Home>>2023 09 issue list
[801£­806] Enhanced recovery after surgery for intestinal atresia
[Jiang Weiwei, Tang Weibing]
DOI:10.3760/cma.j.cn101785-202306012-001
[Absract] Objective Congenital intestinal atresia is a common digestive tract malformation.With continuous refining of perioperative management and surgical techniques,the curative rate has significantly improved.However,postoperative intestinal function recovery is often delayed or even obstructed.More optimized treatment is required for accelerating intestinal function recovery and enhancing the quality-of-life of children.In recent years,multiple domestic and foreign studies have been conduct... [MORE...]
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[807£­812] Surgical treatment strategies of refractory intestinal atresia
[Lai Dengming, Tou Jinfa]
DOI:10.3760/cma.j.cn101785-202307011-002
[Absract] Objective Congenital intestinal atresia (CIA) is a common gastrointestinal malformation in neonates and surgery remains a sole option.With continuous improvements of diagnosis,anesthesia,monitoring and nutritional management,the survival of CIA patients keeps rising.However,managing refractory CIA is still a major challenge.No standardized treatment protocol is available for severe intestinal atresia.A variety of surgical modalities based upon Bishop-Koop or Santulli procedure may be s... [MORE...]
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[813£­817] Effect of early enteral nutrition on enhanced recovery after surgery for severe jejunoileal atresia
[Li Jiahua1, Peng Yanfen1, Lyu Junjian1, Zhong Wei2, He Qiuming2, Feng Yan3, Gu Yuanyuan3]
DOI:10.3760/cma.j.cn101785-202305043-003
[Absract] Objective Objective To evaluate the effect of early enteral nutrition (EN) on enhanced recovery after surgery (ERAS) for severe jejunoileal atresia (JIA).Methods From January 2018 to December 2022,clinical data were retrospectively reviewed for 92 neonates of severe JIA.They were assigned into two groups of early feeding (n=39) and conventional feeding (n=53) based upon the time of initial postoperative feeding.General profiles,time to achieve full feedi... [MORE...]
[PDF:807KB](129)
[818£­821] Risk factors of poor short-term prognosis in neonatal intestinal atresia children
[Wu Xiaoxia, Liu Wenyue, Zhang Hui, Sun Xue, Jin Yuanyuan, Ren Hongxia]
DOI:10.3760/cma.j.cn101785-202306009-004
[Absract] Objective Objective To explore the risk factors of poor short-term prognosis after surgery in neonatal intestinal atresia(NIA)children.Methods From January 2009 to May 2020,the relevant clinical and follow-up data were retrospectively reviewed for 298 NIA children.They were assigned into two groups of survival(n=267)and death(n=31)according to whether or not surviving within 180 days post-operation.The factors associated with the prognosis of NIA were co... [MORE...]
[PDF:793KB](139)
[822£­826] Association of congenital intestinal atresia and Hirschsprung¡¯s disease: five new cases and its diagnosis and treatment
[Fang Shu1, Huang Zhaowei1, Zhao Xiaoxia1, Wang Peng1, Hu Shuqi1, Chen Rui1, Lyu Chengjie1, Qin Qi1, Huang Shoujiang1, Lai Dengming1,2, Tou Jinfa1]
DOI:10.3760/cma.j.cn101785-202305044-005
[Absract] Objective Objective To summarize the clinical characteristics of congenital intestinal atresia (CIA) complicating Hirschsprung¡¯s disease (HD) and review its diagnostic and surgical experiences.Methods From May 2016 to August 2021,5 children were diagnosed as CIA combined with HD at Children¡¯s Hospital of Zhejiang University School of Medicine.Retrospective review was conducted for the relevant clinical data.Laparotomy was performed for intestinal obstruction.There wer... [MORE...]
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[827£­831] Mesenteric fixation and preserved bowel for high jejunal atresia with type ¢ób intestinal atresia
[Cao Jianying1, Liu Gang1, Han Jinbao1, Yu Mengnan1, Li Guang1, Duan Lian1, Huang Liuming1,2]
DOI:10.3760/cma.j.cn101785-202303062-006
[Absract] Objective Objective To explore the feasibility of mesenteriopexy with end-to-side anastomosis for high jejunal atresia with type ¢ób intestinal atresia with long-segment or whole intestinal apple-peel appearance.Methods From October 2017 to January 2022,retrospective analysis was performed for 7 children of high jejunal atresia with type ¢ób intestinal atresia with long-segment or whole intestinal apple-peel appearance.The follow-up outcomes were summarized.Results[MORE...]
