Home>>2024 No.04 issue list
[301£­304] Surgical complications and managements of ureteropelvic junction obstruction in children
[Liu Chao, Zhang Weiping]
DOI:10.3760/cma.j.cn101785-202403060-001
[Absract] Objective Ureteropelvic junction obstruction (UPJO) is a common urinary malformation in children. And dismembered pyeloplasty has been a "gold standard" for surgery due to its extensive indications,convenient handling and low complication rate. Although overall successful operative rate has surpassed 90%,pediatric urologists are striving to lower the incidence of postoperative complications,prevent the occurrences of high-grade complications,enable a rapid recovery and achieve optimal ... [MORE...]
[PDF:804KB](129)
[305£­309] Understandings and reflections on surgical complications of ureteropelvic junction obstruction
[Liu Xin, Yang Yi]
DOI:10.3760/cma.j.cn101785-202403060-002
[Absract] Objective Ureteropelvic junction obstruction (UPJO) has been the most common congenital cause of upper urinary tract obstruction.And dismembered pyeloplasty continues to be a gold standard with an overall success rate of 90%.However,a proper management of surgical complications remains rather challenging.As surgical techniques continue innovating,surgeons should be more precise about the indications for surgery and more comprehensively understand and correctly manage surgical complicat... [MORE...]
[PDF:725KB](98)
[310£­314] Risk factors for urinary tract infection after pyeloureteroplasty in children
[Wang Zhaohui, Zhao Yaowang]
DOI:10.3760/cma.j.cn101785-202403060-003
[Absract] Objective Ureteropelvic junction obstruction (UPJO) is the most common cause of pathological hydronephrosis in children.Laparoscopic pyeloplasty (LP) has gradually become a preferred surgical option for UPJO.As one of the common early complications of LP,urinary tract infection (UTI) prolongs the course of the disease and even induce lethal urogenic sepsis,in severe cases.At the same time,it may lead to postoperative restenosis of the anastomosis and affect the success rate of the oper... [MORE...]
[PDF:640KB](132)
[315£­322] Comparative analysis of complications between open and laparoscopic pyeloplasty for congenital ureteropelvic junction obstructive hydronephrosis in children
[He Yuzhu, Li Jiayi, Song Hongcheng, Zhang Weiping, Sun Ning, Tian Jun, Li Minglei, Li Ning, Qu Yanchao, Han Wenwen, Yang Yang, Li Zhenwu, Liang Haiyan, Liu Chao, Lin Defu, Wang Guannan]
DOI:10.3760/cma.j.cn101785-202403060-004
[Absract] Objective Objective To compare the perioperative complications and explore the potential factors contributing to the differences in complications between laparoscopic and open dismembered pyeloplasty for congenital ureteropelvic junction obstructive hydronephrosis in children. Methods Between July 2016 and December 2018,retrospective review was conducted for all children with ureteropelvic junction obstruction (UPJO) undergoing primary transperitoneal laparoscopic pye... [MORE...]
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[323£­327] Massive urinary extravasation after pyeloplasty in children:clinical features and prognoses
[Wang Tianyi1, Zhang Yu1, Fu Mingcui1, Zhang Ting1, Cao Xu1, Xia Hongliang1, Dai Shu1, Cheng Yi2, Yan Xiangming1, Zhou Yun1]
DOI:10.3760/cma.j.cn101785-202403060-005
[Absract] Objective Objective To explore the clinical features and outcomes of massive urinary extravasation after pyeloplasty in children. Methods From January 2016 to December 2023,the relevant clinical data were retrospectively reviewed for 18 children with massive urinary extravasation after pyeloplasty.Demographic profiles,medical history,perioperative images,urinary extravasation during hospitalization,and treatment outcomes were recorded. Results There were 16 boy... [MORE...]
[PDF:642KB](88)
[328£­334] Analysis of risk factors of unplanned reoperation after laparoscopic pyeloplasty
[Li Hu, Chao Min, Jiang Jiabin, Zhang Ye, Fang Xiang, Li Daolong, Sun Qihang, Wang Gang, Wu Fei, He Ping, Xi Qianru, Zhang Yin]
DOI:10.3760/cma.j.cn101785-202403060-006
[Absract] Objective Objective To explore the risk factors of unplanned reoperation (UR) after laparoscopic pyeloplasty (LP) in children with ureteropelvic junction obstruction (UPJO) and examine the clinical characteristics of UR children. Methods From March 2010 to December 2023,the relevant clinical data were retrospectively reviewed for 678 children of unilateral UPJO undergoing LP.Children undergoing UR after LP were selected as study group and those without UR as control g... [MORE...]
