Pediatric Surgery International最新文献

{"title":"Analysis of risk factors affecting psycho-behavioural development in children with short bowel syndrome.","authors":"Yue Wang, Li Yu, Ruifei Zheng, Xiaofeng Lv, Jie Zhang, Weiwei Jiang, Weibing Tang","doi":"10.1007/s00383-025-06067-x","DOIUrl":"https://doi.org/10.1007/s00383-025-06067-x","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to follow up the psycho-behavioural development of children with SBS and to analyse the influencing factors affecting the children's psycho-behavioural development.</p><p><strong>Methods: </strong>Clinical information about 86 children with SBS was retrospectively collected through the hospital electronic medical record system. The ASQ-3 was used to assess the psycho-behavioural developmental outcomes of the children. Spearman's correlation coefficient, Kruskal Wallis H test, logistic regression analysis were used to find the risk factors affecting the psycho-behavioural development of the children through SPSS 27.0 statistical software.</p><p><strong>Results: </strong>Total bilirubin level was an influencing factor in gross motor (OR = 1.013, p = 0.010) and fine motor development (OR = 1.012, p = 0.044). ALT (OR = 1.007, p = 0.041) and AST (OR = 0.995, p = 0.021) were the influencing factors of gross motor development. High direct bilirubin (OR = 1.018, p = 0.034) was a risk factor for fine motor development. The presence or absence of IFALD (OR = 5.883, p = 0.034) during hospitalisation affected children's communication development. Preservation of the ileocecal junction during surgeries was beneficial for the development of communication (OR = 0.138, p = 0.007), problem-solving (OR = 0.117, p = 0.003), and personal-socialisation (OR = 0.119, p < 0.001). Absence of sepsis (OR = 0.227, p = 0.040) was a protective factor for the personal-socialisation development of the children. Retinol-binding protein was a protective factor in the communication (OR = 0.842, p = 0.012) and personal-socialisation (OR = 0.896, p = 0.014) domains of the children.</p><p><strong>Conclusion: </strong>Our study finds a possible association between the liver function, nutritional status, retention of the ileocecal junction during surgeries and psycho-behavioural development in children with SBS, providing recommendations for future clinical interventions and treatments.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"182"},"PeriodicalIF":1.5,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bowel management outcomes in anorectal malformations: a comparative study between two referral centers in a high- and a low/middle-income country.","authors":"Giulia Del Re, Anna Morandi, Catterina Bebington, Chris Westgarth-Taylor, Ernesto Leva, Giulia Brisighelli","doi":"10.1007/s00383-025-06078-8","DOIUrl":"https://doi.org/10.1007/s00383-025-06078-8","url":null,"abstract":"<p><strong>Purpose: </strong>To compare functional bowel outcomes between patients followed-up at two referral centers in a high-income country and a low/middle-income country after anorectal malformation repair (ARM).</p><p><strong>Methods: </strong>Cross-sectional study using Krickenbeck, Rintala and Baylor Continence Scale questionnaires. Patients below three years of age, with developmental delay, or incomplete questionnaires were excluded. Associated malformations, surgical notes, toilet training, treatment and toilet setting were considered. Results were analyzed according to age and type of ARM.</p><p><strong>Results: </strong>68 patients from Milan and 65 from Johannesburg were included. Johannesburg population was younger (mean age 10.7 ± 6.1 years old vs 7.1 ± 4.7, p < 0.001). Perineal fistula was the most common ARM type in Milan (32/68, 47%), whereas vestibular in Johannesburg (17/65, 26%). Age at toilet training was younger in Milan (33.4 ± 13.6 months vs 43.9 ± 36.0, p = 0.02). Laxatives were more used in Milan (27/68, 40%), while enemas in Johannesburg (24/65, 37%). Mean total scores were, respectively, 4.9 ± 1.5 and 5.2 ± 1.6 with Krickenbeck (p = 0,16), 14.8 ± 4.2 and 15.5 ± 3.8 with Rintala (p = 0.28), 15.4 ± 9.3 and 12.6 ± 7.6 with BCS (p = 0.06).</p><p><strong>Conclusion: </strong>Despite different bowel management programs, outcomes appear similar. We recommend the active participation of health workers in questionnaire's compilation.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"178"},"PeriodicalIF":1.5,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"More harm than good? Parental perspectives on dilatations in anorectal malformations.","authors":"Ana Isabel Barros, Mário Rui Correia, Fátima Carvalho, Berta Bonet, Catarina Carvalho","doi":"10.1007/s00383-025-06070-2","DOIUrl":"https://doi.org/10.1007/s00383-025-06070-2","url":null,"abstract":"<p><strong>Purpose: </strong>Post-operative management for anorectal malformations (ARM) following surgical repair traditionally includes routine anal dilations (AD) to prevent anal strictures. Recent evidence questions its necessity and highlights psychological distress in patients and parents. We aimed to evaluate dilations' psychosocial impact on both children and caregivers.