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[1001－1005] Advances and future trends in minimally invasive surgery for pediatric hepatobiliary pancreatic and splenic diseases

[Zhan Jianghua, Zhao Yilin, Sun Rongjuan]

DOI:10.3760/cma.j.cn101785-202509025-001

[Absract] Objective Minimally invasive surgery (MIS) has achieved remarkable success in adult surgical practice due to its advantages of reduced trauma,faster recovery,and improved cosmetic outcomes.However,the unique anatomical characteristics of children,such as limited abdominal space and delicate vasculature and nerves,mean that pediatric patients cannot simply be regarded as "miniature adults," posing specific challenges to pediatric MIS.In recent years,with continuous advancements in surgi... [MORE...]

[PDF:6582KB](212)

[1006－1010] Recent advances of minimally invasive liver surgery in children

[Dong Kuiran]

DOI:10.3760/cma.j.cn101785-202508008-002

[Absract] Objective Recent years have seen rapid advancements in minimally invasive liver surgery (MIS) for children.And laparoscopic liver resection (LLR) and robotic liver resection (RLR) are becoming mainstream.As compared to open surgery,MIS may significantly reduce volume of intraoperative blood loss,shorten hospitalization stay and lower complication rates,making it ideal for children.RLR offers superior visual clarity,instrument flexibility and operational stability over LLR,especially du... [MORE...]

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[1011－1016] Efficacy and safety of robotic versus laparoscopic Kasai portoenterostomy for biliary atresia: a single-center cohort study

[Zhu Menglei¹, Sun Yi², Zhu Jie¹, Zhu Zhenwei¹, Cai Peng¹, Zhao Haowei¹, Wang Qi¹, Jiang Yuliang¹, Zhou Xiaogang¹, Gu Zhicheng¹]

DOI:10.3760/cma.j.cn101785-202508015-003

[Absract] Objective Objective To compare the efficacy and safety of robotic-assisted Kasai portoenterostomy (RAKPE) versus laparoscopic Kasai portoenterostomy (LKPE) in the treatment of biliary atresia (BA) so as to provide rationales for optimizing mini-invasive surgical strategies for BA. Methods A retrospective analysis was conducted for the relevant clinical data of 23 BA children undergoing mini-invasive Kasai procedures between October 2021 and January 2025.They were assi... [MORE...]

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[1017－1021] Comparison of short-term outcomes between robot-assisted and laparoscopic-assisted hepaticojejunostomy in children

[Chen Sai, Gao Zhigang, Chen Qingjiang, Cai Duote, Zhang Yuebin, Wang Linyan, Chen Yi, Xue Jiajin]

DOI:10.3760/cma.j.cn101785-202507023-004

[Absract] Objective Objective To compare the short-term efficacy and safety of robot-assisted hepaticojejunostomy (RAHJ) and laparoscopic-assisted hepaticojejunostomy (LAHJ) in the treatment of children with congenital choledochal cysts using propensity score matching (PSM). Methods Clinical data of 356 pediatric patients with congenital choledochal cysts who underwent radical cyst excision at the Hepatobiliary Surgery Center of the Children’s Hospital Affiliated to Zhejiang Un... [MORE...]

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[1022－1026] Comparison of single-port robotic and conventional laparoscopic surgery for choledochal cysts in children

[Xie Zhoulonglong, Li Chenchen, Chen Sheng, Yan Zhilong]

DOI:10.3760/cma.j.cn101785-202507056-005

[Absract] Objective Objective To compare the characteristics and outcomes of single-port robot-assisted laparoscopic surgery and conventional multi-port laparoscopic surgery in the treatment of choledochal cysts in children. Methods This retrospective study included 20 pediatric patients with choledochal cysts treated in the Department of General Surgery at Shanghai Children’s Medical Center between January 2022 and December 2023.According to the surgical approach,patients were... [MORE...]

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[1027－1031] Laennec’s capsule-guided sharp-blunt dissection technique for hilar management during laparoscopic Kasai surgery for biliary atresia

[Li Bingliang^1,2, Jin Yuanyuan¹, Wu Xiaoxia¹, Zhao Baohong¹, Liu Wenyue¹, Zhao Liang¹, Ren Hongxia¹]

DOI:10.3760/cma.j.cn101785-202507032-006

[Absract] Objective Objective To explore the feasibility and effectiveness of sharp shear plus blunt dissection technique based upon anatomical gap for hepatic hilar fibrous masses in pediatric type Ⅲ.biliary atresia (BA) laparoscopic Kasai surgery. Methods The relevant clinical data were retrospectively reviewed for 10 children hospitalized with type Ⅲ BA from January 2024 to March 2025.According to surgical approaches,they were assigned into study and control groups (n... [MORE...]

