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[801－805] Improved techniques for right ventricular outflow tract reconstruction in tetralogy of Fallot repair and their impact on middle/long-term outcomes

[Li Shoujun, Ma Kai]

DOI:10.3760/cma.j.cn101785-202505051-001

[Absract] Objective Tetralogy of Fallot (TOF) is the most common type of cyanotic congenital heart disease.Surgical reconstruction of right ventricular outflow tract has been a major cornerstone of corrective repair.Among various surgical strategies, pulmonary valve-sparing techniques have gained greater prominence for lowering postoperative pulmonary regurgitation and delaying right ventricular dysfunction.However, for underdeveloped pulmonary valves, transannular patch repair remains indispens... [MORE...]

[PDF:6842KB](200)

[806－814] Characteristics and applications of different types of valvular conduits from right ventricle to pulmonary artery during complex right ventricular outflow tract reconstruction

[Bi Jiachen, Chen Xinxin]

DOI:10.3760/cma.j.cn101785-202506060-002

[Absract] Objective Biological and artificial conduits serve as indispensable materials for complex reconstruction of right ventricular outflow tract.An optimal conduit must exhibit superior hemodynamic performance and durability, ready availability, minimal surgical complexity, low anticoagulation requirements and growth potential commensurate with somatic development.A functionally integral valve within conduit is paramount for sustaining ideal hemodynamics, preserving right ventricular functi... [MORE...]

[PDF:9788KB](384)

[815－822] Guidelines of Laparoscopic Procedures for Pancreatic Solid Pseudopapillary Neoplasm in Children (Edition2024)

[Expert Committee of Pediatric Endoscopic Surgery, National Health Commission, Groups of Endoscopic Mini-Invasive Surgery and Hepatobiliary Surgery, Branch of Pediatric Surgery, Chinese Medical Association, Branch of Pediatric Surgery, Chinese Medical Doctor Association, Branch of Pediatric Surgery, Shandong Research Hospital Association]

DOI:10.3760/cma.j.cn101785-202410000-003

[Absract] Objective With rapid advance of laparoscopic mini-invasive surgery,laparoscopic pancreatectomy is gaining popularity for treating solid pseudopapillary neoplasm.For further normalizing the surgical selections and manipulations of laparoscopic pancreatectomy,a panel of 32 national experts in pediatric endoscopic mini-invasive surgery from various organizations were organized to discuss extensively and formulate the present guideline.A major focus was placed upon indications and contrain... [MORE...]

[PDF:8177KB](369)

[823－829] Comparative study of right atrial appendage replacing pulmonary valve versus traditional transannular patching for tetralogy of Fallot during right ventricular outflow tract reconstruction

[Xing Pengchao, Chao Cong, Wang Benzhen, Hou Kefeng, Chen Rui]

DOI:10.3760/cma.j.cn101785-202505052-004

[Absract] Objective Objective To compare the clinical efficacies of autologous right atrial appendage (RAA) reconstruction of pulmonary valve versus traditional transannular patching in preventing postoperative pulmonary valve regurgitation during radical surgery for tetralogy of Fallot (TOF). Methods From February 2020 to March 2025, retrospective analysis was performed for 24 TOF children requiring transannular patching.Based upon the reconstructing mode of right ventricular ... [MORE...]

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[830－834] Mid-term outcomes of mechanical pulmonary valve replacement in children with congenital heart malformations

[Liang Runzhang¹, Naijimuding Abudurexiti², Ling Jing², Wu Jiaxiong¹, Peng Zirui², Wang Canxin¹, Yuan Haiyun^1,2, Wen Shusheng^1,2]

DOI:10.3760/cma.j.cn101785-202505048-005

[Absract] Objective Objective To evaluate the mid-term outcomes of mechanical pulmonary valve replacement (PVR) in children with congenital heart malformations. Methods From January 2007 to January 2024, 19 children undergoing mechanical PVR were recruited.This cohort comprised of 10 boys and 9 girls with a mean age of (19.4±12.9) year, a median height of 158.5 cm (IQR: 117.5, 163.8) and a mean body weight of (40.8±20.4) kg.Comprehensive clinical perioperative evaluations were ... [MORE...]

[PDF:4891KB](177)

[835－840] Middle-to-long-term outcomes of bovine jugular vein valve tubing for reconstructing right ventricular outflow tract in children

[Li Wenlei¹, Bi Jiachen¹, Zhou Na¹, Li Jianbin¹, Zhang Mingxia¹, Lai Jiahan², Lin Zhenhao², Hu Ziqin², Chen Xinxin¹, Ma Li¹]

DOI:10.3760/cma.j.cn101785-202506039-006

[Absract] Objective Objective In recent years, bovine jugular vein valvular conduits (BJVC) have become one of the optional materials for reconstructing right ventricular outflow tract (RVOT) in children with complex congenital heart disease (CHD).This paper attempted to summarize the middle-to-long-term follow-up outcomes of BJVC reconstruction for pediatric RVOT. Methods A retrospective analysis was conducted for the relevant clinical data of 110 children with complex CHD und... [MORE...]

