Journal of pediatric surgery最新文献

{"title":"Trends in Mortality of Congenital Circulatory Malformations in the Pediatric Population: CDC Data Analysis (1999-2020).","authors":"Hafsa Shahid, Ali Tanvir, Fatima Sial, Rabia Shahid, Syed Shah","doi":"10.1016/j.jpedsurg.2025.162386","DOIUrl":"10.1016/j.jpedsurg.2025.162386","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"162386"},"PeriodicalIF":2.4,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing Inclusive Excellence in Pediatric Surgery: A National Longitudinal Mentorship Program","authors":"Grace Mallampalli ,&nbsp;Amelia E. Gavulic ,&nbsp;Insiyah Campwala ,&nbsp;Yousef Ibrahim ,&nbsp;Sydney Castellanos ,&nbsp;Anthony Stallion ,&nbsp;Sabina Siddiqui ,&nbsp;Marjorie J. Arca ,&nbsp;Marquise Singleterry ,&nbsp;Benedict C. Nwomeh ,&nbsp;Natalie Moreno ,&nbsp;Loren Berman ,&nbsp;KuoJen Tsao ,&nbsp;Cynthia Downard ,&nbsp;Erika A. Newman ,&nbsp;Samir K. Gadepalli","doi":"10.1016/j.jpedsurg.2025.162383","DOIUrl":"10.1016/j.jpedsurg.2025.162383","url":null,"abstract":"<div><h3>Purpose</h3><div>The Alliance of Pediatric Surgeons Growing and Advancing Representation (APGAR) was created to systematically expand mentorship and sponsorship for learners historically underrepresented in pediatric surgery. We implemented a structured, multi-tiered mentorship model that includes participants from high school through attending pediatric surgeons. We report the conceptual framework, development, and implementation of APGAR's pilot programming, participants' perspectives, and short-term impact.</div></div><div><h3>Methods</h3><div>Longitudinal mentorship groups (“pods”) were established with representatives across training levels from high school students to pediatric surgery attendings. Pods met independently at least every 3 months, supplemented by APGAR-wide virtual programming on key topics,. To evaluate program impact, a survey was administered before pod formation (Apr/May 2022) and at the one-year follow-up (Apr/May 2023). Descriptive statistics were used to characterize participant demographics. Two-sample t-tests and chi-squared tests were used to compare survey variables.</div></div><div><h3>Results</h3><div>Within 17 pods, 104 trainees and 26 faculty pediatric surgeons participated, representing 54 institutions. Ninety-five participants completed the pre-survey and 31 completed post-surveys (22 completed both). Survey participants (70 % students) were primarily women (80 %), 39 % White, 26 % Asian, 18 % Black, 10 % multiracial, and 6 % Hispanic. After one year, APGAR significantly impacted respondents’ appreciation of the intellectual challenge offered by a career in pediatric surgery (78 % vs. 94 %, p = 0.031). Most reported an interest in pursuing pediatric surgery (56 %) and value the mentorship provided (77 %).</div></div><div><h3>Conclusion</h3><div>APGAR programming successfully engaged learners in pediatric surgery through structured virtual programming, fostering early interest and exploration. Participants frequently cited the value of mentorship in shaping their perspectives.</div></div><div><h3>Level of Evidence</h3><div>IV.</div></div>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 8","pages":"Article 162383"},"PeriodicalIF":2.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Childhood Meets Cancer: Tracking Two Decades of Mortality in Pediatric Brain and Blood Malignancies.","authors":"Hafsa Shahid, Ali Tanvir, Nafeesa Gill, Fatima Sial, Rabia Shahid","doi":"10.1016/j.jpedsurg.2025.162382","DOIUrl":"10.1016/j.jpedsurg.2025.162382","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"162382"},"PeriodicalIF":2.