</p><p><strong>Methods: </strong>Telephone questionnaire was performed to parents of ARM patients who underwent repair between 2009-2023, assessing their perceptions on AD and its' child impact. Patient demographics, ARM classification, AD timing, and post-operative complications were collected.</p><p><strong>Results: </strong>Thirty-two caregivers participated. Median age at surgery was 5 months; at survey, 10.5 years. ARM with perineal fistula was the most common subtype. AD were performed preoperatively in 21.9%. Post-op, 15,6% did weekly calibrations, 62,5% daily AD. One-quarter of dilations/calibrations were performed by a surgeon in parents' presence, of whom 62.5% reported emotional distress, 75% perception of child discomfort. Home-based AD parents reported difficulty in 54.2%, with two-thirds needing assistance, describing it as distressing for both themselves and their children. Overall, 28.1% perceived a negative psychological impact.</p><p><strong>Conclusions: </strong>Our findings highlight the significant psychological burden associated with AD. Given increasing evidence of its lack of benefit and psychological impact, our results support a careful re-evaluation of AD routine use.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"179"},"PeriodicalIF":1.5,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internal vs. external jugular vein access for pediatric totally implantable venous ports: a systematic review and meta-analysis.","authors":"Khadeeja Ali Hamzah, Yousif Hameed Kurmasha, Mohammedsadeq A Shweliya, Mohamed Ramadan, Mohammed Hamed Ibrahium Badi, Abdulhadi M A Mahgoub, Mohamed Ellebedy","doi":"10.1007/s00383-025-06089-5","DOIUrl":"https://doi.org/10.1007/s00383-025-06089-5","url":null,"abstract":"<p><strong>Background: </strong>Totally implantable venous access ports (TIVAPs) are vital for long-term intravenous therapy in children, especially in oncology. Internal jugular vein (IJV) access is commonly used but may require general anesthesia and poses anatomical challenges. External jugular vein (EJV) access is more superficial and may offer procedural advantages. This study hypothesizes that the EJV is the most appropriate venous access site for TIVAP placement in pediatric oncology patients due to its anatomical advantages and potential for fewer complications compared to the IJV.</p><p><strong>Methods: </strong>A systematic review was conducted across PubMed, Scopus, Web of Science, Embase, and EBSCO through January 2025, following PRISMA guidelines. Studies comparing TIVAP insertion via IJV and EJV in patients under 18 years were included. Quality was assessed using the Cochrane risk of bias tool and Newcastle-Ottawa scale. Meta-analysis was performed with RevMan 5.4.</p><p><strong>Results: </strong>Three studies with three hundred fifteen pediatric patients (160 EJV, 155 IJV) were included. EJV access was associated with significantly shorter operative time (MD: - 24.80 min, 95% CI - 36 to - 13.16; p < 0.0001). Complication rates, including hematoma, pneumothorax, thrombosis, and catheter issues, showed no significant differences between groups.</p><p><strong>Conclusion: </strong>EJV access offers reduced operative time without increasing complication risk compared to IJV access for TIVAP placement in children. It may be preferred when minimizing anesthesia exposure is important.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"180"},"PeriodicalIF":1.5,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Twenty years of experience with Y-V anoplasty for the treatment of minimal rectoperineal fistulas.","authors":"A L Bulotta, G Mandarano, M Bosisio, M Gazzaneo, L Migliazza, M Cheli, G Boroni, D Alberti","doi":"10.1007/s00383-025-06092-w","DOIUrl":"https://doi.org/10.1007/s00383-025-06092-w","url":null,"abstract":"<p><strong>Purpose: </strong>Y-V anoplasty, traditionally performed for anal stenosis, was applied to treat patients with imperforate anus with recto-perineal fistula located at the anterior margin of the external anal sphincter, defined as Minimal Recto-Perineal Fistula(MRPF). We present our 20-year experience using this approach in patients with MRPF, with a minimum follow-up of 5 years.</p><p><strong>Methods: </strong>This retrospective two-center study included patients who underwent Y-V anoplasty for MRPF between 2005 and 2020. The data collected included demographics, associated malformations, preoperative work-up, surgical details, postoperative management, complications, and long-term outcomes. Continence was evaluated using Rintala and Krickenbeck scores. Quality of life was assessed using the Incontinence-QoL score.</p><p><strong>Results: </strong>Thirty-nine children (20 females) were included. Associated malformations were present in 23% of cases. Median age at surgery was 1.8 months. All patients underwent short-term anal dilatations. No early complications occurred. Median follow-up was 10.1 years. One patient was lost to follow-up. No cases of anal stenosis or prolapse were observed. Constipation was detected in 26% (10/38) of patients and was conservatively managed in all cases. Median scores were QoL 10/10, Krickenbeck 7/7 and Rintala 19.5/20.</p><p><strong>Conclusion: </strong>Y-V anoplasty is a safe, reproducible, and sphincter-preserving technique. It is suitable for selected MRPF cases after careful anatomical assessment. Long-term functional and cosmetic outcomes are excellent.