Hongye², Wu Rongde¹, Liu Wei¹]

DOI:10.3760/cma.j.cn101785-202312065-009

[Absract] Objective Objective To explore the causes and surgical managements of restenosis after pyeloplasty for ureteropelvic junction obstruction (UPJO) in children and examine the potential risk factors for restenosis.Methods From January 2013 to February 2023,the relevant clinical data were retrospectively reviewed for 326 UPJO children (332 sides) undergoing primary and redo pyeloplasties.The causes,diagnoses,surgical procedures and outcomes of restenosis after primary pye... [MORE...]

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[757－762] Application of continuous douche plus vacuum drainage for acute hematogenous osteomyelitis in children with fenestration decompression and lesion clearance

[Wang Huaikeng¹, Huang Shaomin², Liang Longfang¹, Tan Lujian¹, Pei Xinhong^1,3]

DOI:10.3760/cma.j.cn101785-202309018-010

[Absract] Objective Objective To explore clinical value of continuous douche plus vacuum drainage in children with acute hematogenous osteomyelitis (AHO) after operation.Methods From July 2015 to December 2022,the relevant clinical data were retrospectively reviewed for AHO children hospitalized into Xiamen Children’s Hospital.They were divided into two groups of fenestration decompression+lesion clearance+continuous douche plus vacuum drainage (Ⅰ,n=17) and fenestration ... [MORE...]

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[763－767] Clinical features of acute metaphyseal osteomyelitis involving epiphysis in children aged below 15 months and over 18 months

[Jia Haiting¹, Sun Lihua², Liu Tao¹, Sun Lin², Yu Jiazhi¹, Wang Shifu³]

DOI:10.3760/cma.j.cn101785-202306036-011

[Absract] Objective Objective Epiphyseal and metaphyseal vascular channels usually disappear after 15-18 months.In this paper,the clinical characteristics of acute metaphyseal osteomyelitis involving epiphysis between 15 and 18 months of age were analyzed.Methods From July 2017 to October 2022,the relevant clinical data were retrospectively reviewed for 45 children with acute metaphyseal osteomyelitis involving epiphysis.Based upon age,12 children aged under 15 months were sele... [MORE...]

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[768－771] Treatments and efficacies of urethral deformity associated with concealed penis

[Tong Fangyun, Zhao Yaowang, Liu Li, He Tianqu, Wang Zhi]

DOI:10.3760/cma.j.cn101785-202309035-012

[Absract] Objective Objective To explore the surgical treatments and efficacies of concealed penis (CP) children with urethral deformity.Methods From January 2019 to March 2023,the relevant clinical data were retrospectively reviewed for 17 CP children with urethral deformity.After intraoperative exploration and reversal,there were epispadias (n=6) and hypospadias (n=11).They underwent repair of epispadias or hypospadias and penile exposure.The complications of wo... [MORE...]

[PDF:4304KB](470)

[772－776] Interventional embolization for pediatric carotid-cavernous sinus fistula

[Zhang Jinwei, Wu Shuihua, Chen Zhaohui, Wu Tian, Su Jun]

DOI:10.3760/cma.j.cn101785-202301006-013

[Absract] Objective Objective To explore the efficacy and interventional treatment strategies of embolization for pediatric carotid-cavernous sinus fistula (CCF).Methods A retrospective analysis was conducted on the clinical data of a pediatric patient with CCF who successfully underwent interventional embolization in May 2022 at the Department of Neurosurgery,Hunan Children’s Hospital.Relevant literature from 1980 to 2022 was retrieved from PubMed and Embase using the search t... [MORE...]

[PDF:5006KB](427)

[777－780] Mucoepidermoid carcinoma of salivary gland in children:one case report with a literature review

[Yang Yifan¹, Li Xiang¹, Guo Fang², Xue Lei¹, Liu Zhaoming¹]

DOI:10.3760/cma.j.cn101785-202304035-014

[Absract] Objective Objective To explore the clinical features,imaging findings,treatments and outcomes of mucoepidermoid carcinoma of salivary gland.Methods Retrospective analysis was conducted for the clinical data of one child with mucoepidermoid carcinoma of salivary gland.A literature review was conducted based upon the searching results of China National Knowledge Infrastructure (CNKI),Wanfang and PubMed databases using such keywords as "children","salivary gland" and "mu... [MORE...]

[PDF:4240KB](483)

[781－783] Infants with congenital intrahepatic portosystemic shunt type Ⅱ complicated with hemangioma:one case report

[Xue Jianjin, Guo Weijia, Zhang Jie, Zhou Jiajia]

DOI:10.3760/cma.j.cn101785-202301016-015

[PDF:3252KB](434)

[784－786] ERCP diagnosis and treatment of spontaneous biliary duct perforation in infants:one case report

[Li Bowen¹, Tao Zhongbin¹, Zhou Yongkang¹, Li Yuning¹, Liu Dengrui², Zhang Lei³]

DOI:10.3760/cma.j.cn101785-202306016-016

[PDF:3333KB](447)

[787－788] MED13L gene mutation plus transposition of great arteries:one case report

[Xu Jiajun¹, Shi Zhuo², Qiu Yunxiang¹, Fan Jiajie¹, Fan Xiangming², Ying Liyang², Shu Qiang², Shi Shanshan¹]

DOI:10.3760/cma.j.cn101785-202303024-017

[PDF:2237KB](450)

[789－795] Research progress on diagnosis and surgical treatment of long-term pulmonary valve regurgitation after tetralogy of fallot repair

[Liu Siyuan, Gui Zihao, Fan Xiangming, Shi Xucong]

DOI:10.3760/cma.j.cn101785-202312051-018

[Absract] Objective Tetralogy of Fallot is a common cyanotic congenital heart disease in children,often leading to symptoms such as cyanosis and hypoxic spell,squatting,heart murmurs,feeding difficulties in infants,and clubbing.Corrective surgery in infancy can alleviate the anatomical anomalies of tetralogy of Fallot. However,long-term postoperative complications may include pulmonary valve regurgitation,tricuspid valve regurgitation,residual right ventricular outflow tract obstruction,aortic r... [MORE...]

[PDF:8526KB](449)

[796－800] Recent therapeutic advances for unstable femoral shaft fracture in children

[Wen Yuwei, Wang Qiang]

DOI:10.3760/cma.j.cn101785-202209043-019

[Absract] Objective Femoral shaft fracture is a common injury in children.With the rapid paces of sport activities and urbanization in recent years,its incidence is also rising.According to stability status,it may be divided into stable and unstable fractures.Stable fractures include transverse,short oblique and short spiral while unstable fractures are composed largely of long oblique,long spiral and comminuted fractures.A gold standard for treating stable femoral shaft fractures in children is... [MORE...]

[PDF:6080KB](460)