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Urinary Biomarkers in the Postoperative Follow-Up of Ureteropelvic Junction Obstruction: A Preliminary Report","authors":"Geminiganesan Sangeetha ,&nbsp;S. Kumaravel ,&nbsp;C.D. Mohana Priya ,&nbsp;Ramesh Babu","doi":"10.1016/j.jpedsurg.2025.162371","DOIUrl":"10.1016/j.jpedsurg.2025.162371","url":null,"abstract":"<div><h3>Background</h3><div>While the role of urinary biomarkers in differentiating non-obstructive dilatation (NOD) from ureteropelvic junction obstruction (UPJO) has been documented, there are limited reports on their utility in post-operative follow-up. This study aimed to document the values of urinary biomarkers: carbohydrate antigen (CA 19-9), neutrophil gelatinase-associated lipocalin (NGAL) and kidney injury molecule (KIM-1) following pyeloplasty.</div></div><div><h3>Methods</h3><div>In this prospective study, children with UPJO (those who worsened on ultrasound, or on renogram, or became symptomatic underwent dismembered pyeloplasty). Urinary biomarkers NGAL, KIM-1, and CA19-9 were measured before pyeloplasty, at 6-weeks and 6-months after stent removal. Surgical outcomes were assessed by reduction in antero-posterior diameter (APD) on ultrasound and improvement in differential renal function (DRF)/washout pattern on renogram.</div></div><div><h3>Results</h3><div>All patients in this study (n = 34) showed improvement after pyeloplasty. Urinary CA 19-9 levels (U/ml) showed a significant fall following pyeloplasty (p = 0.001) from 193 (147–308) before surgery to 34 (23–55) (6 weeks post-op) and 12 (10–13) (6 months post-op). Urinary NGAL (pg/ml) showed a significant decline following pyeloplasty (p = 0.001) from 38 (25–62) before surgery to 22 (14–29) (6 weeks post-op) and 13 (9–18) (6 months post-op). Urinary KIM-1 (pg/ml) values also showed a significant reduction following pyeloplasty (p = 0.001) from 799 (503–847) (before surgery) to 187 (167–236) (6 weeks post-op) and 121 (106–173) (6 months post-op). Biomarker levels had strong positive correlation with pelvis size (R: 0.85, 0.77 and 0.65 for CA 19-9, NGAL and KIM 1 respectively with p &lt; 0.001) and negative correlation (R: −0.72, −0.68 and −0.52 for CA 19-9, NGAL and KIM 1 respectively with p &lt; 0.001) with renal function.</div></div><div><h3>Conclusion</h3><div>A decline in postoperative urinary biomarker levels was associated with prompt resolution of hydronephrosis after pyeloplasty. We did not have any failures in this preliminary study and further larger studies are warranted.</div></div>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 8","pages":"Article 162371"},"PeriodicalIF":2.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Small Change, BIG Impact: Proposal of the Brain Injury Guidelines for Kids (kBIG).","authors":"Annika B Kay, Sommer L Glasgow, Anastasia M Kahan, Robert A Swendiman, Zachary J Kastenberg, Christopher M Roach, Hsuan-Yu Wan, Robert J Bollo, Rajiv R Iyer, Vijay M Ravindra, David S Morris, Brian K Yorkgitis, Bellal Joseph, Katie W Russell","doi":"10.1016/j.jpedsurg.2025.162372","DOIUrl":"https://doi.org/10.1016/j.jpedsurg.2025.162372","url":null,"abstract":"<p><strong>Background: </strong>The adult Brain Injury Guidelines (BIG) stratify patients with traumatic intracranial hemorrhage into one of three risk categories and supports management of lower risk traumatic brain injury (TBI) with minimal resources. While the BIG have been widely adopted by adult trauma centers, application to pediatric populations remains unvalidated. The objective of this study was to determine the efficacy of BIG in a pediatric trauma population and develop adapted criteria based on injury patterns that may be unique to children with TBI.</p><p><strong>Methods: </strong>BIG was applied to a retrospective cohort of pediatric TBI patients, defined as <18 years old with skull fracture or intracranial hemorrhage on CT scan, from January 2018 to April 2024. Misclassification of BIG was defined as patients categorized as low- or moderate-risk who required neurosurgical intervention. Based on the performance of BIG, modifications were made to derive a pediatric-specific guideline, BIG for Kids (kBIG).