Koji Fukumoto's research while affiliated with Shizuoka Hospital and other places
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Publications (103)
Congenital tracheal stenosis is a rare life‐threatening disorder caused by narrow O‐shaped tracheal ring without smooth muscle. Its underlying genetic cause has not been elucidated. We performed whole exome sequencing in a patient with congenital tracheal stenosis and congenital heart defect, and identified a de novo pathogenic TBX5 variant (NM_181...
Purpose
In the event of failed tracheostomy decannulation, patients might have a tragic course of events. We retrospectively evaluated our stepwise tracheostomy decannulation program and examined its safety.
Methods
A 12-year retrospective study of pediatric patients was conducted. The decannulation program was performed on patients who had airway...
Purpose
In the event of failed tracheostomy decannulation, patients might have a tragic course of events. We retrospectively evaluated our stepwise tracheostomy decannulation program and examined its safety.
Methods
A 12-year retrospective study of pediatric patients was conducted. The decannulation program was performed on patients who had airway...
Background
Bronchopulmonary foregut malformation (BPFM) is a rare congenital anomaly characterized by a fistula between an isolated portion of respiratory tissue and the esophagus or stomach. Srikanth et al. reported that BPFMs can be categorized into four groups, and that an unclassified BPFM is extremely rare. Herein, we present an unclassified B...
Background:
Higher risk of recurrence has been reported in pediatric inguinal hernia patients with specific comorbidities. The purpose of this systematic review was to investigate which comorbidities predispose to recurrent pediatric inguinal hernias (RPIHs).
Methods:
A comprehensive search of six databases was performed, reviewing the literatur...
Purpose: A postoperative pain management strategy for the enhanced recovery after surgery (ERAS) protocol has recently become more important in pediatric surgery and growing attention is being paid to perioperative use of intravenous acetaminophen (IV-A). In laparoscopic extraperitoneal closure (LPEC) procedure, postoperative pain is still occurrin...
AimDuring choledochal cyst (CC) excision, the hepaticojejunostomy anastomosis (HJA) can be performed conventionally (CHJA) or with a Carrel patch (CPA). CPA can increase CHD diameter to 10–13 mm, preventing anastomotic stenosis and intrahepatic bile duct (IHBD) stones but may be at risk for malignant transformation.Methods
The medical records of 83...
Aim
To assess mid-/long-term postoperative quality of life (QOL) of esophageal atresia (EA) patients.
Methods
Modified gastrointestinal quality-of-life index surveys were administered to postoperative EA patients who were at least 7 years old at evaluation to assess three topics about general lifestyle (GL), five topics about EA, and four topics a...
Aim
To assess mid-/long-term quality of life (QOL) of total colonic aganglionosis (TCA) patients.
Methods
Modified pre-existing QOL assessment tools for general lifestyle (GL), bowel function (BF), and mental health (MH) were administered to postoperative TCA patients from five institutions, who were at least 7 years old to compare Duhamel (with p...
PurposePancreaticobiliary maljunction (PBM) without biliary dilatation is a condition in which dilatation of the bile duct is not seen in patients with PBM. Recently, the Japanese Study Group on Pancreaticobiliary Maljunction (JSGPM) published new diagnostic criteria for PBM. In these criteria, biliary dilatation is defined according to the standar...
Foreign body aspiration (FBA), with potentially life-threatening outcomes, is not unusual in the pediatric population. We report two cases of lobar bronchial radiolucent foreign bodies. Chest X-ray (CXR) showed a slight but significant finding of lobar emphysema without a significant mediastinal shift. This is possibly a key to suspecting foreign b...
A fecaloma is a mass of accumulated feces with a consistency much harder than that of a fecal impaction. It is most frequently observed in the rectum and sigmoid area, and associated complications include colonic obstruction, ulceration, bleeding, and perforation. A one-year-old, previously healthy boy with no history of chronic constipation was ad...