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"181"},"PeriodicalIF":1.5,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abdominal tuberculosis in children: a systematic review on current advances.","authors":"Vinod Raj, Shilpa Sharma","doi":"10.1007/s00383-025-06080-0","DOIUrl":"10.1007/s00383-025-06080-0","url":null,"abstract":"<p><strong>Aim: </strong>To study the published literature on abdominal tuberculosis in children in the last 10 years.</p><p><strong>Method: </strong>A PubMed search was done on 27th March 2025 with keywords \"pediatric abdominal tuberculosis\", using the filter of last 10 years. The articles were screened for relevance and the data were compiled on gender, age, presenting complaints, diagnosing criteria, associated pathologies, surgical management, complications and outcomes.</p><p><strong>Results: </strong>The search yielded 194 articles. After screening for relevance, 143 articles were excluded. 51 articles were studied. A total of 807 cases were studied in 51 articles, with female preponderance. The largest series was of 218 children. The age was predominantly in the adolescent period. The youngest child was an 8-day neonate with congenital tuberculosis. Predominant symptoms included fever, pain abdomen, abdominal distension, constipation, diarrhea, ascites and weight loss. Unusual presentations included splenic microabscess, liver abscess in HIV positive cases, deep vein thrombosis, mesenteric artery stenosis and intracranial sinus thrombosis. Mycobacterial cultures showed 50-75% positivity. Concomitant pulmonary tuberculosis was reported in 6 studies. The management included medical with or without surgical management. The main indication for surgical management was intestinal perforation.</p><p><strong>Conclusion: </strong>Pediatric abdominal tuberculosis is an enigma due to the vague symptoms and needs to be differentiated from other conditions.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"175"},"PeriodicalIF":1.5,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unusual causes of perineal trauma in paediatric patients: lessons learned from a high-volume colorectal clinic in a low-and-middle-income country.","authors":"Francesca Palmisani, Keitumetse Teko, Catterina Bebington, Giulia Brisighelli","doi":"10.1007/s00383-025-06075-x","DOIUrl":"10.1007/s00383-025-06075-x","url":null,"abstract":"<p><strong>Purpose: </strong>In low-and-middle-income countries (LMIC), a non-negligible number of cases of paediatric perineal trauma is observed. Trauma can arise from less conventional mechanisms such as traditional enemas and flame burns, alongside blunt and penetrating injuries. The data on surgical management and long-term outcomes are limited. This study aims to evaluate surgical treatment and continence outcomes post-reconstruction.</p><p><strong>Methods: </strong>A retrospective review was conducted at Johannesburg's Chris Hani Baragwanath Academic Hospital (2018-2025). Cases of sexual abuse were excluded. Patients were stratified based on whether they required surgical reconstruction. Data analysed included demographics, injury cause, procedures, and long-term continence via the Krickenbeck questionnaire.</p><p><strong>Results: </strong>Of 20 patients, 10 underwent reconstruction. In the conservative group, 7 (70%) needed a colostomy for sepsis-free recovery. The median age was 3.5 years in the reconstruction group versus 6.6 years in the conservative group (p = 0.039). Traditional enemas caused 60% of injuries in the reconstruction group, while blunt and penetrating trauma was predominant (70%) in the conservative group (p = 0.05). Reconstruction included Swenson pull-through (7), PSARP (2), and perineal body reconstruction (2). The median follow-up was 4 years: 75% of patients achieved continence.</p><p><strong>Conclusion: </strong>Established anorectal reconstruction techniques are effective for traumatic perineal injuries, providing good cosmetic and continence outcomes.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"177"},"PeriodicalIF":1.5,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recent advances in pediatric colorectal cancer: a systematic review.","authors":"Navdeep Dhoat, Shilpa Sharma","doi":"10.1007/s00383-025-06076-w","DOIUrl":"https://doi.org/10.1007/s00383-025-06076-w","url":null,"abstract":"<p><strong>Purpose: </strong>To study the recent advances in Pediatric colorectal cancer (PCRC), including molecular profiling, clinical and genetic characteristics, screening guidelines, and treatment strategies.</p><p><strong>Method: </strong>A PubMed search was done on 25 March 2025, by using search words Pediatric colorectal cancer with a filter of last year, yielding 414 articles. On screening for relevant articles focusing on molecular profiles or screening guidelines in pediatric cases, 10 articles were selected, describing 38 tumors in 36 pediatric patients.