Journal of pediatric surgery最新文献

{"title":"State-by-state variability in pediatric trauma center verification and designation undermines comparative trauma research for children.","authors":"Paul Phan, Matt Price, Yao Li, Mark Slidell","doi":"10.1016/j.jpedsurg.2026.163515","DOIUrl":"10.1016/j.jpedsurg.2026.163515","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"163515"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111131","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":"Reply to letter to the editor concerning: Congenital esophageal stenosis related to tracheobronchial remnant: Balloon dilatation versus resection and anastomosis - A systematic review.","authors":"Oliver J Muensterer, Miroslav Koychev","doi":"10.1016/j.jpedsurg.2026.163517","DOIUrl":"10.1016/j.jpedsurg.2026.163517","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"163517"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111196","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":"Evolution of Surgical Management in Pilonidal Disease: A 25-Year Scoping Review and Bibliometric Analysis of Pediatric and Adult Literature.","authors":"Anam N Ehsan, Rafia Durrani, Kevin Flores, Claire Abrajano, Bill Chiu","doi":"10.1016/j.jpedsurg.2026.163513","DOIUrl":"https://doi.org/10.1016/j.jpedsurg.2026.163513","url":null,"abstract":"<p><strong>Background: </strong>Pilonidal disease is a chronic inflammatory condition of the sacrococcygeal region that disproportionately affects adolescents and young adults. Although numerous treatment approaches exist, optimal management remains debated and practice patterns vary widely. How pediatric treatment strategies and research priorities have evolved relative to adult literature remains incompletely understood.</p><p><strong>Methods: </strong>A scoping review and bibliometric analysis were conducted to evaluate trends in surgical management of pilonidal disease from 2000 to 2025. A systematic PubMed search identified studies reporting clinical data on pilonidal disease treatment. Extracted data included publication year, origin country, patient population, treatment modality, recurrence outcomes, and follow-up duration. Bibliometric analysis assessed publication trends, geographic distribution, and thematic evolution using keyword co-occurrence mapping.</p><p><strong>Results: </strong>A total of 383 studies were included - 327 adult (85%) and 56 pediatric (15%) studies. Publication volume increased steadily over time, with pediatric literature expanding after 2015. Adult studies originated from 36 countries compared with 12 countries in pediatric literature, with no pediatric studies from low- or middle-income countries identified. Operative-only approaches predominated in adult literature (80% vs 61%, p<0.001), while pediatric studies more frequently evaluated minimally invasive and multimodal strategies. Keyword analysis demonstrated temporal evolution from excisional surgery and flap reconstruction toward minimally invasive and adjunctive therapies.</p><p><strong>Conclusions: </strong>Research on pilonidal disease surgery has increased but remains heterogeneous in treatment strategies and research focus. Pediatric literature represents a small but evolving portion of the evidence base and increasingly explores minimally invasive approaches. Greater standardization and broader international collaboration are needed to develop consistent evidence-based management strategies.</p>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"163513"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111159","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":"Evaluating the impact of coaching on personal wellness and professional growth among pediatric surgeons: A survey-based study.","authors":"Monique Motta, Katlyn G McKay, Eunice Y Huang, Holly Neville","doi":"10.1016/j.jpedsurg.2026.163514","DOIUrl":"10.1016/j.jpedsurg.2026.163514","url":null,"abstract":"","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"163514"},"PeriodicalIF":2.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149111193","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":"Critical Shortages in Pediatric Surgical Care Across West Africa: A Workforce Density Projection.","authors":"Dorothy R Stearns, Andrea N Riner, Chisom R Udeigwe-Okeke, Justina O Seyi-Olajide, Emmanuel A Ameh, Benedict C Nwomeh","doi":"10.1016/j.jpedsurg.2026.163491","DOIUrl":"https://doi.org/10.1016/j.jpedsurg.2026.163491","url":null,"abstract":"<p><strong>Background: </strong>West Africa faces severe pediatric surgeon (PS) shortages amidst a rapidly growing youth population and high surgical disease burden. The recommended benchmark is one PS per 100,000 children. However, persistent workforce gaps, driven by migration, limited training, and infrastructure constraints, hinder care. To guide regional capacity building, this study assessed the pediatric surgeon workforce density (PSWD) across 13 West African College of Surgeons (WACS) member nations and modeled projected workforce requirements.