[PDF:1178KB](93)
[335£­340] Correlation between serum leucine rich alpha-2-glycoprotein 1,neutrophil gelatinase associated apolipoprotein,peroxisome proliferator activated receptor ¦Ã coactivator factor-1¦Á and postoperative renal function in children with hydronephrosis
[Li Jingtao, Lang Xing, Wei Jianxin, Rong Xuejing, Gao Yuguang, Ma Xinsheng]
DOI:10.3760/cma.j.cn101785-202403060-007
[Absract] Objective Objective To explore the correlation between serum levels of leucine rich alpha-2-glycoprotein 1 (LRG1),neutrophil gelatinase associated apolipoprotein (NGAL),peroxisome proliferator activated receptor ¦Ã coactivator factor-1¦Á (PGC-1¦Á) and postoperative differential renal function (DRF) in children with hydronephrosis. Methods From March 2019 to June 2022,124 children with hydronephrosis undergoing pyeloureteroplasty were selected as study subjects.Based upon... [MORE...]
[PDF:900KB](84)
[341£­347] Risk factors for postoperative urinary tract infections in children with primary obstructive megaureter
[Fang Wenjuan, Chen Pengyu, Liu Xiaodong, Li Shoulin]
DOI:10.3760/cma.j.cn101785-202403060-008
[Absract] Objective Objective To explore the risk factors for postoperative urinary tract infections (UTIs) in children of primary obstructive megaureter (POM). Methods From January 2015 to February 2023,retrospective analysis was performed for the relevant clinical data of 146 POM children.There were 97 boys and 49 girls with a median age of 23(1-17) month.The involved side was left (n=89),right (n=40) and bilateral (n=17).According to the results of posto... [MORE...]
[PDF:801KB](98)
[348£­354] Efficacy and safety of detrusor and external urethral sphincter injections of botulinum toxin A in children with detrusor overactivity and impaired contractility
[Zuo Jinming1, Wang Qingwei1, Zhu Wen1, Zhang Qinyong1, Wang Chuanyu1, Zhang Guoxian1, Zhang Ruili2, Che Yingyu3, Wen Jianguo4]
DOI:10.3760/cma.j.cn101785-202403060-009
[Absract] Objective Objective To assess the efficacy and safety of detrusor and external urethral sphincter injections of botulinum toxin A in children with detrusor overactivity and impaired contractility (DOIC). Methods From May 2022 to June 2023,a total of 25 DOIC children received injections of botulinum toxin A in detrusor and external urethral sphincter.There were 18 boys and 7 girls with a mean age of (11.0¡À3.8) year.Three-day voiding diaries,quality of life questionnair... [MORE...]
[PDF:1292KB](96)
[355£­360] Resection of distal 3 cm rectal pouch for high-and-intermediate anorectal malformation:medium-term outcomes from a propensity score matching analysis
[Ye Shiru1, Zhou Yan1, Zheng Chen2, Xiao Ping3, Diao Mei1,2, Li Long1,2]
DOI:10.3760/cma.j.cn101785-202403060-010
[Absract] Objective Objective To evaluate the medium-term outcomes of resecting distal 3 cm of rectal pouch in children with congenital anorectal malformations (ARMs). Methods From January 2010 to December 2018,the relevant clinical data were retrospectively reviewed for 171 children with high-and-intermediate ARMs undergoing laparoscopic-assisted anorectoplasty.Based upon whether or not distal 3 cm rectal pouch was resected,they were divided into two groups of resection (n<... [MORE...]
[PDF:1093KB](81)
[361£­366] Experience of treating femoral neck fractures in children through a direct anterior approach
[Nan Guoxin1,3, Xu Weisen1,3, Cai Wenquan2, Zheng Jian2, Zhou Yingcong1,3, Li Juan1,3, Li Yunlong1,3, Mo Qineng1,3, Tian Zhen1,3, Chen Jialiang1,3, Chen Jiahui1,3]
DOI:10.3760/cma.j.cn101785-202403060-011
[Absract] Objective Objective To explore a simple and mini-invasive surgical approach for femoral neck fracture in children. Methods From February 2017 to January 2023,retrospective review was performed for the relevant clinical data of 13 children with femoral neck fractures undergoing incisional reduction,compression screw or Kirschner pin fixation at Chongqing Children¡¯s Hospital and Dongguan Children¡¯s Hospital.There were a total of 14 sides.One epileptic child had bilatera... [MORE...]
