Home>>2019 07 issue list
[529£­532] Paying great attention to preoperative planning and intraoperative handling during laparoscopic maneuvers for treating mixed choledochal cysts
[Li Suolin]
DOI:10.3969/j.issn.1671-6353.2019.07.001
[Absract] Objective Congenital biliary cyst is a structural abnormality of common bile duct or combined with intrahepatic bile duct dilatation.The most common manifestation is cystic or fusiform dilatation of common bile duct.A complex bile duct cyst involves intrahepatic biliary cystic dilatation or parahepatic duct malformation.With the advancement of mini-invasive techniques,laparoscopic choledochal cyst resection and biliary reconstruction are widely performed domestically for hepatic hilar ... [MORE...]
[PDF:682KB](554)
[533£­535] Diagnosis and management of congenital choledochal cyst plus accessory hepatic duct
[Wen Zhe, Liang Qifeng]
DOI:10.3969/j.issn.1671-6353.2019.07.002
[Absract] Objective The parahepatic duct is a rare biliary tract mutation in clinical practice. Although the incidence of cholangiocarcinoma with parahepatic duct is not high, unreasonable treatment often leads to postoperative complications, so it needs special attention in clinical practice. With the advancement of laparoscopic techniques, laparoscopic can be used to complete the formation of the accessory hepatic duct, and its minimally invasive advantage is more obvious. The author aims to c... [MORE...]
[PDF:744KB](465)
[536£­541] Surgical essentials and techniques of transumbilical single incision laparoscopy for choledochal cysts
[Diao Mei, Li Long]
DOI:10.3969/j.issn.1671-6353.2019.07.003
[Absract] Objective In recent years, single-incision laparoscopy has been adopted in pediatric surgery to achieve the advanced goal of minimal invasive surgery, i.e. visual scarlessness. The technical challenges included:1) Difficult triangulation induced by in-line placement of telescope and instruments; 2) difficult dissection and anastomosis due to lack of assistant; 3) Umbilical wound hernia and infection. Via a series of technical improvements, e.g. instrument placements, retraction suture ... [MORE...]
[PDF:970KB](477)
[542£­544] Anastomotic stenosis after laparoscopic choledochal cyst surgery
[Tang Shaotao, Chang Xiaopan]
DOI:10.3969/j.issn.1671-6353.2019.07.004
[Absract] Objective Laparoscopic cystectomy for hepatic jejunal anastomosis has been used for the treatment of choledochal cysts for more than 20 years, and the method of operation tends to be mature. At present, with the increase of prenatal detection rate and the timing of surgery, anastomotic stenosis after laparoscopic surgery is the most important cause of reoperation. In order to achieve better surgical results, the author combined with clinical work experience, summarized the precautions ... [MORE...]
[PDF:671KB](461)
[545£­547] Handling techniques during laparoscopy of common bile duct cysts with common hepatic stenosis or protein plug of distal common bile duct
[Li Aiwu]
DOI:10.3969/j.issn.1671-6353.2019.07.005
[Absract] Objective With the development of endoscopic techniques,laparoscopic choledochal cyst resection Roux-en-Y biliary anastomosis has become a gold standard procedure for choledochal cyst.While widely performed in many domestic hospitals,this procedure often encounters such special conditions as common hepatic stenosis,parahepatic duct,right hepatic artery malformation and protein plug of distal bile duct,etc.Here personal experiences and techniques of intraoperative treatment of hepatic s... [MORE...]
[PDF:1021KB](428)
[548£­551] Identifying and treating rare types of choledochal cysts and improving the safety of laparoscopy
[Lu Wenjun, Li Zhaozhu, Xu Bo, Cui Qingbo, Yang Shulong, Li Zhou]
DOI:10.3969/j.issn.1671-6353.2019.07.006
[Absract] Objective With a high incidence in Asian countries,choledochal cyst is a common congenital biliary system disease in pediatric surgery.With the development of laparoscopic technology,pediatric surgeons have gained a deeper understanding of common bile duct cyst diseases and pathological anatomy.Type I in Todani classification is the most common one in clinic practice and its treatments are the most mature.Insufficient knowledge of rare types may cause complications.The characteristics ... [MORE...]
[PDF:1234KB](567)
[552£­558] Laparoscopic widened-porta embedding anastomosis for choledochal cysts with a narrow portal bile duct
[Chang Xiaopan, Tang Shaotao, Cao Guoqing, Li Shuai, Zhang Qian]
DOI:10.3969/j.issn.1671-6353.2019.07.007
[Absract] Objective Objective To explore the laparoscopic widened-porta embedding anastomosis for preventing stricture in choledochal cysts(CCs) with a narrow hilar duct.Methods An anastomosis was created around the transected end of common bile duct in 12 minipigs(group A) while another 12 minipigs(group B) underwent conventional cholangiojejunostomy.Anastomotic diameter measurements and cholangiography were conducted at different timepoints.The expression levels of TGF-¦Â1 and... [MORE...]