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[841－845] Middle-term follow-up results of right ventricular outflow tract with valve tube reconstruction

[Zhu Yifan, Jiang Qi, Chen Dian, Zhang Wen, Hu Renjie, Dong Wei, Zhang Hao, Zhang Haibo]

DOI:10.3760/cma.j.cn101785-202505053-007

[Absract] Objective Objective This study aimed to evaluate the middle-term efficacy and durability of valved conduits for reconstructingright ventricular outflow tract (RVOT) of congenital heart disease. Methods This single-center retrospective study included 515 children undergoing RVOT reconstruction between 2018 and 2024.Of these, 459 received hand-sewn trileaflet expanded polytetrafluoroethylene (ePTFE) valved conduits while 56 received bovine jugular vein (BJV) conduits.Co... [MORE...]

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[846－852] Development and validation of a predictive model for diagnosing acute appendicitis in children excluding anaphylactoid purpura

[Zhan Yishan¹, Zhang Shouhua², Peng Xiaojie³, Rao Xiaoping¹]

DOI:10.3760/cma.j.cn101785-202406020-008

[Absract] Objective Objective In clinical practices, pediatric abdominal type Henoch-Sch?nlein purpura (HSP) is frequently misdiagnosed as acute appendicitis (AA), leading to unnecessary appendectomies.Based upon a substantial amount of clinical data, simple and readily available clinical indicators were used for developing a predictive model for differential diagnosis between pediatric AA and abdominal type HSP. Methods A retrospective collection of complete data were collecte... [MORE...]

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[853－857] Curative comparison of three mini-invasive surgical treatments for 10-20 mm kidney calculi in children

[Ainiwaer Aierken, Xu Hai, Kahaerman Silamu, Jia Lin, Rexiati Reheman, Jiasuoer Batuer]

DOI:10.3760/cma.j.cn101785-202412055-009

[Absract] Objective Objective To compare the efficacies of super mini-percutaneous nephrolithotomy (SMP), mini-percutaneous nephrolithotomy (mPCNL) and retrograde intrarenal surgery (RIRS) for 10-20 mm kidney calculi in children. Methods From January 2015 to December 2019, the relevant clinical data were retrospectively reviewed for 128 children aged < 14 year with 10-20 mm kidney calculi.SMP group underwent lithotripsy (F12-14)(n=43) while mPCNL group lithotriptic ex... [MORE...]

[PDF:4278KB](281)

[858－863] Clinical features and treatments of lower urinary tract calculi in children

[Yong Jiang, Zhao Yaowang, Wang Zhi, He Tianqu, Li Chuangye, Liu Li, Tong Fangyun, Li Yanfang]

DOI:10.3760/cma.j.cn101785-202506006-010

[Absract] Objective Objective To explore the clinical characteristics and treatments of children with lower urinary tract calculi in urinary system and provide practical references for clinical diagnosis and treatment. Methods Retrospective analysis was conducted for the relevant clinical data of 72 children hospitalized with lower urinary tract calculi from January 2017 to December 2023.Chief complaints, symptoms, signs, laboratory test results, imaging findings, surgical appr... [MORE...]

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[864－867] Efficacy analysis of visual needle nephroscopy combined with holmium laser lithotripsy for upper urinary tract stones in infants and young children

[Che Yu, Abudusaimi Abudureyimu, Li Kai, Wang Jun, Ye Erdeng, Ruze Abulizi, Abulimiti Abulati, Liu Dong]

DOI:10.3760/cma.j.cn101785-202410063-011

[Absract] Objective Objective To evaluate the feasibility and efficacy of visual needle nephroscopy combined with holmium laser lithotripsy for upper urinary tract stones in infants and young children. Methods This retrospective study included 35 pediatric patients who underwent visual needle nephroscopy for upper urinary tract stones at the Department of Urology, Children’s Hospital of Xinjiang Uygur Autonomous Region, from May 2021 to March 2024.The cohort consisted of 22 mal... [MORE...]