</p><p><strong>Results: </strong>Clinical features of PCRC included unexplained abdominal pain, abdominal distension, vomiting, hematochezia, intestinal obstruction, and intestinal intussusception. Salient molecular profiling included distinct genomic landscapes in pediatric/ young adult CRC compared to adult CRC, and differences in WNT and PI3K-AKT pathways. PCRC had a significantly higher frequency of RNF43 mutations versus APC mutations in adults, suggesting age-related differences in WNT pathway activation. PCRC showed a peculiar profile with CDK6 amplification and enrichment of lysine degradation pathway. Few PCRC cases showed mismatch repair (MMR) deficiency, suggesting second-hit somatic alterations. The recent advances highlight in identifying hereditary cancer susceptibility syndromes and utility of indocyanine green fluorescence-guided surgery.</p><p><strong>Conclusion: </strong>Distinct molecular signatures in PCRC underscore the need for age-specific treatment strategies, multidisciplinary care, and precision medicine to improve outcome for PCRC.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"174"},"PeriodicalIF":1.5,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A prospective randomized clinical trial to evaluate wound healing, cosmetic and functional results as well as postoperative adverse events comparing two types of dressing technique after hypospadias repair.","authors":"Kristin Lawo, Dominique Feller, Birgit S Klein, Stefan G Holland-Cunz, Martina Frech-Dörfler","doi":"10.1007/s00383-025-06063-1","DOIUrl":"10.1007/s00383-025-06063-1","url":null,"abstract":"<p><strong>Background: </strong>Dressing technique after hypospadias repair is one of the most controversially discussed subjects in the aftercare. Although current literature presents an enormous number of publications regarding postoperative dressing techniques, there is still no consent on how and if to perform postoperative dressing. The aim of this study is to evaluate two techniques (circular film dressing vs. silver pad covered with film dressing) frequently used in clinical routine after hypospadias surgery.</p><p><strong>Methods: </strong>Primary outcomes of this prospective randomized clinical trial were wound healing using Southampton Wound Assessment Scale (SWAS) and cosmetic and functional result using Hypospadias Objective Penile Evaluation (HOPE)-Score. Secondary outcomes were postoperative adverse events.</p><p><strong>Results: </strong>44 patients were included and randomized into two groups (n = 24 for film dressing vs. n = 20 silver pad dressing). Concerning the primary outcomes, no significant difference in SWAS and HOPE score could be shown. Secondary outcomes showed a statistically significant higher rate of wound dehiscence in the silver pad group and no other statistically significant differences.</p><p><strong>Conclusions: </strong>This study could not show superiority of one dressing regarding wound healing or functional and cosmetic result and thereby strengthens the assumption that the individual dressing technique does not play a crucial role in the postoperative outcome.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"176"},"PeriodicalIF":1.5,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the quality and reliability of youtube videos on Hirschsprung's disease: a comprehensive analysis for patients, parents and health professionals.","authors":"Gül Doğan, Hülya İpek","doi":"10.1007/s00383-025-06064-0","DOIUrl":"10.1007/s00383-025-06064-0","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to evaluate the quality and reliability of the informational and surgery-oriented content of YouTube videos on Hirschsprung's disease.</p><p><strong>Methods: </strong>On October 1, 2024, a YouTube search was conducted on Hirschsprung's disease, and 60 videos with over 10,000 views were included in the study. The reliability and quality of the videos were assessed by two independent pediatric surgeons using the Global Quality Scale (GQS), Modified DISCERN (mDISCERN), and American Medical Association (JAMA) scales. VPI was calculated as (like ratio × view ratio)/100, where view ratio refers to the number of views per day since the video's upload date.</p><p><strong>Results: </strong>Of the 60 videos, 53 (88.3%) were informational, while 9 (11.7%) were surgery-oriented. Videos were uploaded by private hospitals (15%), physicians (31.7%), and private youtube channels (53.3%). Thirteen videos (21.7%) utilized animations. The mean video length was 640.5 ± 729.8 s, with an average view count of 83,728 ± 265,503 and a mean VPI of 49.8 ± 157.4. The average mDISCERN score was 2.53 ± 0.98, the GQS score was 2.52 ± 1.2, and the JAMA score was 2.55 ± 0.53. Although weak, statistically significant positive correlations were observed between VPI and quality scores (mDISCERN: r = 0.32, P = 0.014; GQS: r = 0.26, P = 0.048; JAMA: r = 0.34, P = 0.008), suggesting that more popular videos tended to be of slightly better quality. Older videos were associated with lower quality scores (P < 0.05).</p><p><strong>Conclusion: </strong>This study revealed that YouTube videos related to Hirschsprung's disease are generally of low quality. This situation increases the risk of patients and their families being exposed to misleading or incomplete information.</p>","PeriodicalId":19832,"journal":{"name":"Pediatric Surgery International","volume":"41 1","pages":"173"},"PeriodicalIF":1.5,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12174189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}