[PDF:1947KB](449)
[559£­562] Different laparoscopically assisted biliary reconstructions for congenital choledochal cyst
[Wang Xinning1,2, Li Suolin1, Liu Xuelai1, Liu Xiangyang2]
DOI:10.3969/j.issn.1671-6353.2019.07.008
[Absract] Objective Objective To evaluate the effectiveness of different laparoscopic biliary tract reconstructions after congenital choledochal cyst(CCC) excision involving Roux-en-Y hepaticojejunostomy(RY group),modified Warren loop hepaticojejunostomy(MW group) and hepaticoduodenostomy(HD group).Methods A total of 112 CCC children undertook laparoscopic resection of extrahepatic bile ducts plus RY(n=49),MW(n=31) and HD(n=32) anastomosis respectively.Thei... [MORE...]
[PDF:1241KB](505)
[563£­567] Total laparoscopic congenital choledochal cyst excision in children: a clinical analysis of 10 cases
[Liu Fei, Xu Xiaogang, Zhu Deli, Li Le, Lan Menglong, Wu Qiang, Chai Chengwei, Zeng Jixiao]
DOI:10.3969/j.issn.1671-6353.2019.07.009
[Absract] Objective Objective To explore the feasibility of total laparoscopic congenital chole-dochal cyst excision in children.Methods From August 2017 to May 2018,retrospective anal-yses were performed for 10 cases of three-dimensional (3D) total laparoscopic cyst excision for con-genital choledochal cyst during Roux-en-Y hepatoenterostomy.There were 3 boys and 7 girls.The clinical types were ¢ñ(n=6) and ¢ô (n=4).Results Total laparoscopic cyst excision wa... [MORE...]
[PDF:1113KB](465)
[568£­572] Causes and treatments of mid-to-long-term complications after laparoscopic choledochal cyst in children
[Yao Zhiguang1, Wen Zhe2, Ma Da1, Wu Ruifa1, Liang Jiankun2, Liu Tao2, Liang Qifeng2]
DOI:10.3969/j.issn.1671-6353.2019.07.010
[Absract] Objective Objective To analyze the causes of mid-to-long-term postoperative complications after laparoscopic choledochal cyst surgery in children and discuss the methods of their surgical interventions.Methods Retrospective analysis were performed for the clinical data of children with med-to-long-term complications after laparoscopic choledochal cyst surgery from December 2010 to August 2017 at Guangzhou Women & Children¡¯s Medical Center.Results Six childr... [MORE...]
[PDF:1127KB](476)
[573£­578] Interventional treatment of children with congenital heart disease with a second-generation Cera patent ductus arteriosus occluder
[Chen Pengyuan1, Zhou Chaoran1, Li Gang2]
DOI:10.3969/j.issn.1671-6353.2019.07.011
[Absract] Objective Objective To explore the efficacy of second-generation Cera patent ductus arteriosus(PDA) occluder in the interventional treatment of congenital heart disease(CHD) in children and provide a theoretical basis for managing CHD in children.Methods Forty-six hospitalized CHD children from November 2016 to November 2017 were selected and randomly divided into ADO¢ñand ADO¢ògroups(n=23 each).Duration of intensive care unit(ICU) stay,imaging of echocardiograph... [MORE...]
[PDF:1357KB](414)
[579£­582] Effect of intraoperative autotransfusion on coagulation function during orthopedic spine surgery in preschool children
[Liu Lin, Zhang Jianmin, Zhao Xin, Ren Yi, Fu Wenya, Feng Lei]
DOI:10.3969/j.issn.1671-6353.2019.07.012
[Absract] Objective Objective To explore the effect of intraoperative autotransfusion on coagulation function in the scoliosis of preschoolers.Methods A total of 50 pediatrics patients undergoing scoliosis surgery were enrolled and divided into 3 groups according to the percentage of blooding volume and estimated blood volume(EBV):group A(<20%),group B(20-30%) and group C(>30%).Thromboela-stogram(TEG) was performed before operation,before and after autologous blood transf... [MORE...]
[PDF:692KB](364)
[583£­587] Clinical treatment of vaginal replacement with sigmoid colon in children
[Wang Yong, Liang Zijian, Chen Yunpei, Xu Xiaogang]
DOI:10.3969/j.issn.1671-6353.2019.07.013
[Absract] Objective Objective To explore the feasibility of vaginal reconstruction with sigmoid colon in children.Methods A total of five children underwent vaginoplasty during 2013-2017.The mean operative age was 21 months and the mean weight 13kg.The initial diagnosis was persistent cloaca (n=4) and congenital vaginal atresia (n=1).Surgery was performed via a simultaneous abdomino-perineal approach.Neovaginal cavity was dissected and sigmoid segment mobilized an... [MORE...]