[PDF:3899KB](244)

[868－871] Clinical managements of extralobar pulmonary sequestration in children

[Bao Pingqian¹, Huang Dongmei², Li Jie¹, Zhang Bingyu¹, Luo Dengke³, Yang Gang³, Yuan Miao³, Xu Chang³]

DOI:10.3760/cma.j.cn101785-202405005-012

[Absract] Objective Objective Currently there are still wide disagreements over the treatment options for extralobar pulmonary sequestration (ELS).This study aimed to clarify the characteristics of ELS in children and provide references for an optimal clinical treatment of ELS. Methods The relevant clinical data were retrospectively reviewed for 85 ELS children hospitalized at West China Hospital from January 2013 to April 2020.According to the different locations of ELS, they ... [MORE...]

[PDF:3875KB](223)

[872－876] Efficacy of antegrade elastic intramedullary nailing for severely displaced unstable distal radial metaphyseal junction fracture in children

[Meng Ge, Yuan Yue, Yuan Liang, Gu Ran, Lin Yudong]

DOI:10.3760/cma.j.cn101785-202211011-013

[Absract] Objective Objective To explore the clinical efficacy of antegrade elastic intramedullary nailing for severely displaced unstable distal radial metaphyseal junction fracture in children. Methods Retrospective analysis was performed for the relevant clinical data of 46 children with severely displaced unstable distal radial metaphyseal junction fracture undergoing anterograde elastic intramedullary nailing from July 2020 to March 2022.The causes of injury were frolickin... [MORE...]

[PDF:5207KB](205)

[877－881] Role of gastroscopy during operation of piriform fossa fistula in children

[Kong Chihuan, Wu Yurui, Li Long, Wang Xueqi, Li Xu, Liu Jing, Su Yun]

DOI:10.3760/cma.j.cn101785-202312005-014

[Absract] Objective Objective To explore the role of gastroscopy during operation of pediatric piriform sinus fistula (PSF). Methods A retrospective analysis was conducted for the relevant clinical data of 5 children hospitalized with PSF from December 2020 to July 2021.The recurrence factors and managements were collected and diagnostic and therapeutic experience summarized. Results In this cohort, there were 2 boys and 3 girls with an average age of 57(32-132) month.Al... [MORE...]

[PDF:5532KB](244)

[882－887] Cystic duct cyst in children: one case review and literature analysis

[Guo Jindie¹, Yang Jun², Bian Hongqiang², Peng Fei², Guo Hongxi², Lei Haiyan², Shu Jun²]

DOI:10.3760/cma.j.cn101785-202409050-015

[Absract] Objective Objective To explore the clinical features, diagnoses, treatments and prognoses of cystic duct cyst (CDC) in children. Methods A retrospective analysis was performed for the relevant clinical data of one boy hospitalized with cystic duct cyst."Cystic duct cyst" was employed as a search term for retrieving the relevant literatures of PubMed and Web of Science."Cystic duct cyst" was used as the search term to search the databases of WANFANG and China National ... [MORE...]

[PDF:6299KB](229)

[888－891] Torsion and necrosis of right-sided intravaginal spermatic cord cyst: a report of 2 cases with a literature review

[Tang Yuan¹, Huang Lisu², Ye Jingjing¹, Meng Jie¹, Ru Wei³, Wang Zhan³]

DOI:10.3760/cma.j.cn101785-202506051-016

[PDF:4927KB](225)

[892－894] Efficacy of modified serial transverse enteroplasty for infantile short bowel syndrome: one case report with a literature review

[Peng Huiling¹, Liu Yanling², Zhang Huiru¹, Li Yushan¹, Yang Xinghai¹]

DOI:10.3760/cma.j.cn101785-202503052-017

[PDF:3376KB](313)

[895－896] Intra-articular fibrous band entrapment at foot joint in children: one case report with a literature review

[Zhao Zhenguo, Cheng Jie, Shi Huafang, Liu Tongkai, Zhang Bo, Rong Cunmin, Zhang Liangliang, Zhang Lei]

DOI:10.3760/cma.j.cn101785-202212004-018

[PDF:2250KB](153)

[897－900] Research advances in the diagnosis and endoscopic treatment of congenital esophageal stenosis in children

[Wang An¹, Xie Chuanping¹, Li Guantong¹, Li Shuangshuang¹, Wang Dingding¹, Zhao Yong^1,2, Huang Jinshi¹]

DOI:10.3760/cma.j.cn101785-202410059-019

[Absract] Objective Congenital esophageal stenosis (CES) is a rare congenital malformation of digestive tract in children.Its cause has remained elusive.A definite diagnosis is based upon contrast radiography and endoscopic ultrasound.Diagnosing congenital esophageal stenosis plus congenital esophageal atresia is a major challenge in current researches.Surgeons should pay close attention and carefully observe early postoperative imaging results to make diagnosis and differential diagnosis.As a n... [MORE...]

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