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[832£­838] A randomized controlled study on the effectiveness and safety of early feeding after intestinal anastomosis in infants
[Wang Zhiyong, Ren Feng, Mao Jianxiong, Xiao Dong, Ma Xiaopeng]
DOI:10.3760/cma.j.cn101785-202201027-007
[Absract] Objective Objective To explore the effectiveness and safety of early feeding after intestinal resection and anastomosis in infants.Methods For this prospective randomized controlled study,clinical data were retrospectively reviewed for 86 infants undergoing stoma closure surgery from September 2018 to April 2021.They were assigned into infants with stoma due to congenital anal atresia (CAA) and infants with stoma due to neonatal necrotizing enterocolitis (NEC).And the... [MORE...]
[PDF:831KB](122)
[839£­843] Research advances on oral feeding interventions for children with short bowel syndrome
[Hu Yan1, Ling Yun2, Lin Nan2, Lai Dengming1, Tou jinfa1]
DOI:10.3760/cma.j.cn101785-202304011-008
[Absract] Objective Children with short bowel syndrome (SBS) are unable to meet the demands of growth and development due to a severe reduction in digestive and absorptive area of small bowel.Parenteral and enteral nutritional supports are required for promoting intestinal adaptation to achieve total enteral nutrition.However,oral aversion and feeding difficulties are prominent during a transition to feeding,seriously affecting quality-of-life.Currently there is a lack of clinical guidance on or... [MORE...]
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[844£­848] A comparative study of different surgical approaches for anorectal malformations
[Xia Renpeng, Zou Chanjuan, Xu Guang, Zhao Fan, Ma Tidong, Xiao Yong, Peng Kun, Li Bixiang, Zhou Chonggao]
DOI:10.3760/cma.j.cn101785-202211029-009
[Absract] Objective Objective To compare the therapeutic efficacies of laparoscopic assisted anorectoplasty (LAARP),posterior sagittal anorectoplasty (PSARP) and abdominal perineal anorectoplasty (APARP) for middle/high anorectal malformations.Methods From January 2007 to December 2019,clinical data were retrospectively reviewed for 178 ARM children undergoing different approaches of anal plasty.According to different surgical approaches,they were assigned into three groups of ... [MORE...]
[PDF:870KB](132)
[849£­854] Risk factors of complications after urethroplasty in children with gender dysplasia and proximal hypospadias
[Wang Denghui, Cui Mengjie, Han Xiaojiang, Chu Xiangyang, Zhao Xiang, Liu Pengpeng, Fan Yingzhong]
DOI:10.3760/cma.j.cn101785-202211056-010
[Absract] Objective Objective To explore the risk factors of complications after urethroplasty in children with DSD (disorders of sex development) plus proximal hypospadias.Methods From January 2012 to January 2020,clinical data were retrospectively reviewed for 40 DSD children with concurrent proximal hypospadias admitted with a follow-up period of no less than 2 years.Age of an initial admission,type of DSD,preoperative comorbidities,surgical approaches of urethroplasty,lengt... [MORE...]
[PDF:816KB](120)
[855£­860] Effect of autologous blood transfusion on coagulation functions and prognoses of children after a removal of cerebral hematoma
[Wang Chao1, Zhang Jianmin1, Wang Fang1, Hu Jing1, Kanbaiernisha2]
DOI:10.3760/cma.j.cn101785-202210051-011
[Absract] Objective Objective To explore the effect of autologous blood transfusion on coagulation functions and prognoses in children after a removal of cerebral hematoma.Methods For this retrospective study,132 children undergoing cerebral hematoma removal from February 2016 to April 2022 were selected as study subjects.They were assigned into three groups of A(n=16,autologous blood intra-operation),B(n=88,allogenic blood intra-operation)and C(n=28,both a... [MORE...]
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[861£­865] Risk factors for recurrence of transient synovitis of the hip in children
[Wang Huaikeng1, Huang Shaomin2, Wu Haiyi1, Pei Xinhong3]
DOI:10.3760/cma.j.cn101785-202112006-012
[Absract] Objective Objective To explore the risk factors for recurrence of transient synovitis (TS) of the hip in children.Methods From January 2017 to January 2020,clinical data were retrospectively reviewed for 158 hospitalized children with transient synovitis of the hip.They were assigned into two groups of recurrent and non-recurrent according to whether TS recurred or not.The inter-group differences in age,gender,inilateral/bilateral,onset time,thickness of anterior cerv... [MORE...]
[PDF:941KB](114)
[866£­870] A comparative study of anterograde elastic intramedullary needling versus Kirschmann wiring for radial trunk and metaphyseal junction fractures in children
[Shi Jianing, Zhang Lin, Zhou Xianjun, Duan Yuhe, Ying Qinglong, Xiong Maoqing, Li Fujiang]
DOI:10.3760/cma.j.cn101785-202207058-013
[Absract] Objective Objective To compare the clinical efficacy and application value of a novel operative approach of anterograde elastic intramedullary needling versus traditional Kirschmann wiring for junction fractures of radius trunk and metaphyseal in children.Methods Retrospective analysis was performed for 50 children with fractures at junction of distal radial diaphysis and metaphysis from January 2019 to January 2022.They were assigned into two groups of anterograde el... [MORE...]