[PDF:1263KB](526)
[588£­593] Efficacies of spine-rib versus spine-spine distraction for early-onset scoliosis
[Liu Hu, Sun Lin, Zhang Xuejun]
DOI:10.3969/j.issn.1671-6353.2019.07.014
[Absract] Objective Objective To compare the efficacies of spine-rib versus spine-spine distraction for children with early-onset scoliosis (EOS).Methods The clinical data for 28 EOS patients were reviewed.They were divided into two groups of spine-rib distraction (n=14) and spine-spine distraction (n=14).Anteroposterior and lateral radiographic films were taken to measure the values of coronal Cobb¡¯s angle and sagittal thoracic kyphosis angle at before and after ... [MORE...]
[PDF:936KB](353)
[594£­599] Midterm follow-up surgical outcomes of pediatric Pilon fracture
[Lu Ming, Yang Zheng, You Haifeng, Guo Yuan]
DOI:10.3969/j.issn.1671-6353.2019.07.015
[Absract] Objective Objective Pilon fractures are rare in children and skeleton-immature adolescents.The purpose of this study was to summarize the surgical efficacies of pediatric Pilon fractures and enhance the understanding of this special type of fractures so as to explore the formulation of appropriate treatment,reduce the incidence of complications and maximize the recovery of ankle function.Methods From January 2011 to January 2017,21 cases of pediatric Pilon fracture we... [MORE...]
[PDF:1868KB](424)
[600£­605] Application of fast-tract surgery in laparoscopic treatment of children with complicated appendicitis
[Ming Gedong1, Zhu Hongxi1, Chen Chen1, Dai Wenwen1, Meng Dechen1, Li Bing2]
DOI:10.3969/j.issn.1671-6353.2019.07.016
[Absract] Objective Objective To explore the effectiveness and safety of ERAS in laparoscopic treatment of children with complicated appendicitis.Methods Respective analysis was performed for 58 hospitalized children with complicated appendicitis from March 2017 to April 2018.Based upon the condition of children and parental wishes,they were randomly divided into ERAS and controlled groups (n=29 each).Laparoscopy was performed in both groups.The group of ERAS adopted ERA... [MORE...]
[PDF:716KB](847)
[606£­610] Infantile colon stenosis and its immediate follow-up outcomes: an analysis of 7 cases
[Wen Jiabing, Li Yong, Li Ming, Xiao Yaling]
DOI:10.3969/j.issn.1671-6353.2019.07.017
[Absract] Objective Objective To explore the clinical features,diagnosis and treatment of colonic stenosis in infants and young toddlers and conduct a preliminary analysis of the outcomes of immediate follow-ups.Methods A retrospective analysis was conducted for all operated children with colonic stenosis aged above 3 months from January 2012 to December 2017.A total of 7 cases of infantile colon stenosis were included.There were 5 boys and 2 girls with a median monthly age of ... [MORE...]
[PDF:1133KB](477)
[611£­614,618] Research advances in molecular biological mechanisms of testicular ischemia-reperfusion injury
[Xia Hongliang, Wang Jian]
DOI:10.3969/j.issn.1671-6353.2019.07.018
[Absract] Objective Testicular torsion is a common urogenital emergency in male neonates and adolescents.If not treated timely,it can lead to ischemic necrosis of testicular tissue.Also ischemia-reperfusion injury after testicular torsion reduction is an important cause of testicular spermatogenic and hormone-secreting dysfunctions.However,during the pathophysiological process of testicular ischemia-reperfusion injury,the specific mechanisms of cells and molecules involved in its occurrence and ... [MORE...]
[PDF:709KB](535)
[615£­618] A case report of a fingertip glomus tumor in children and literature review
[Gao Shi1, Zhao Guoqiang1, Yue Xiaojie2]
DOI:10.3969/j.issn.1671-6353.2019.07.019
[Absract] Objective Hemangioma is a relatively rare perivascular tumor occurring in many parts of body.A frequent site is located at the fingertips of vascular cells.It is predominantly under nails and rarely malignant.In the relevant literature,it is mostly reported in adults and rarely in children.Thus it is more likely to miss the diagnosis and delay treatment,causing the corresponding pains and worsening the prognosis.For gaining a deeper understanding of this disease,a specific case of a 51... [MORE...]
[PDF:1282KB](529)
[619£­620]
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DOI:10.3969/j.issn.1671-6353.2019.07.020
[PDF:1342KB](442)