Journal of Korean Association of Pediatric Surgeons最新文献_第5页

Cystic Enteric Duplication: Prenatally and Postnatally Diagnostic Group 囊性肠重复:产前和产后诊断组

Journal of Korean Association of Pediatric Surgeons Pub Date : 2015-12-01 DOI: 10.13029/JKAPS.2015.21.2.24

T. Lee, Y. Cho, Soo-Hong Kim, Hae-Young Kim

{"title":"Cystic Enteric Duplication: Prenatally and Postnatally Diagnostic Group","authors":"T. Lee, Y. Cho, Soo-Hong Kim, Hae-Young Kim","doi":"10.13029/JKAPS.2015.21.2.24","DOIUrl":"https://doi.org/10.13029/JKAPS.2015.21.2.24","url":null,"abstract":"Purpose: The duplication of gastrointestinal tract has been known to be a rare condition and two different forms, cystic and tubular type. This study was conducted to examine its clinical characteristics, especially cystic enteric duplication which was detected antenatally or postnatally. Methods: There were 13 patients, who confirmed as cystic enteric duplication after operation between July 1996 and June 2015. Clinical data, including a gender, age at operation, presenting symptoms, diagnostic modalities, locations of lesion, and results of surgical treatment, were reviewed retrospectively according to cases detected antenatally and postnatally. Results: Five cases were included in antenatal diagnosis group and 8 cases in postnatal diagnosis group. Both groups show slightly common in female and the lesion most common in ileum. Antenatal diagnosis group shows 2 males and 3 females and the mean age at operation was 12±52 days (range, 5 to 90 days). They received operation regardless of symptom. Postnatal group shows 3 males and 5 females and the mean age at operation was 462.5±777.0 days (range, 4 days to 6 years). Moreover, 6 patients (75.0%) were age before 2 years. They usually presented abdominal pain with vomiting. Conclusion: Cystic enteric duplication could present symptoms at any time during childhood, mainly before 2 years old, and so a proper management should be considered when suspect it. Although it is uncommon, surgical management including a minimal invasive procedure could be attempted despite the neonatal period.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126052039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Axillary Nodular Hidradenoma in a 29-Month-Old Girl 一名 29 个月大女孩的腋窝结节状赘生物

Journal of Korean Association of Pediatric Surgeons Pub Date : 2015-06-01 DOI: 10.13029/JKAPS.2015.21.1.11

Jee-min Kim, Soo-Hong Kim, Hye-yeon Jeong, Hyun Young Kim, Sung-Eun Jung

引用次数: 4

Periappendiceal Actinomycosis Presenting as Acute Appendicitis 阑尾周围放线菌病表现为急性阑尾炎

Journal of Korean Association of Pediatric Surgeons Pub Date : 2015-06-01 DOI: 10.13029/JKAPS.2015.21.1.7

J. Kwak, Eugene J. Won, Eun-Hwa Choi, Sung-Eun Jung, Hyun Young Kim

引用次数: 2

Associated Factors with Parenteral Nutrition Associated Cholestasis in Neonates 新生儿肠外营养相关性胆汁淤积的相关因素

Journal of Korean Association of Pediatric Surgeons Pub Date : 2015-06-01 DOI: 10.13029/JKAPS.2015.21.1.1

Kyoung Eun Kim, Hyon Hui Lee, M. Chung, Woon-won Kim, S. Nam

{"title":"Associated Factors with Parenteral Nutrition Associated Cholestasis in Neonates","authors":"Kyoung Eun Kim, Hyon Hui Lee, M. Chung, Woon-won Kim, S. Nam","doi":"10.13029/JKAPS.2015.21.1.1","DOIUrl":"https://doi.org/10.13029/JKAPS.2015.21.1.1","url":null,"abstract":"Purpose: Long time total parenteral nutrition (TPN) can induce irreversible liver damage. In this study, we investigated the associated factors of parenteral nutrition associated cholestasis (PNAC) in neonates. Methods: We retrospectively reviewed 227 neonates (male:female=110:117) those who had received TPN over 2 weeks from March 2010 to February 2014. PNAC was defined as direct bilirubin was higher than 2.0 mg/dL without any cause except TPN. Results: Overall incidence was 28.6%. PNAC was frequently developed in younger gestational age with lower birth weight. Episodes of sepsis, underlying bronchopulmonary dysplasia, history of necrotizing enterocolitis, and experience of gastrointestinal surgery increase the incidence of PNAC. PNAC was directly associated the duration of TPN and long period to full enteral feeding, reaching 60 and 150 mL/kg/day. Overall mortality rate was 9.7%. It was higher in PNAC group despite PNAC was not the primary cause of death. All survivors were recovered from cholestasis with encourage of enteral nutrition. Conclusion: PNAC in neonate was associated with younger gestational ages and lower birth weights, duration of TPN, or who experienced sepsis, necrotizing enterocolitis, gastrointestinal surgery or bronchopulmonary dysplasia.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123962130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Omphalocele with Double Prolapse of Ileum through Patent Vitellointestinal Duct: A Rare Presentation 脐膨出经卵黄肠管未闭伴回肠双脱垂:一罕见的表现