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[1032－1036] Treatment efficacy of tibial proximal varus deformity by partial physeal arrest after surgery for congenital pseudarthosis of the tibia

[Cai Haojie¹, Zhu Guanghui²]

DOI:10.3760/cma.j.cn101785-202403055-007

[Absract] Objective Objective To preliminarily explore the timing of removing internal fixation for correcting congenital pseudarthosis of the tibia (CPT) after hemiepiphyseal blocking. Methods A retrospective analysis was conducted for the relevant clinical data of 39 children with proximal tibial eversion after CPT undergoing 8-shaped steel plate semi epiphyseal blocking at Department of Orthopedics,Hunan Children’s Hospital from January 2012 to November 2022.According to the... [MORE...]

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[1037－1041] Clinical characteristics and efficacies of tibial tuberosity avulsion fractures in adolescents of differential body mass index

[Wang Yixin¹, Wang Bo², Zhang Zhiqun², Dong Zhan²]

DOI:10.3760/cma.j.cn101785-202210057-008

[Absract] Objective Objective To explore the clinical characteristics and efficacies of tibial tuberosity avulsion fractures in adolescents of differential body mass index (BMI). Methods A retrospective analysis was performed for 30 children (33 knees) with tibial tubercle avulsion fractures from January 2017 to February 2018.According to Chinese standards of adolescent overweight and obesity screening,they were assigned by gender age group BMI into large weight group (n... [MORE...]

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[1042－1046] Association study between clinical features and genotypes in children with Beckwith-Wiedemann syndrome

[Xiao Xiaolan¹, Wu Xiaohui², Zeng Suqin¹, Dong Chenbin³, Gao Xingqiang²]

DOI:10.3760/cma.j.cn101785-202408046-009

[Absract] Objective Objective To explore the association between four genotypes and clinical features in children with Beckwith-Wiedemann syndrome (BWS) undergoing macroglossia reduction surgery. Methods A retrospective analysis was conducted on the clinical data of 83 BWS children undergoing macroglossia reduction surgery at Department of Otorhinolaryngology-Head and Neck Surgery of Xiamen Children’s Hospital from January 2019 to December 2023.The incidence of clinical feature... [MORE...]

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[1047－1050] Correlation analysis between imaging features of low-density lines and fracture risk in children of non-Crawford type Ⅳ congenital pseudarthrosis of the tibia

[Xie Yonghong, Tan Xiaoqian, Tan Qian, Liu Kun, Mei Haibo, Xie Jianhui, Zhu Guanghui, Yi Yinzhi, Yang Ge]

DOI:10.3760/cma.j.cn101785-202504049-010

[Absract] Objective Objective To explore the imaging characteristics of low-density lines in children of non-Crawford type Ⅳ CPT (congenital pseudarthrosis of the tibia) and analyze their association with fracture risk. Methods For this retrospective case series study,106 CPT children admitted from January 2015 to December 2020 were selected as research subjects.Baseline data (gender,age at an initial visit,age at an initial onset,affected extremity sideness,presence of NF1,occ... [MORE...]

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[1051－1055] Perioperative multimodal analgesia in children with congenital spinal deformities

[Zhang Hanwen¹, Liu Haonan¹, Li Duoyi², Zhao Mengqi¹, Guo Dong¹, Bai Yunsong¹, Qi Xinyu¹, Zhang Xuejun¹, Yao Ziming^1,3]

DOI:10.3760/cma.j.cn101785-202206030-011

[Absract] Objective Objective To evaluate the effectiveness of perioperative multimodal analgesia regimen in pain management for children with congenital spinal deformities (CSD) and summarize the relevant clinical experiences. Methods For this prospective study,the clinical data were retrospectively reviewed for 80 CSD children undergoing posterior spinal osteotomy,corrective fusion and internal fixation from September 2020 to May 2021.The cohort consisted of 27 boys and 53 gi... [MORE...]

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[1056－1060] Clinical management of pediatric Monteggia fractures:a single-center experience of 1 129 cases

[Gu Zhenkun¹, Zhang Chen¹, Li Jiahui¹, Zhong Wenjuan², Fu Guibing¹, Tang Shengping¹]

DOI:10.3760/cma.j.cn101785-202502022-012

[Absract] Objective Objective To explore the clinical characteristics of pediatric Monteggia fractures treated surgically at a single center. Methods Retrospective analysis was conducted for 1129 children operated for Monteggia fractures between January 2013 and December 2023.Personal demographics,injury mechanisms and surgical profiles were descriptively analyzed.Furthermore,potential associations were explored between Bado classification,presence of nerve injury and fracture ... [MORE...]

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[1061－1064] Observation of effective dose of remimazolam tosilate plus alfentanil for deep sedation in school-aged children

[Yu Eryou, Ding Wenkang, Xiang Zhen, Wu Lei, Wei Siwei, Du Zhen]

DOI:10.3760/cma.j.cn101785-202412027-013

[Absract] Objective Objective To explore the effective dose of remimazolam tosilate plus alfentanil for deep sedation in school-age children. Methods From August 2024 to October 2024,24 school-age children aged 6-12 year (ASA grade Ⅰ-Ⅱ) were scheduled for painless bronchoscopy.Each child was placed in a supine position and injected intravenously with 2 ml of normal saline.It was utilized for confirming the patency of venous access without pain during injection.Remimazolam tosil... [MORE...]