</p><p><strong>Results: </strong>1,894 patients were analyzed. The misclassification rate of BIG 1 and 2 was 0% and 1.4%, respectively. We derived kBIG, with modifications to the categorization of minor skull fracture, epidural hematoma, neurologic exam and injury mechanism, which improved the misclassification rate of kBIG 2 to 0.8% and maintained a rate of 0% for all low-risk patients.</p><p><strong>Conclusions: </strong>We propose BIG for Kids, a modified version of the adult BIG for the management of TBI in pediatric patients. The kBIG was conservatively designed to ensure safety and to reduce unnecessary radiation exposure and resource utilization.</p><p><strong>Level of evidence: </strong>Cohort study / IV.</p>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"162372"},"PeriodicalIF":2.4,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Congenital Bronchial Atresia: To Surgically Treat or Conservatively Manage? A Systematic Review","authors":"Noemi Pasqua ,&nbsp;Ilia Bresesti ,&nbsp;Salvatore Zirpoli ,&nbsp;Michele Ghezzi ,&nbsp;Valerio Gentilino ,&nbsp;Federica Pederiva","doi":"10.1016/j.jpedsurg.2025.162368","DOIUrl":"10.1016/j.jpedsurg.2025.162368","url":null,"abstract":"<div><h3>Background</h3><div>No standardized guidelines exist for the management of isolated congenital bronchial atresia (CBA), particularly in asymptomatic cases. This systematic review analyzes both pediatric and adult cases to inform future treatment recommendations.</div></div><div><h3>Methods</h3><div>A systematic review was conducted following PRISMA guidelines, including studies of pediatric (&lt;15 years) and adult (≥15 years) patients with CBA.</div></div><div><h3>Results</h3><div>Out of 3686 screened studies, 85 met the inclusion criteria, encompassing 275 patients (169 children, 106 adults). Surgical intervention was reported in 69.8 % of cases, including 31.2 % of asymptomatic patients, with a particularly high rate of lobectomy in children (83.8 %).</div></div><div><h3>Conclusions</h3><div>Management of CBA remains contentious. While symptomatic are generally treated surgically, a notable proportion of asymptomatic patients also underwent surgery, with a particularly high rate of lobectomy in children. No evidence supports an increased risk of complications in untreated cases, suggesting a potential role for conservative management.</div></div>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 8","pages":"Article 162368"},"PeriodicalIF":2.4,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The SimpleSilo: An Effective and Affordable Solution for Gastroschisis Management in Low-resource Settings","authors":"Vanshika Jhonsa ,&nbsp;Shreya Jindal ,&nbsp;Shriya Shah ,&nbsp;Mary Seifu Tirfie ,&nbsp;Meaghan Bond ,&nbsp;Rebecca Richards-Kortum ,&nbsp;Bindi Naik-Mathuria","doi":"10.1016/j.jpedsurg.2025.162369","DOIUrl":"10.1016/j.jpedsurg.2025.162369","url":null,"abstract":"<div><h3>Background</h3><div>Survival rates for infants born with gastroschisis are extremely poor in low and middle income countries. While reasons for mortality are multifactorial, commercial silo bags have been shown to improve outcomes; however, high cost limits access to these bags. We aimed to develop a low-cost silo bag alternative using locally available materials to meet this need.</div></div><div><h3>Methods</h3><div>To make the SimpleSilo, a flexible ring is tailored to the size of the fascial defect by forming a loop of oxygen tubing. This tubing is folded into a silicone bag and sealed using a commercially available heat sealer. The edge of the bag is then sealed to narrow the diameter of the bag and to create the cylindrical shape required to successfully reduce the intestines into the abdominal cavity.</div></div><div><h3>Results</h3><div>In the laboratory, leakage rate of fluid from the bag was found to be approximately 0.02 mL/h, comparable to commercial silo bags. The bag can be disinfected in Cidex OPA at least five times without significantly increasing leakage rate. The SimpleSilo was tested in a gastroschisis model consisting of cow intestines and produced 50 % intestinal reduction in three days, similar to commercial bags. Pediatric surgeons in Kenya were able to replicate bag production using assembly directions and had positive feedback after clinical use.