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[901－905] Reflections on original intent and practical issues of day surgery

[Bian Hongqiang]

DOI:10.3760/cma.j.cn101785-202407002-001

[Absract] Objective Day surgery was initially pioneered by pediatric surgeons and has a history of over a century in foreign countries.In the past decade or so, driven by policy initiatives, more than 2000 hospitals in China have implemented day surgery.As a new surgical management model distinct from traditional inpatient and outpatient surgeries, various medical institutions have different understandings, management philosophies, and development directions for day surgery, leading to inconsist... [MORE...]

[PDF:6125KB](72)

[906－909] Preoperative anesthesia evaluation for pediatric minimally invasive day surgery

[Tu Zhenzhen, Xu Ying]

DOI:10.3760/cma.j.cn101785-202407009-002

[Absract] Objective Minimally invasive day surgery is a category of day surgery, and preoperative anesthesia evaluation is a critical step in ensuring the smooth conduct of pediatric minimally invasive day surgery.The preoperative anesthesia evaluation for such surgeries should neither completely deviate from the standard evaluation protocols for day surgeries nor be considered entirely equivalent to them.Proper understanding of the specific requirements for preoperative anesthesia evaluation in... [MORE...]

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[910－917] Efficacy and health economic evaluation of day surgery for pediatric inguinal hernia and hydrocele

[Wang Zhiwei¹, Zhang Huangchenghao¹, Yao Guiping¹, Mao Rui², Dou Hongkun³, Liu Lingzhi³, Ji Fengming¹, Yao Zhigang¹, Yan Bing¹]

DOI:10.3760/cma.j.cn101785-2024070536-003

[PDF:7335KB](65)

[918－923] Development and application of a discharge scoring scale for pediatric day surgery

[Li Benhong, Ren Zongyan, Tang Wenxiang, Jiang Wenyan, Liu Lingzhi, Dou Hongkun]

DOI:10.3760/cma.j.cn101785-202406067-004

[Absract] Objective Objective To develop a discharge scoring scale for pediatric day surgery, assess its reliability and validity, and implement it in clinical practice, providing an effective tool for assessing the safe discharge of pediatric day surgery patients. Methods This retrospective study was based on the indicators of the Post Anesthetic Discharge Scoring System (PADSS), incorporating the unique physiological and psychological characteristics of pediatric patients.A d... [MORE...]

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[924－928] Application of Enhanced Recovery Surgery in Pediatric Robotic Arteriosus Catheter Ligation Day Surgery

[Zhao Hangyan¹, Liu Xiwang², Ying Liyang², Lin Binjie¹, Zhang Heying¹, Shu Qiang²]

DOI:10.3760/cma.j.cn101785-202402013-005

[Absract] Objective Objective To investigate the feasibility and clinical efficacy of a day surgery management model in pediatric patients undergoing robot-assisted patent ductus arteriosus(PDA) ligation as a day surgery. Methods This retrospective study included 275 PDA children undergoing Da Vinci robot assisted endoscopy at the Children’s Hospital, Zhejiang University School of Medicine, from August 2020 to October 2023.Patients were divided into two groups:the day surgery g... [MORE...]

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[929－934] Full process quality management of pediatric adenoidectomy day surgery under the "shuttle day management model"

[Xu Rui¹, Deng Zhimei², Chen Jinjun³]

DOI:10.3760/cma.j.cn101785-202407012-006

[Absract] Objective Day surgery model is a rapidly developing healthcare system in China that emphasizes the concept of enhanced recovery after surgery and is widely used in simple, minimally invasive procedures such as pediatric adenoidectomy.Based on this model, Shenzhen Children’s Hospital has developed the "shuttle day management model", which combines centralized management with a blend of centralized and decentralized patient care, enhancing the efficiency of pediatric day surgeries.Qualit... [MORE...]

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[935－939] Application and progress of ERAS in pediatric laparoscopic pyeloplasty

[Wang Runwu¹, Liu Junhong², He Dawei¹]

DOI:10.3760/cma.j.cn101785-202406069-007

[Absract] Objective Currently, congenital ureteropelvic junction obstruction (UPJO) is primarily treated with laparoscopic pyeloplasty (LP) in clinical practice.However, the hospital stay is relatively long.The enhanced recovery after surgery (ERAS) protocol management results in a shorter hospital stay and, as verified by day surgery, does not increase the risk of postoperative adverse events.This article reviews the latest progress of ERAS protocols for pediatric LP both domestically and inter... [MORE...]