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[1065－1068] Joint release manipulation and repositioning combined with plus sequential orthopedic casts in the treatment of congenital knee dislocation in neonates

[Chen Qiusheng¹, Li Xiongtao¹, Luo Sheng¹, Guo Jia¹, Zhu Jing², Shen Xiantao¹]

DOI:10.3760/cma.j.cn101785-202411058-014

[Absract] Objective Objective To explore the clinical efficacy of using early joint loosening plus manipulative repositioning and plaster external fixation for congenital knee dislocation in infants. Methods Retrospective review was performed for the relevant clinical data of 18 children (27 knees) of congenital knee dislocation of varying degrees hospitalized from January 2022 to August 2024.There were 3 boys and 15 girls with an initial diagnostic age of 2 hours to 52 days.Ma... [MORE...]

[PDF:4092KB](268)

[1069－1073] Comparative study of different treatment methods for pediatric periappendiceal abscess

[Jiang Ying, Zhao Xiangyou, Deng Keheng, Zhou Jun, Guo Zhaokun]

DOI:10.3760/cma.j.cn101785-202503115-015

[Absract] Objective Objective To compare the therapeutic effects of laparoscopic abscess drainage (LAD) plus antibiotic therapy (AT),ultrasound-guided abscess drainage (UGAD) plus AT,and AT alone in children with periappendiceal abscess. Methods The clinical data of 103 children with periappendiceal abscesses admitted to Yichang Central People’s Hospital from July 2020 to June 2023 were retrospectively analyzed.According to the treatment modality,they were divided into LAD+AT g... [MORE...]

[PDF:4480KB](257)

[1074－1080] Effect of enhanced recovery after surgery in perioperative period of choledochal cyst in children:a Meta-analysis

[Liu Ming, Gou Yunpeng, Xu Dong, Deng Rui, Yang Ping]

DOI:10.3760/cma.j.cn101785-202311040-016

[Absract] Objective Objective To evaluate the safety and efficacy of enhanced recovery after surgery (ERAS) in children with choledochal cyst by Meta-analysis. Methods The databases of PubMed,Embase,Cochrane Library,Web of Science,China National Knowledge Infrastructure (CNKI),WANFANG DATA,VIP Journal Integration Platform and China Biology Medicine (CBM) Service System were searched by computer.The relevant literature items on perioperative applications of accelerated rehabilit... [MORE...]

[PDF:6820KB](233)

[1081－1086] Adenomyomatosis of gallbladder in childhood:a report of 3 cases with a literature review

[Yan Jiayu¹, Guo Jianlin², Chen Wei¹, Chen Yajun¹]

DOI:10.3760/cma.j.cn101785-202207040-017

[Absract] Objective Objective To explore the clinical features of adenomyomatosis of gallbladder (AMG) in children and improve pediatrician’s awareness. Methods Clinical data were retrospectively reviewed for 3 AMG cases from January 2007 to June 2022 at Beijing Children’s Hospital.Literature related to AMG children was retrieved from PubMed,Web of Science,Wanfang and China National Knowledge Infrastructure (CNKI) until June 2022 for analyzing the clinical types,diagnoses,treat... [MORE...]

[PDF:5840KB](284)

[1087－1089] Intestinal malakoplakia in children:one case report

[Xu Hongyan,Yang Wenping,Huang Hui,Wu Yan]

DOI:10.3760/cma.j.cn101785-202411060-018

[PDF:4017KB](166)

[1090－1092] Management experiences of mesenteric teratoma:a report of 3 cases

[Zhang Yanan,Jin Yuyan,Chen Yongwei,Gu Yichao,Li Yingzi,Huang Jinshi]

DOI:10.3760/cma.j.cn101785-202306031-019

[PDF:3422KB](198)

[1093－1095] Appendiceal duplication presenting as an ileocecal mass:one case report

[Li Xin,Luo Hong,Cao Yuan,Qiang Hongjia]

DOI:10.3760/cma.j.cn101785-202406068-020

[PDF:3715KB](207)

[1096－1100] Research advances of biodegradable ureteral stent

[Yan Ying^1,2, Guan Yong¹]

DOI:10.3760/cma.j.cn101785-202303036-021

[Absract] Objective With conceptual evolutions of implantable biodegradable stent and continuous advancement of tissue engineering,ureteral stent composed of biodegradable polymer functional materials offers enormous potentials in minimizing stent-associated complications (e.g.,urinary tract infection,encrustation & ureterovesical reflux,etc.) and preventing secondary surgical trauma.It has become one of the latest research hotspots in the field of urology.Summarizing three aspects of biodeg... [MORE...]

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