</div></div><div><h3>Conclusions</h3><div>The SimpleSilo design shows the potential for significant cost reduction by using materials available in low-resource hospitals. Additionally, it can be assembled in a hospital setting, which increases availability. This innovative idea could pave the way for increased survival for babies born with gastroschisis in low-resource settings.</div></div>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 8","pages":"Article 162369"},"PeriodicalIF":2.4,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application and Evaluation of Indocyanine Green Fluorescence Imaging in Pediatric Testicular Torsion Surgery","authors":"Shu Dai,&nbsp;Lei Zhang,&nbsp;Ting Zhang,&nbsp;Mingcui Fu,&nbsp;Xu Cao,&nbsp;Hongliang Xia,&nbsp;Xiangming Yan,&nbsp;Zheng Fang,&nbsp;Yun Zhou","doi":"10.1016/j.jpedsurg.2025.162370","DOIUrl":"10.1016/j.jpedsurg.2025.162370","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To assess the feasibility of ICG-NIRF imaging technology in evaluating testicular blood supply during pediatric testicular torsion surgery and guiding intraoperative surgical decision-making.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A retrospective study was performed on patients diagnosed with testicular torsion and treated surgically at our hospital between January and September 2024. ICG-NIRF imaging was utilized intraoperatively to assess testicular blood flow and guide the decision on testicular preservation. The clinical data we collected included age, symptom onset time, rotation of torsion, coloration grade of torsional testis, ICG fluorescence time of torsional testis, fluorescence pattern classification, surgical methods, complications, and histopathology. Torsional testes were classified into six grades based on color. Fluorescence patterns were classified into three types (A, B, and C), and further refined this classification standard and divided type C into C&lt;sub&gt;1&lt;/sub&gt;, C&lt;sub&gt;2&lt;/sub&gt;, and C&lt;sub&gt;3&lt;/sub&gt;. Follow-ups were conducted at 1 and 3 months postoperatively. Grayscale ultrasound assessed testicular volume and echotexture bilaterally, while Color Doppler flow imaging (CDFI) evaluated blood flow.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;15 patients were included in this study, with a median age of 12.7 years (range: 4.3–15.1 years). The median symptom onset time was 10 h (range: 0.5–48 h). The median rotation of torsion was 360° (range: 180°–720°). The median ICG fluorescence time of torsional testis was 22.5 s (range: 18–30 s). The median coloration grade of torsional testis was 3 (range: 2–6). Intraoperatively, ICG fluorescence was detected in 10 torsional testes, while 5 showed no fluorescence signal. 7 cases exhibited type A fluorescence, 3 cases type B, and 5 cases type C. ICG fluorescence was observed in the tunica albuginea or parenchyma (Type A &amp; B) in 10 patients following intravenous injection, leading to testicular preservation and fixation. Among the 5 patients with Type C fluorescence, 2 (Type C&lt;sub&gt;1&lt;/sub&gt;) showed no enhancement of the tunica albuginea or parenchyma within 2 min of ICG injection, but fluorescence leakage was observed after incising the tunica albuginea and parenchyma, warranting testicular preservation. The remaining 3 patients showed no ICG enhancement, upon incising the tunica albuginea and parenchyma, bleeding was observed in one case, while 2 did not. However, none of the three cases exhibited fluorescence leakage (Type C&lt;sub&gt;2&lt;/sub&gt; &amp; C&lt;sub&gt;3&lt;/sub&gt;). Consequently, orchiectomy was performed in all three cases. Histopathological examination confirmed extensive