Purpose
In postoperative cases of fundoplication, the gastric emptying ability is promoted and sometimes exhibits dumping syndrome. Dumping syndrome often goes unrecognized in children. Furthermore, the risk factors for postoperative dumping syndrome are unknown. This study aimed to investigate the risk factors of developing dumping syndrome after...
Background
Although pediatric tracheostomy has been a widely performed, life-saving procedure, its long-term outcomes have remained unclear. This study aimed to review outcomes after tracheostomy at a Japanese tertiary hospital and clarify candidates for and timing of decannulation.
Materials and methods
Hospital records of critically ill children...
Constant neck flexion has been considered crucial to reducing anastomotic tension after tracheal resection. However, in rare cases, anteflexion can cause cervical cord damage, leading to acute neurological disorders such as tetraplegia. Here, we report a case of 5-year-old boy presenting with acute neurological disorder triggered by a chin-to-chest...
Aim:
We reviewed intraoperative video recordings (IVRs) of laparoscopic percutaneous extraperitoneal closure (LPEC) for inguinal hernia in children blindly to assess performance.
Methods:
IVRs of 183 LPEC performed between April 2013 and March 2016, graded by the operating surgeon as difficult (D; n = 8), straightforward (S; n = 96), or easy (E; n...
Neonatal free air on X-ray images is generally due to intestinal perforation, and requires surgical intervention. However, some cases without intestinal perforation show free air on X-ray images. Pneumoperitoneum without perforation is caused by an air leak syndrome. We present here the case of a low-birth-weight infant with free air on X-ray image...
PurposeThe aim of this study was to evaluate the clinical outcomes and postoperative anorectal function in the patients with high/intermediate imperforate anus (HIA/IIA) treated in our institution. In addition, we report our novel procedure, laparoscopically assisted anorectoplasty with anterior perineal incision (LAARP-API), which allows direct ap...
Introduction: Congenital tracheal stenosis (CTS) with a bilateral tracheal bronchus (TB) has not been reported as a subtype of CTS. A novel technique to manage CTS in patients with a bilateral TB is described.
Case Report: An infant with tetralogy of Fallot underwent repair of cardiac anomaly at age 1 month. He experienced numerous cyanosis and epi...
Background
Mesentero-axial gastric volvulus (MAGV) is a rare but critical condition as delay in treatment can lead to lethal situations. Although the report of the surgical treatment with laparoscopic approach for MAGV has recently come to be seen, no standard procedures have been established. We aim to describe our operative technique of single-in...
Objectives
Whether to perform surgical or conservative treatment for congenital tracheal stenosis (CTS) is controversial. Thus, the computed tomography (CT) criteria for conservative treatment of CTS were investigated.
Methods
From 2005 to 2017, 28 CTS cases were included. The operative cases and preoperative death cases constituted the required i...
Purpose
The aim of this study was to investigate risk factors for recurrence in the perineal canal (PC).
Methods
Patients with PC who underwent operations were enrolled in this study and were divided into recurrence and non-recurrence groups. Preoperative infection, the age at the operation, the presence of colostomy and the treatment procedure fo...
Purpose
Intestinal aganglionosis (IA) is so rare that the entity remains unclear. The aim of the present study was to compare the outcomes of patients with IA and those with total colonic aganglionosis (TCA).
Methods
The hospital records were retrospectively reviewed from 1977 to 2018. Outcomes were analyzed for the IA group and the TCA group, inc...
Background
This study assessed the necessity of postoperative nasogastric tube (NGT) use in acute pediatric cases of perforated appendicitis.
Methods
All cases of acute pediatric perforated appendicitis managed with transumbilical laparoscopic-assisted appendectomy at our hospital from 2011 to 2017 were retrospectively reviewed. Sixty-two cases we...
Purpose: We compared laparoscopic redo fundoplications performed for failed laparoscopic Toupet fundoplication (LTF) and failed laparoscopic Nissen fundoplications (LNFs).
Methods: Redo LTF (R-LTF; n = 4) and redo LNF (R-LNF; n = 6) performed between 2007 and 2014 were assessed retrospectively for severity of intraperitoneal adhesions on a scale o...
