[Wang Jun]
[Absract] Objective
With the continuous promotion of clinical diagnosis and treatment of congenital esophageal atresia (CEA) and the improvement of the application capacity of various technologies, the outcome of CEA in China has been significantly improved.However, the incidence of various perioperative complications and sequelae are gradually increasing as well, which bring serious long-term impact on patients¡¯ life quality.In this review, perioperative CEA complications that are easily ignore...
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[Zhang Minzhong1,8, Yu Juming2, Xie Wei3, Yan Weihui4,8, Li Jing5, Huang Qi6, Wang Junli7, Pan Weihua1, Wang Jun1]
[Absract] Objective
Objective As one complex complication after repairing esophageal atresia, recurrent tracheoesophageal fistula (rTEF) requires therapeutic interventions with multiple specialized professionals.A multidisciplinary team (MDT) has been formed for managing rTEF children in recent years.The goal of this study was to summarize clinical experiences and evaluate prognostic outcomes of rTEF management at our center.Methods Retrospective review was conducted for clinic...
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[Xia Bo, He Qiuming, Li Jiahua, Wu Qiang, Wang Zhe, Zhang Siyuan, L¨¹ Junjian, Zhong Wei]
[Absract] Objective
Objective To explore the early diagnosis and clinical outcome of type ¢ó congenital esophageal atresia (CEA) with tracheomalacia (TM), and to provide clinical reference for CEA with TM.Methods In the retrospective study, the clinical data of 15 cases with type ¢ó CEA from November 2019 to December 2020 in Guangzhou Women and Children¡¯s Medical Center were collected, and preoperative and postoperative airway assessment results based on endoscopy were analyzed.<...
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[Tao Junfeng, Huang Jinshi, Chen Kuai, Fan Wei, Liu Zhiwen, Tao Qiang]
[Absract] Objective
Objective To explore the efficacies of different treatments for broken end of esophagotracheal fistula (ETF) in thoracoscopic esophageal atresia on its recurrence.Methods From April 2014 to April 2021, clinical data were retrospectively reviewed for 110 children with congenital esophageal atresia undergoing thoracoscopy.According to different treatments of ETF, they were divided into group A (n=40, one ligation and one suture), group B (n=40, c...
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[Zhang Ning, Liu Fengli, Ma Tongsheng, Zhang Jianjun, Qin Jingjing, Peng Yuan, Li Qian]
[Absract] Objective
Objective To investigate the causes and treatment strategies of anastomotic leakage after operation of type ¢ó congenital esophageal atresia.Methods The clinical data of 116 cases with type III congenital esophageal atresia admitted to Children¡¯s Hospital Affiliated to Medical University from January 2012 to September 2020 were retrospectively analyzed.All cases were divided into two groups according to the presence or absence of anastomotic leakage after ope...
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[Li Ming, Zhou Chonggao, Xiao Yong, Zou Chanjuan, Zhao Fan, Xia Renpeng, Xu Guang, Li Bixiang]
[Absract] Objective
Objective To study the clinical characteristics, diagnosis and treatment and prognosis of type-¢ó esophageal atresia (EA) complicated by gastric perforation.Methods From January 2007 to January 2021, a total of 7 children with type-¢ó EA complicated by gastric perforation were recruited, and their managements and prognosis were analyzed based on follow-up data.6 boys and 1 girl with an age range from 1 to 3 days were included.The clinical symptoms included dys...
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[Feng Zhong, Shen Chun]
[Absract] Objective
Congenital esophageal atresia (EA) is one of the most severe congenital digestive tract malformations during neonatal period.With recent developments of neonatal intensive care and surgical techniques, postoperative survival rate of EA children has exceeded 90%.However, some common postoperative complications of EA affect the long-term patient quality-of-life.Improving long-term quality-of-life has become a major focus of current researches.This review summarized the influenc...
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[Wang Yaqi1, Li Wanfu2, Wang Haiyun2]
[Absract] Objective
Congenital esophageal atresia (EA) is one of critical diseases of digestive tract during neonatal period.With wider applications of neonatal surgery, pediatric anesthesia, neonatal monitoring and total parenteral nutrition (TPN), its curative rate is rising yearly.Currently reducing its postoperative complications has become a new research focus.Long-gap esophageal atresia (LGEA) an independent risk factor of anastomotic fistula, esophageal stricture and gastroesophageal refl...
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[Li Anping, Hu Xiongke, Zhao Weihua, Zhu Guanghui, Liu Kun, Mei Haibo]
[Absract] Objective
Objective A retrospective analysis of the clinical efficacy and safety of hemiepiphyseal with transphyseal malleolar screw and U-shaped screw in the treatment of ankle valgus after operation of congenital pseudarthrosis of the tibia (CPT).Methods A total of 44 patients with postoperative ankle valgus after CPT operation from May 2011 to Oct 2019 were included.18 patients were treated with transphyseal malleolar screw and 26 patients were treated with "U"-sha...