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[940－945] Application of MRI-Bony teardrop and sourcil line in predicting residual acetabular dysplasia after closed reduction of developmental dysplasia of the hip

[Pei Yinzhi, Huang Peng, Wu Chunxing, Ning Bo]

DOI:10.3760/cma.j.cn101785-202403002-008

[Absract] Objective Objective To explore the feasibility of using magnetic resonance imaging (MRI) to measure the teardrop and sourcil line (TSL) for predicting the occurrence of residual acetabular dysplasia (RAD) after closed reduction (CR) in children with developmental dysplasia of the hip (DDH). Methods This study measured and recorded the continuity of the bony TSL and the maximum acetabular distance (AD) on MRI in 54 children, totaling 68 hips (40 unilateral cases and 14... [MORE...]

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[946－951] Comparison of Da Vinci robot-assisted versus laparoscopic-assisted modified Soave with short muscular cuff anastomosis for classical Hirschsprung’s disease

[Zheng Zebing, Wang Wei’ao, Li Yanyi, Tang Chengyan, Gong Yuan, Xia Xingrong, Du Qing, Huang Lu, Zhu Daiwei, Zhou Wankang, Li Zeping, Jin Zhu, Liu Yuanmei]

DOI:10.3760/cma.j.cn101785-202312050-009

[Absract] Objective Objective To compare the efficacy of Da Vinci robot-assisted and laparoscopic-assisted modified Soave with short muscular cuff anastomosis procedures for classical Hirschsprung disease (HSCR). Methods From January 2021 to December 2023, 60 HSCR children undergoing operations were retrospectively reviewed.According to operative techniques, they were assigned into two groups of robot (n=25) and laparoscopy (n=35).Operative age, body weight, opera... [MORE...]

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[952－957] Characteristics and efficacy analysis of diagnosis and treatment in pediatric abdominal closed liver trauma in a single center

[Ji Chunyi, Yin Qiang, Chen Lijian, Yuan Miaoxian, Peng Yuming, Xie Weixin, Sheng Xinyi]

DOI:10.3760/cma.j.cn101785-202406016-010

[Absract] Objective Objective To summarize the experience in diagnosing and treating pediatric liver trauma and to explore treatment strategies for pediatric abdominal closed liver trauma. Methods A retrospective analysis was conducted on the clinical data of 150 children with liver trauma treated at the Department of General Surgery, Hunan Children’s Hospital, from January 2013 to December 2022.The study included 85 males and 65 females, aged 4.66±2.91 years.Treatment approach... [MORE...]

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[958－964] Sonographic outcomes of sternomastoid tumor after manual stretching for congenital muscular torticollis in children

[Wang Fei¹, Zhang Jing², Ni Lei¹, Sun Yaojin³, Tang Kai¹, Zhu Shanliang², Lou Yue¹]

DOI:10.3760/cma.j.cn101785-202101026-011

[Absract] Objective Objective To explore the impact of manual stretching on the size changes of sternomastoid (SCM) tumor in congenital muscular torticollis (CMT). Methods Between May 2017 and May 2019, retrospective review was conducted for 209 CMT children with SCM tumor. There were 132 males and 77 females, respectively. The side of involvement, the first visiting age and the initial long diameter, short diameter and cross section area of the SCM tumor were compared between ... [MORE...]

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[965－969] Median effective dose of esketamine for preventing pain caused by an injection of propofol medium-chain triglyceride/long-chain triglyceride emulsion in school-age children

[Yao Yiyi, Zhu Yi, Chen Zheng, Du Zhen]

DOI:10.3760/cma.j.cn101785-202311038-012

[Absract] Objective Objective To explore the half effective dose of esketamine in mitigating pain of propofol medium-chain triglyceride/long-chain triglyceride (MCT/LCT) emulsion injection in school-age children. Methods From May 2023 to July 2023, 26 school-age children aged 6-13 year with ASA grade I-II underwent operations under general anesthesia.Anesthesia was performed by two anesthesiologists.The first anesthesiologist injected esketamine before propofol MCT/LCT emulsion... [MORE...]