</p><p><strong>Methods: </strong>Using 2023 UNICEF population data and 2024 workforce records, we conducted a cross-sectional analysis of PSWD. Population-based modeling was utilized to project the number of PS needed to achieve target densities over 5, 10, and 20 years, comparing Anglophone and Francophone countries.</p><p><strong>Results: </strong>No country achieved the 1:100,000 benchmark, with most falling below a PSWD of 0.2 per 100,000 children. The overall regional PSWD was 0.16 per 100,000 children, representing only 341 surgeons for 212 million children. Senegal recorded the highest density (0.63 per 100,000), while Gambia and Liberia had none. Francophone countries averaged a higher density (0.25 per 100,000) than Anglophone nations (0.05 per 100,000). Nigeria faces the largest absolute deficit, requiring 970 additional surgeons. Regionally, there is a total shortfall of 1,776 pediatric surgeons. Closing this gap within five years would require training and retaining 406 new surgeons annually.</p><p><strong>Conclusion: </strong>West Africa suffers from critical PSWD deficits, leaving millions without adequate surgical care. Coordinated regional efforts to dramatically expand fellowship training and implement robust retention strategies are urgently required to build sustainable pediatric surgical capacity.</p>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"163491"},"PeriodicalIF":2.3,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075076","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":"Standing on the shoulders of giants: A brief history of Hirschsprung disease.","authors":"Jacob C Langer","doi":"10.1016/j.jpedsurg.2026.163497","DOIUrl":"10.1016/j.jpedsurg.2026.163497","url":null,"abstract":"<p><p>This paper consists of the Jay L. Grosfeld/Plenary lecture which was delivered on May 7, 2026 at the annual meeting of the American Pediatric Surgical Association in Chicago, IL. Jacob C. Langer, MD presented a historical account of the management of Hirschsprung disease from a personal perspective, focusing on the contributions of the many people who have contributed to our understanding of the disease and our treatment strategies over the years.</p>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"163497"},"PeriodicalIF":2.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039277","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 Preoperative Radiotherapy for Pediatric and Adolescent Patients with Soft Tissue Sarcoma: A Review by the APSA Cancer Committee.","authors":"Sarah L Wright, Thomas Scharschmidt, Zachary D Morrison, Andres F Espinoza, Shahab A Shaffiey, Danielle Cameron, Shannon MacDonald, John Kalapurakal, Aaron Cunningham, Mecklin V Ragan, Jennifer H Aldrink, Timothy B Lautz","doi":"10.1016/j.jpedsurg.2026.163498","DOIUrl":"https://doi.org/10.1016/j.jpedsurg.2026.163498","url":null,"abstract":"<p><p>Achieving local control in pediatric soft tissue sarcoma using a combination of surgical resection and/or radiotherapy (RT) requires complex decision-making that benefits from multi-disciplinary discussion. While there is a paucity of data in the pediatric and adolescent and young adult (AYA) population, neoadjuvant RT is routinely utilized in adult practice with several benefits to this approach. This review from the APSA Cancer Committee in collaboration with colleagues in radiation oncology aims to provide a summary of the current literature regarding optimal timing of radiation therapy for patients with soft tissue sarcoma. We aim to address the practical challenges that perioperative RT portends and offer insight for maximizing both oncologic and functional outcomes in the pediatric population.</p>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"163498"},"PeriodicalIF":2.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039270","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":"Development, implementation, and assessment of an extracorporeal membrane oxygenation training course for pediatric surgery.","authors":"William Law, Dimitra M Lotakis, Brian W Gray, Julie Monteagudo","doi":"10.1016/j.jpedsurg.2026.163494","DOIUrl":"10.1016/j.jpedsurg.2026.163494","url":null,"abstract":"<p><strong>Study type: </strong>Survey.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"163494"},"PeriodicalIF":2.