Search

Copyright of Journal of Clinical Pediatric Surgery is the property of Journal of Clinical Pediatric Surgery Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To explore the application of laparoscopic-assisted sclerotherapy for giant retroperitoneal lymphatic malformation (rLM). Methods From July 2020 to July 2021, retrospective review was conducted for clinical data of 3 children with giant retroperitoneal lymphatic malformation receiving laparoscopic-assisted doxycycline injection. And the relevant literature was retrived for discuss the approaches of injection therapy, efficacy and cautions. Results There were 1 boy and 2 girls with an age range of (26-68) month. Two cases presented with abdominal pain and inguinal masses. A total of 5 injections were performed and 2 cases treated twice. In case No.1, the maximal diameter of lesion decreased from 14.7 to 4.0 cm after treatment with a volume reduction of 95. 2%; In case No.2, the maximal diameter of lesion dropped from 11.8 to 5.5 cm after treatment with a volume reduction of 95%; In case No. 3, the maximal diameter of lesion declined from 9. 0 to 2.5 cm after treatment with a volume reduction of 98.9%. All of them reached the standard of cure and the symptoms disappeared. Only one case of postoperative vomiting resolved spontaneously. No recurrence or other complications were observed during a follow-up period of (6-12) months. Conclusions Sclerotherapy injection for gaint retroperitoneal lymphatic malformation has a marked efficacy and a high safety. And laparoscopic assistance may offer minimal invasion, improve accuracy of injection and reduce complications. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Pediatric Surgery is the property of Journal of Clinical Pediatric Surgery Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Shandong Medical Journal is the property of Shandong Medical Health Newspapers and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Pediatric Surgery is the property of Journal of Clinical Pediatric Surgery Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To explore the efficacy and safety of doxycycline injection for macrocystic and mixed-cystic lymphatic malformations in children. Methods From September 2018 to December 2020, retrospective review of clinical data was performed for 13 children hospitalized with marcocystic and mixed-cystic lymphatic malformations receiving doxycycline injection. There were 6 boys and 7 girls with an average age of (3.9±3.6)(0.25-13) years. Preoperative ultrasound and magnetic resonance imaging (MRI) confirmed the diagnosis and classification. After general anesthesia, cyst was punctured, fluid drained and drug injected under ultrasound/laparoscopic guidance. Fluoroscopy was performed after injection to further evaluate the range of cysts and confirm that there was no drug overflow. During an initial follow-up period of 4-6 weeks after injection, physical and imaging examinations were performed. Based upon a comparison of preoperative and postoperative imaging data, the clinical responses were characterized as cure (volume reduction> 90% or surface invisible), effective (volume reduction> 50%), partially effective (volume reduction <50%) and no response. If the efficacy failed to reach the effective standard (no response or no change in appearance), protocol was repeated. Surgery was performed if re-injection remained ineffective. Results The lesions were located in head and neck (n=7), armpit (n=1), upper arm (n=1), chest wall (n=1), retroperitoneum (n=2) and popliteal fossa (n=1).One child had an operative history of head and neck. There was an average of 19(1.46±0.77) injections. The average follow-up period was (9±6.17)(4-27) months. The overall effective and cure rate was 100% and 69.2% respectively. Swelling, pain and vomiting after injection were relieved spontaneously or symptomatically. One case of hemorrhage in cyst improved after hospitalization for hemostasis. None of them had tetracycline tooth or nerve damage. Conclusion Doxycycline injection is effective for macrocystic and mixed-cystic lymphatic malformations with few adverse reactions. [ABSTRACT FROM AUTHOR]

Congenital intestinal atresia is a digestive tract malformation caused by multiple factors, and one of the common causes of neonatal intestinal obstruction, for which surgery is considered to be the only effective way. The surgical repair is designed to restore the intestinal canal continuity and ensure the patency after intestinal anastomosis. This article classified congenital intestinal atresia according to the clinical manifestations, diagnosis and location of atresia, and reviewed different surgical treatment. [ABSTRACT FROM AUTHOR]

以协同论为指导, 提出以多中心临床研究为抓手, 宏观层面将政府、社会组织、医疗机构有机联合, 微观 层面将项目牵头单位、参与单位绘密结合, 依托项目开展合作网络建设、数据平台搭建、医学人才培育和新技术 的研究及推广, 建立长三角儿童医疗协同创新体系, 进一步提升区域医疗协同创新水平. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Shanghai Jiaotong University (Medical Science) is the property of Journal of Shanghai Jiaotong University (Medical Science) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)