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[970－975] Effects of catheters of different sizes on uroflowmetry after Snodgrass surgery in children

[Zuo Dandan, Long Wangjun, Chen Guifang, Zhang Liyu, Zhang Jin, Jia Wei]

DOI:10.3760/cma.j.cn101785-202302025-013

[Absract] Objective Objective To explore the effects of catheters of different sizes on uroflowmetry after Snodgrass surgery in children. Methods From July 2017 to June 2020, retrospective study was performed for 266 children with hypospadias undergoing initial Snodgrass surgery.According to the postoperative size of catheter, they were divided into 3 groups of Fr 6 (n=89), Fr 8 (n=85) and Fr 10 (n=92).All catheters were removed at Week 2 post-operation.Uro... [MORE...]

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[976－980] Preliminary exploration of pedicled prepuce island flap vaginoplasty for 46,XX DSD feminization

[Zhang Zhengtao, Liu Guochang, Deng Fuming, Gao Xiaofeng, Zhu Shibo, Zhao Tianxin, Fu Wen]

DOI:10.3760/cma.j.cn101785-202202023-014

[Absract] Objective Objective To explore the application of pedicled prepuce island flap vaginoplasty for feminized children with masculinized 46, XX sexual dysplasia and high vaginal confluence and evaluate its efficacy. Methods From January 1, 2017 to December 1, 2020, 9 children with masculine 46, XX differences of sex development/disorders of sex development (46, XX DSD) underwent pedicled prepuce island flap vaginoplasty plus clitoris shortening and Y-V labioplasty.All of ... [MORE...]

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[981－985] A case study of embryonal rhabdomyosarcoma in children with frontal-parietal lobe metastases

[Liu Shuangai^1,2, Tao Ting^1,2, Liu Yuanmei³, Hu Yuxiang^1,2, He Ziqi^1,2,3, Yan Hujin^1,2,3, Wang Jinhu^1,2]

DOI:10.3760/cma.j.cn101785-202404048-015

[PDF:6284KB](59)

[986－987] Complete defect of mesentery with intestinal obstruction:a report of one rare case

[Zhang Jinshan, Li Long]

DOI:10.3760/cma.j.cn101785-202204015-016

[PDF:2279KB](70)

[988－992] Research progress on the physiological effects of carbon dioxide pneumoperitoneum and pneumothorax on neonates

[Gong Hongbo¹, Geng Qiuyu¹, Tou Jinfa²]

DOI:10.3760/cma.j.cn101785-202302046-017

[Absract] Objective In recent years, the rapid development of endoscopic technology has allowed pediatric surgeons to apply this technique to the neonatal population.During laparoscopic and thoracoscopic surgeries in neonates, surgeons insufflate carbon dioxide into the abdominal and thoracic cavities to create pneumoperitoneum and pneumothorax, respectively, to achieve a satisfactory surgical view.However, the establishment of pneumoperitoneum and pneumothorax increases intra-abdominal and intr... [MORE...]

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[993－996] Progress in the study of the pathogenesis and treatment of congenital macrodactyly

[Zhao Zhenhui, Xiong Zhu, Zeng Shuaidan, Deng Hansheng, Qiu Xin, Tang Shengping]

DOI:10.3760/cma.j.cn101785-202301015-018

[Absract] Objective Congenital macrodactyly is a rare non-hereditary congenital malformation characterized by varying degrees of enlargement of all fundamental structures (bones, tendons, nerves, blood vessels, adipose tissue, nails, and skin) of the affected toes or fingers.Due to its low incidence, the pathogenesis remains unclear, and the clinical manifestations vary.There is significant individual variation in the location and degree of enlargement of the affected toes (fingers), so there is... [MORE...]

[PDF:4594KB](65)

[997－1000] Research progress on anterior spinal overgrowth in adolescent idiopathic scoliosis

[Leng Han¹, Huang Jin², Zhang Chen², Wang Juan², Li Kai¹, Wen Jiantao², He Yong²]

DOI:10.3760/cma.j.cn101785-202302024-019

[Absract] Objective Adolescent idiopathic scoliosis (AIS) is a common complex three-dimensional spinal deformity that predominantly affects females.Understanding the mechanisms of the onset and progression of AIS is crucial for its treatment.Relative anterior spinal overgrowth (RASO) is believed to play a crucial role in the development of AIS.Accelerated relative growth of the anterior spine and potential asymmetrical changes in elements can induce the onset and progression of spinal curvature,... [MORE...]

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