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149038891","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":"How does institutional experience impact outcomes on laparoscopic choledochal cyst surgery: An 11-years experience, challenges, and lessons learned.","authors":"Tainá Juriti Feijó, João Carlos Garbers, Fernando Antônio Bersani Amado, Elisângela de Mattos E Silva","doi":"10.1016/j.jpedsurg.2026.163476","DOIUrl":"10.1016/j.jpedsurg.2026.163476","url":null,"abstract":"<p><strong>Background: </strong>Surgical treatment of choledochal cyst is technically challenging, including advanced dissection, delicate anastomoses and anatomical variations. In teaching hospitals, the complexity is added to the professional turnover, variability of decisions, and heterogeneous clinical presentations, directly influencing the institutional learning curve and outcomes.</p><p><strong>Methods: </strong>A retrospective observational study with 44 children submitted to laparoscopic treatment of the choledochal cyst, between March 2014 and June 2025 was conducted. Demographic data, clinical presentation, classification, operative time, reconstruction technique, complications, and length of hospital stay were analyzed comparing early and late institutional experience.</p><p><strong>Results: </strong>From 44 patients, 33 were female (75%), with a mean age of 5.1 years at surgery. The most frequent type of cyst was Todani I (57%), and hepaticoduodenostomy was the preferred reconstruction technique (33 cases), being replaced in recent years by hepaticojejunostomy. Mean operative time was 270 min. The biliary leak rate was 22.7%, including also small transient fistulas rapidly resolved spontaneously, without association with type of reconstruction or learning curve. The mean length of hospital stay was 10 days. Some questions and controversy remain unanswered. How different biliary reconstruction techniques impact short and long-term clinical outcomes? Should every biliary leak be considered a true complication? The accumulated experience shows that outcomes can be strongly influenced by the teaching environment, turnover of professionals, number and complexity of cases. Evaluating technical skills, challenges and outcomes allows us to understand the evolution of the learning curve and reinforce the need for simulation strategies of training.</p><p><strong>Conclusions: </strong>More than surgical results, institutional series reveal learning trajectories and reinforce the importance of sharing and publishing data of individual and regional experiences, especially in countries with lower incidence of pediatric biliary disease. Pointing to technical standardization, centralization of cases and simulated training, may accelerate proficiency acquisition and patient safety in complex surgery.</p>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"163476"},"PeriodicalIF":2.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039339","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":"Association of surgery and risk of long-term comorbidities for congenital lung malformations in pediatrics.","authors":"Wei Lee, Chun-Min Liang, Sheng-Yang Huang, Chia-Man Chou","doi":"10.1016/j.jpedsurg.2026.163472","DOIUrl":"10.1016/j.jpedsurg.2026.163472","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital lung malformations are increasingly recognized through prenatal and early postnatal imaging. Although many affected children are asymptomatic in infancy, CLMs are associated with long-term respiratory and structural complications. The influence of surgical timing, approach, and extent on these outcomes remains uncertain.</p><p><strong>Materials and methods: </strong>Using the TriNetX platform, we conducted a multicenter retrospective cohort study that included 20,101 children with CLM diagnosed before age 6 and 20, 089, 085 controls. Propensity score matching was applied. Asthma was the primary outcome, while recurrent infections and structural abnormalities were secondary outcomes. Subgroup analyses assessed the impact of surgical age, approach, and resection extent.</p><p><strong>Results: </strong>While the primary asthma analysis did not reach statistical significance (RR 0.79, 95% CI 0.54-1.14, p = 0.191), but statistical significance existed in asthma with strict definition (RR 0.22, 95% CI 0.11-0.42, p < 0.001), recurrent pneumonia (RR 0.29, 95% CI 0.16-0.51, p < 0.001) and structural deformities (RR 0.54, 95% CI 0.30-0.97, p = 0.039). Thoracoscopic surgery was associated with fewer selected complications than thoracotomy, particularly musculoskeletal outcomes.</p><p><strong>Conclusion: </strong>CLMs confer increased risks of respiratory and structural morbidity. The observational associations suggest that the clinical window of benefit may span the first two years of life.</p>","PeriodicalId":16733,"journal":{"name":"Journal of pediatric surgery","volume":" ","pages":"163472"},"PeriodicalIF":2.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030932","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}