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[367£­371] Efficacy of superficial temporal artery dressing for Moyamoya disease in children
[Wang Weiwei1, Xie Shigang1, Liu Bo1, Han Xiao1, Yue Xizan1, Gu Long1, Zhang Dong2, Wang Guangyu1]
DOI:10.3760/cma.j.cn101785-202403060-012
[Absract] Objective Objective To explore the clinical efficacy of superficial temporal artery dressing for Moyamoya disease(MMD) in children. Methods From January 2020 to August 2022,the clinical data were retrospectively reviewed for 18 hospitalized MMD children at Affiliated Children¡¯s Hospital of Shandong University.Clinical efficacies were evaluated by success rate,postoperative complication rate,improvements of clinical symptoms and changes of imaging features. Result... [MORE...]
[PDF:1297KB](76)
[372£­376] Preliminary analysis of nephron sparing surgery for unilateral Wilms tumor after neoadjuvant chemotherapy
[Yao Wei1, Song Zhiyin1, Yang Jiajian1, Li Kai1, Shen Jian2, Dong Kuiran1]
DOI:10.3760/cma.j.cn101785-202403060-013
[Absract] Objective Objective To explore the preliminary therapeutic efficacy of nephron sparing surgery (NSS) for unilateral Wilms tumor after neoadjuvant chemotherapy. Methods From January 2014 to December 2020,retrospective analysis was conducted for the relevant clinical data of 7 children hospitalized with unilateral Wilms tumor (uWT) receiving neoadjuvant chemotherapy and undergoing NSS.Clinical parameters of tumor recurrence,renal function,and survival rate were recorded... [MORE...]
[PDF:897KB](93)
[377£­381] Outcomes of modified fully buried vertical mattress suture versus intradermic continuous suture during pediatric surgery
[Xia Yunfei1, Shi Jia2]
DOI:10.3760/cma.j.cn101785-202403060-014
[Absract] Objective Objective In clinical practices,intradermic continuous suture (ICS) is one of the most frequently applied.However,it is prone to scar hyperplasia due to insufficient tension reduction.Widely used in plastic surgery,modified fully buried vertical mattress suture (MFBVMS) has a good tension reducing effect.The goal of this study was to compare the effect of MFBVMS versus ICS on wound healing and scar prevention in pediatric surgery. Methods From January 2022 t... [MORE...]
[PDF:968KB](116)
[382£­386] Application of local flap for tissue defect after facial nevus excision in children
[Zhou Yichong, Zhao Xiong, Dai Yefeng, Yue Xiaojie, Liu Yuxin]
DOI:10.3760/cma.j.cn101785-202403060-015
[Absract] Objective Objective To observe the efficacies of local flap for tissue defect after facial nevus excision in children. Methods From January 2018 to January 2022,retrospective analysis was performed for 246 children with facial nevus.Clinical features,lesion location/size,essential points of flap design and postoperative appearance improvements were recorded. Results All cases achieved primary healing and skin flap survived well.During a follow-up period of (9-3... [MORE...]
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[387£­392] Comparative study of spectral CT virtual plain scan versus actual plain scan in diagnosing pediatric skeletal muscle tumors/tumor-like lesions
[Li Junwei, Zhuang Xiamei, Yin Yan, Wang Hai, Wei Weian, Jin Ke]
DOI:10.3760/cma.j.cn101785-202403060-016
[Absract] Objective Objective To compare the imaging characteristics and qualities of spectral computed tomography (CT) virtual non-contrast (VNC) versus true non-contrast (TNC) scans for pediatric skeletal muscle tumors/tumor-like lesions and explore the accuracy and feasibility of using spectral CT VNC for diagnosing these conditions. Methods A retrospective analysis was conducted for the radiological data of 43 children with skeletal muscle tumors/tumor-like lesions receivin... [MORE...]
[PDF:1142KB](70)
[393£­394] Retroperitoneal abscess complicated by extraperitoneal colonic perforation in children:one case report
[Li Chunfang1, Yuan Jiayu1, Li Yazhou1, Liang Yulong2, Liu Yuchang1, Zheng Xiaozuo3]
DOI:10.3760/cma.j.cn101785-202403060-017
[PDF:572KB](96)
[395£­400] Research advances on operative timing and preoperative bowel management of classic Hirschsprung disease
[Lu Hang, Tang Jie, Tang Weibing]
DOI:10.3760/cma.j.cn101785-202403060-018
[Absract] Objective As one of the most common defecation disorders in children,Hirschsprung disease (HSCR) is characterized by an absence of intestinal ganglion cells.Its major treatment is surgical removal of involved intestine.With rapid advancement of medical technology and evolving concepts of diagnosis and therapy in recent years,about 80-90% of patients may be diagnosed during neonatal period.However,timing of pull-through surgery after a definite diagnosis has remained controversial and i... [MORE...]
[PDF:846KB](92)