Journal of Korean Association of Pediatric Surgeons Pub Date : 2015-06-01 DOI: 10.13029/JKAPS.2015.21.1.14

Y. Lone, M. Bawa, J. Sundaram, Kln Rao

引用次数: 8

Surgical Outcomes of Single-port Laparoscopic Appendectomy versus Conventional Laparoscopic Appendectomy in Children: Preliminary Report of a Prospective Randomized Trial 儿童单孔腹腔镜阑尾切除术与传统腹腔镜阑尾切除术的手术效果:一项前瞻性随机试验的初步报告

Journal of Korean Association of Pediatric Surgeons Pub Date : 2014-12-01 DOI: 10.13029/JKAPS.2014.20.2.48

J. Cho, W. M. Kang, S. Ahn

{"title":"Surgical Outcomes of Single-port Laparoscopic Appendectomy versus Conventional Laparoscopic Appendectomy in Children: Preliminary Report of a Prospective Randomized Trial","authors":"J. Cho, W. M. Kang, S. Ahn","doi":"10.13029/JKAPS.2014.20.2.48","DOIUrl":"https://doi.org/10.13029/JKAPS.2014.20.2.48","url":null,"abstract":"Purpose: Currently the substantial clinical benefits of single-port laparoscopic appendectomy (SLA) over conventional three-port laparoscopic appendectomy (CLA) are equivocal. The aim of this study was to compare surgical outcomes between SLA and CLA in children with acute appendicitis. Methods: A single blind prospective randomized single center study was performed to compare the surgical outcomes of SLA and CLA. A total of 105 patients were randomized and various parameters were analyzed, 52 patients with SLA and 53 patients with CLA between July 2013 and March 2014. Patients with sonographically confirmed acute appendicitis were randomly assigned to receive either SLA or CLA. The outcome measurements were operating time, wound complication, and intraperitoneal morbidities, postoperative pain score and cosmetic result score. Results: Operating time is significantly longer in SLA (70.4±26.7 minutes vs. 58.0±23.4 minutes; p=0.016). There were no significant differences in the postoperative wound complication rate and intraperitoneal morbidities between two groups. There were no significant differences in postoperative resting pain score (6.6±2.5 vs. 6.3±2.5; p=0.317) and activity pain score (6.9±2.4 vs. 6.3±2.5; p=0.189), and the cosmetic result score (9.2±1.1 vs. 9.1±1.4; p=0.853). Conclusion: Although SLA would be a safe and feasible procedure in children, SLA could not demonstrate the clear benefit over CLA.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121823519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inguinal Lipoblastoma Mimicking Recurrent Inguinal Hernia 腹股沟脂肪母细胞瘤模拟复发性腹股沟疝

Journal of Korean Association of Pediatric Surgeons Pub Date : 2014-12-01 DOI: 10.13029/JKAPS.2014.20.2.58

S. Nam, Yun-Jung Lim, Y. Kim

引用次数: 1

How Reliable Are Diagnostic Methods of Hirschsprung Disease 巨结肠疾病的诊断方法有多可靠

Journal of Korean Association of Pediatric Surgeons Pub Date : 2014-12-01 DOI: 10.13029/JKAPS.2014.20.2.33

H. Kim, D. Kim, S. Kim, J. Namgoong, Jihee Hwang

{"title":"How Reliable Are Diagnostic Methods of Hirschsprung Disease","authors":"H. Kim, D. Kim, S. Kim, J. Namgoong, Jihee Hwang","doi":"10.13029/JKAPS.2014.20.2.33","DOIUrl":"https://doi.org/10.13029/JKAPS.2014.20.2.33","url":null,"abstract":"Purpose: The purpose of this study was to compare the diagnostic accuracy of the non-invasive diagnostic methods and rectal suction biopsy for the detection of Hirschsprung disease (HD). Methods: We reviewed diagnostic methods and results retrospectively in patients who underwent anorectal manometry, barium enema and rectal suction biopsy for the diagnosis of HD at Asan Medical Center from January 2000 to December 2012. Results: There were 97 patients (59 neonates and 38 infants) in the study period. The overall accuracy of anorectal manometry for the diagnosis of HD was 71.1% and its sensitivity was 51.4% (48.1% in neonate and 62.5% in infant, respectively) and its overall specificity was 82.3% (81.3% in neonate and 83.3% in infant, respectively). The Overall accuracy of barium enema was 66.0% (72.8% in neonate and 55.3% in infant, respectively) and specificity of barium enema was 53.2% (56.3% in neonate and 50.0% in infant, respectively). These results were lower than those of anorectal manometry. The overall sensitivity of barium enema was 88.6% (92.6% in neonate and 75.0% in infant, respectively) and it was higher than the sensitivity of anorectal manometry. Histological studies confirmed HD in 35 patients, in one of whom the suction biopsy showed negative finding. Conclusion: Accuracy of non-invasive methods for diagnosis of HD in our study is lower than those in previous study, so we need to improve the quality of diagnostic tools in our hospital. We conclude that the rectal suction biopsy is the most accurate test for diagnosing HD, so the biopsy to confirm the diagnosis of the HD is very important.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"204 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129058576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Comparison of Pyloromyotomy with Supraumbilical Incision and Laparoscopic Pyloromyotomy for Hypertrophic Pyloric Stenosis Performed by a Single Surgeon 单刀术者脐上切口幽门肌切开术与腹腔镜幽门肌切开术治疗肥厚性幽门狭窄的比较