hemorrhage and necrosis of the testicular tissue. Postoperative recovery was uneventful. One-month follow-up revealed uniform testicular echotexture on grayscale ultrasound in 11 of 12 orchiopexy patients, while one patient exhibited uneven echoes. CDFI showed normal intratesticular blood flow in 10 patients, w","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 8","pages":"Article 162370"},"PeriodicalIF":2.4,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor in Response to: Comparison of Postoperative Antibiotic Protocols for Pediatric Complicated Appendicitis: A Western Pediatric Surgery Research Consortium Study.","authors":"Elizabeth Reynolds, Minna M Wieck, Jamie E Anderson","doi":"10.1016/j.jpedsurg.2025.162360","DOIUrl":"10.1016/j.jpedsurg.2025.162360","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"162360"},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of Laryngeal Mask Airway Versus Endotracheal Intubation in Pediatric Laparoscopic Inguinal Hernia Repair: A Randomized Controlled Trial","authors":"Emily L. Weisberg ,&nbsp;Benjamin J. Pieters ,&nbsp;Meredith S. Elman ,&nbsp;Cory J. Nonnemacher ,&nbsp;Janelle Noel-MacDonnell ,&nbsp;Tolulope A. Oyetunji","doi":"10.1016/j.jpedsurg.2025.162367","DOIUrl":"10.1016/j.jpedsurg.2025.162367","url":null,"abstract":"<div><h3>Background</h3><div>A laryngeal mask airway (LMA) is routinely used for many types of pediatric surgical procedures and as a rescue airway device. Laparoscopic procedures in pediatric surgery are common and are becoming increasingly widespread. In laparoscopic surgery, the traditional airway approach is the use of endotracheal intubation, while the use of LMA in laparoscopic surgery is not well studied.</div></div><div><h3>Aims</h3><div>To evaluate the effectiveness of general anesthesia with LMA versus traditional endotracheal tube (ETT) for pediatric patients aged 12 months to 8 years old undergoing laparoscopic inguinal hernia repair.</div></div><div><h3>Methods</h3><div>In a single institution prospective randomized trial, pediatric patients undergoing laparoscopic inguinal hernia repair were recruited from April 2023 to May 2024. Patients were randomized to general anesthesia with either an LMA or ETT. The primary endpoint was oxygen saturation in percent saturation (SpO₂) measured at three standardized timepoints. Secondary endpoints were end tidal carbon dioxide (EtCO₂) levels and peak airway pressure (PAP) measurements at the same three standardized timepoints as well as the occurrence of any episodes of laryngospasm or desaturation documented in each group.</div></div><div><h3>Results</h3><div>Fifty patients underwent laparoscopic inguinal hernia surgery with general anesthesia, twenty-five patients with LMA and twenty-five with ETT. There was no clinically significant difference in oxygenation between study groups. Additionally, there was no statistically significant difference between study arms in EtCO₂ levels. Patients with ETT had higher peak airway pressures compared to patients with LMA at all three time points. There was one incident of desaturation in each study arm and no episodes of laryngospasm.</div></div><div><h3>Conclusions</h3><div>The use of LMA in short laparoscopic surgery is a safe and effective alternative to ETT in appropriate pediatric patients.</div></div><div><h3>Level of Evidence</h3><div>1b.</div></div><div><h3>Clinical Trial Registration</h3><div>This study is registered with <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> NCT06023394.</div></div><div><h3>Clinical Implications</h3><div>The use of LMA in pediatric surgery is common. There is limited data and no studies from the United States assessing the efficacy of LMA in pediatric laparoscopic surgery and this study aims to add prospective data.</div></div>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":"60 8","pages":"Article 162367"},"PeriodicalIF":2.4,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}