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[Li Hao, Fan Shuangshi, Su Jun, Zhang Jinwei, Liu Yijun, Wu Shuihua]
[Absract] Objective
Objective To explore the clinical effect of surgical treatment through small incision of occult tethered cord syndrome (OTCS) in children, and provide reference for the diagnosis and treatment of OTCS in children.Methods The clinical data of 28 children with OTCS treated by terminal filum disconnection through minimally invasive incision from November 2020 to April 2021 were analyzed retrospectively.In total, 21 males and 7 females with the age ranged from 2...
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[Sun Jing, Wang Zhili, Zhang Min, Zhao Hanbin, Die Xiaohong, Hou Jinping, Wang Yi]
[Absract] Objective
Objective To explore the application value of distal pressure colostogram (DPCG) versus pelvic magnetic resonance imaging (MRI) in the diagnosis of congenital anorectal malformations (ARMs).Methods A retrospective analysis was performed for 83 ARM children before and after second-stage operation to clarify the accuracy and advantages of two imaging modes.Results Among them, 80 cases were diagnosed by MRI and clinical pathological type was consistent w...
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[Wang Guohui, Lu Jinpeng, Liu Feng, Niu Bobo, Niu Huizhong]
[Absract] Objective
Objective To explore the clinical value and efficacy of modified limited anterior sagittal anorectoplasty (ASARP) for congenital anal atresia with rectovestibular fistula.Methods From July 2014 to April 2020, clinical data were analyzed retrospectively for 26 children of congenital anal atresia with rectovestibular fistula undergoing limited ASARP.Operative duration, postoperative complications and defecation function, etc.were evaluated.Regular postoperativ...
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[Tan Yunpu, He Qiuming, Zhong Wei, Wang Zhe, Xie Xiaoli, Hou Longlong, Yan Bin]
[Absract] Objective
Objective Currently surgical consensus is lacking for simple neonatal ovarian cysts larger than 4 cm.Traditional view holds that ovary should be preserved and cystectomy is an ideal choice.As demonstrated by some recent studies, it is safe, simple and effective to perform cyst puncture and drainage alone by laparoscopy.The goal of this study was to explore the effectiveness and safety of laparoscopic assisted aspiration for neonatal ovarian cysts.Methods Fro...
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[Ge Wu, Lian Peng, Li Yong, Wang Yanan, Jia Huimin, Zhou Xin, Bai Yuzuo]
[Absract] Objective
Objective To explore the clinical features and treatment options of children with magnetic bead foreign body in digestive tract.Methods From September 2018 to May 2020, 13 children with magnetic bead foreign body in digestive tract in Shengjing Hospital of China Medical University were recruited.General profiles, clinical symptoms, results of auxiliary examinations and surgical procedures of these patients were retrospectively analyzed to discuss the optimal...
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[Ying Liyang, Liu Xiwang, Tan Zheng, Yu Jiangen, Shu Qiang]
[Absract] Objective
Objective To evaluate the efficacy and safety of Da Vinci robot assisted endoscopic technique in the treatment of patent ductus arteriosus (PDA) in children.Methods From August 2020 to March 2021, clinical data were retrospectively reviewed for 35 PDA children undergoing Da Vinci robot assisted endoscopy.Age, weight, diameter of ductus arteriosus, operative duration, postoperative hospital stay, postoperative complications and operative cost were recorded.Du...
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[Li Xiaoyu, Guo Yunfei, Huang Liqu]
[Absract] Objective
Congenital hydronephrosis (CHn) is a common disease of genitourinary system in children.The incidence of neonatal hydronephrosis is around 1%-2%.The etiology of CHn is rather complex.One of the most common causes is ureteropelvic junction obstruction (UPJO), accounting for over 85%.Clinically pyeloplasty is indicated for mild, moderate and severe hydronephrosis caused by UPJO while an optimal treatment of extremely severe hydronephrosis is still under debate.Pyeloplasty is id...
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[Zhao Yilin1, Wang Haojie1, Zhan Jianghua2]
[Absract] Objective
Biliary atresia (BA) is a disease characterized by progressive inflammation and fibrosis of intra/extrahepatic bile ducts.The cause of disease has remained elsusive.It may be related with virus infection and immune response.The major treatment for BA is Kasai surgery while liver fibrosis is an important factor affecting the prognosis of Kasai surgery.Involved in the process of liver fibrosis, epithelial-mesenchymal transition (EMT) refers to that polarized epithelial cells ar...
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[Xu Tianyi, Dong Rui]
[Absract] Objective
Yolk sac tumor is a malignant germ cell tumor which mainly affects children.Domestic and foreign scholars have conducted a large number of studies on its etiology and pathogenesis, and the results have shown that the occurrence of the disease may be related to gene mutation, chromosome variation, epigenetics and environmental factors.However most of the mechanisms have not been further elucidated.In this review, we summarized the recent advances of the etiology of yolk sac tu...
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