Journal of Korean Association of Pediatric Surgeons Pub Date : 2014-12-01 DOI: 10.13029/JKAPS.2014.20.2.43

Jong Woo Lee, D. Kim, S. Kim, J. Namgoong, Jihee Hwang

{"title":"Comparison of Pyloromyotomy with Supraumbilical Incision and Laparoscopic Pyloromyotomy for Hypertrophic Pyloric Stenosis Performed by a Single Surgeon","authors":"Jong Woo Lee, D. Kim, S. Kim, J. Namgoong, Jihee Hwang","doi":"10.13029/JKAPS.2014.20.2.43","DOIUrl":"https://doi.org/10.13029/JKAPS.2014.20.2.43","url":null,"abstract":"Purpose: Hypertrophic pyloric stenosis (HPS) is known to be one of the most common cause of surgery for infants and pyloromyotomy was considered to the standard treatment. There has been an ongoing debate about whether laparoscopic pyloromyotomy (LP) or open pyloromyotomy (OP) is the best option for treating HPS. The aim of this study is to evaluate safety and effectiveness of LP by comparing the clinical results of both surgical strategies performed by single surgeon. Methods: Between January 2000 and December 2013, 60 patients who underwent pyloromyotomy at Asan Medical Center performed by a surgeon were followed: open-supraumbilical incision (n=36) and LP (n=24). The parameters included sex, age and body weight at operation. Clinical outcomes included operation time, time to full feeding, postoperative hospital stay, and postoperative complications. Results: There were no significant differences in characteristics, postoperative hospital stay between the two groups. Time to full feeding was shorter in LP (OP 24.5 hours vs. LP 19.8 hours; p=0.063). In contrast, the mean operation time was longer in LP (OP 37.5 minutes vs. LP 43.5 minutes; p=0.072). Complications such as perforation of mucosal layer (OP 1 vs. LP 0) and wound problems (OP 2 vs. LP 0) were found to be not worse in laparoscopic group as compared with open group. Conclusion: There has no difference both laparoscopic and open-supraumbilical incision in terms of postoperative hospital stay, time to full feeds and frequency of complications.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121651216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study 儿童腹腔镜疝囊横断和体内结扎的长期疗效:一项单中心队列研究

Journal of Korean Association of Pediatric Surgeons Pub Date : 2014-12-01 DOI: 10.13029/JKAPS.2014.20.2.23

Chang Hun Lee, Y. Boo, Eun Hee Lee

{"title":"Long-term Outcome of Laparoscopic Hernia Sac Transection and Intracorporeal Ligation in Children: A Single Center Cohort Study","authors":"Chang Hun Lee, Y. Boo, Eun Hee Lee","doi":"10.13029/JKAPS.2014.20.2.23","DOIUrl":"https://doi.org/10.13029/JKAPS.2014.20.2.23","url":null,"abstract":"Purpose: Laparoscopic hernia repair in children is still controversial. The aim of this study was to report our long-term results of the laparoscopic hernia technique, which is based on the same surgical principles as conventional open herniotomy. Methods: Five hundred fourteen pediatric patients with inguinal hernia were included in this study under informed consent. All patients underwent a laparoscopic technique of sac transection and intracorporeal ligation. The asymptomatic contralateral inguinal ring was routinely explored and repaired if a patient had patent processus vaginalis on the contralateral side. Patients were prospectively followed for 5 years. Those who were lost to follow-up were excluded from the study. Perioperative complications and recurrences were evaluated. Results: The mean follow-up period was 29 months. Mean operation time was 27.5 minutes. Forty one percent of the patients had contralateral patent processus vaginalis. Only one hernia recurred (0.19%). We had one case of contralateral metachronous hernia (0.21%) during follow-up period. Conclusion: The long-term follow-up results of our study revealed that laparoscopic hernia sac transection and ligation can be a safe and effective alternative for conventional herniorraphy.","PeriodicalId":164943,"journal":{"name":"Journal of Korean Association of Pediatric Surgeons","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131840822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1