[PDF:995KB](104)
[871£­875] Correlation between preoperative inflammation indexes with diagnosis and treatment strategy of acute appendicitis in pediatric patients
[Pan Xiaotan1, Ling Chunrun2, Deng Hongqiang3, Chen Jiabao1]
DOI:10.3760/cma.j.cn101785-202210008-014
[Absract] Objective Objective To explore the correlation between preoperative inflammation parameters and severity of acute appendicitis (AA) in children.Methods From January 2017 to April 2021,149 hospitalized AA children undergoing laparoscopic appendectomy were recruited as research subjects.According to the postoperative pathological results,they were assigned into two groups of uncomplicated appendicitis (n=28) and complicated appendicitis (n=121).The latter ... [MORE...]
[PDF:925KB](131)
[876£­880] Robotic-assisted surgery in neonates with congenital intestinal malrotation
[Wang Peng, Huang Soujiang, Lyu Chenjie, Lai Dengming, Zhao Xiaoxia, Hu Shuqi, Ma Dong, Chen Rui, Fang Shu, Hang Yijiang, Tou Jinfa]
DOI:10.3760/cma.j.cn101785-202203003-015
[Absract] Objective Objective To summarize the outcomes of robotic-assisted surgical system for congenital intestinal malrotation (CIM).Methods From August 2020 to June 2021,15 CIM neonates underwent robotic-assisted surgery.The relevant clinical data¡¢Surgery-related data,postoperative recovery were collected retrospectively.By analyzing the preoperative,intraoperative and prognosis of the children,The robotic-assisted surgical system for congenital intestinal malrotation was s... [MORE...]
[PDF:1344KB](129)
[881£­884] Staged surgery for supratentorial arteriovenous malformation rupture in children during acute phase
[Xiang Yongjun, Wang Hangzhou, Yang Tianquan, Wang Yongqiang, Han Yong, Yuan Bin, Chen Min]
DOI:10.3760/cma.j.cn101785-202207045-016
[Absract] Objective Objective To explore the staged surgery for children with supratentorial arteriovenous malformation rupture and hemorrhage and evaluate the prognosis of staged treatment of arteriovenous malformation(AVM)in children.Methods From January 2015 to December 2018,retrospective analysis was conducted for clinical data of 37 children with supratentorial cerebral arteriovenous malformation hemorrhage undergoing staged surgery.Clinical manifestations,surgical approac... [MORE...]
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[885£­891] Surgery for renal clear cell sarcoma and inferior vena cava thrombus in children: one case report with a literature review
[Ning Feng1, Long Xingyu2, Wang Zhi1, Yin Bo1, Wang Kan2, He Jun1]
DOI:10.3760/cma.j.cn101785-202212038-017
[Absract] Objective Objective To report the experience of managing renal clear cell sarcoma with inferior vena cava thrombus and recurrence of tumor thrombus in children.Methods In May 2020,a 15-month-old boy was operated for renal clear cell sarcoma and tumor thrombus in inferior vena cava.The databases of PubMed,Web of Science,Wanfang and CNKI were searched with such keywords as "clear cell sarcoma" and "thrombus" and "pediatric".Searching time was not limited.Duplicate liter... [MORE...]
[PDF:1390KB](118)
[892£­895] Fertility preservation in pediatric and adolescent cancer patients: clinical and ethical considerations
[Xu Chencheng, Jiang Dapeng]
DOI:10.3760/cma.j.cn101785-202208013-018
[Absract] Objective Most cancers occurring in children and adolescents may be cured by surgery,chemotherapy or radiotherapy.Fertility is probably impaired due to a removal of reproductive organs or toxic/side effects of anti-cancer radiochemotherapy.In recent years,emerging assisted reproductive technologies offer new possibilities for managing impaired fertility.This review summarized the related medical issues and ethical considerations for fertility preservation in pediatric and adolescent ca... [MORE...]
[PDF:860KB](116)
[896£­900] Surgical advances for airway malacia in chidren
[Zhang Xing, Peng Wei]
DOI:10.3760/cma.j.cn101785-202302011-019
[Absract] Objective Airway malacia is a common airway disease in children during flexible bronchoscopy.The major clinical manifestations include typical barking cough,wheezing,apnea and even acute life-threatening events.Severe cases tend to require surgical interventions,including intraluminal stenting,external splinting,aortopexy and tracheopexy.However,there is still no clinical consensus for guiding therapy.This review summarized the current status and recent surgical advances for airway mal... [MORE...]
[PDF:809KB](144)