Background
Primary adenocarcinoma of the appendix is a rare disease in clinical practice. Moreover, primary adenocarcinoma of the appendix in the pediatric age group is even rarer with very little cases being published. Here, we report a case of primary adenocarcinoma of the appendix with local invasion into adjacent organs in a child who was initi...
Background:
A pyriform sinus fistula (PSF) is a rare branchial anomaly that causes recurrent cervical infections. Open neck surgery has widely been accepted as a definitive treatment for PSFs, and endoscopic surgery has been reported in recent years. However, both approaches are not satisfactory because of high recurrence rates and postoperative c...
Blue rubber bleb nevus syndrome (BRBNS) is a rare disease in which venous malformations (VMs) involve any body organ, most commonly the skin and the gastrointestinal (GI) tract. Treatment of BRBNS aims at preserving the GI tract as much as possible. Although there are several dozen case reports about BRBNS that describe short-term clinical courses,...
Purpose
The aim of this study was to investigate the risk factors for in hospital mortality in infants with esophageal atresia (EA) without critical chromosome abnormality disorders and develop a new prognostic classification to assess the influence of external risk factors on the prognosis of EA, which could provide more effective treatment strate...
PurposeLong-term intubation of premature infants sometimes induces acquired subglottic stenosis (SGS), causing glottic or supraglottic problems. These kinds of SGS often require tracheostomy and subsequently make decannulation difficult. The aim of our study was to clarify the efficacy of repeated intralesional steroid injections to the stenosis. M...
Purpose
To investigate the characteristics, management, and outcomes of congenital biliary dilatation (CBD) in neonates and infants (< 1 year old) in a single institution over the past 20 years.
Methods
From 1997 to 2016, 21 patients < 1 year old underwent definitive surgery for CBD. Open surgery (OS) was performed between 1997 and 2008, and lapar...
Purpose:
This study aimed to investigate the clinical features and risk factors of bile duct perforation in pediatric congenital biliary dilatation (CBD) patients.
Methods:
CBD patients, whose initial symptom was abdominal pain, were enrolled in this study and were divided into perforated and non-perforated groups. The clinical features of the p...
Background:
Single-incision laparoscopic appendectomy (SILA) is a potentially safe and feasible alternative to conventional laparoscopic appendectomy using three ports (CLA). However, the safety and efficacy of SILA for complicated appendicitis (gangrenous and perforated) remain unclear. The aim of this study was to evaluate the outcomes of transu...
Pancreatic pseudocysts (PPs) often occur in association with acute pancreatitis or pancreatic trauma and are uncommon disorders in children. PPs require operative interventions in case they do not disappear spontaneously. There are several interventional treatments, and laparoscopic or endoscopic treatments have been recently reported as a less inv...
Background
The combination of congenital tracheal stenosis (CTS) and unilateral pulmonary agenesis is rare and fatal. Especially, right lung agenesis is associated with dextrocardia and often causes tracheal alignment disorder. The mortality is estimated with 12.5–65%. Slide Tracheoplasty (ST) has been improved the prognosis, however, the postopera...
Purpose:
We investigated the developmental changes in the unaffected contralateral lungs of patients with isolated left-sided congenital diaphragmatic hernia (CDH) using signal intensity ratios on prenatal magnetic resonance imaging (MRI) and determined whether these changes correlated with clinical outcomes.
Methods:
We performed 47 fetal MRI s...
An 8-year old boy was referred for chronic, frequent bilious vomiting and intermittent abdominal pain. Intestinal malrotation was diagnosed by upper gastrointestinal study (UGI) and laparoscopic Ladd's procedure was performed. Ladd's bands were laparoscopically dissected out, and the mesentery was dissected to be broaden. After performing Ladd's pr...
Purpose:
This study investigated risk factors for developmental disorders after the repair of esophageal atresia with tracheoesophageal fistula (EA/TEF).
Methods:
The clinical charts of all infants with EA/TEF (gross type C) treated at our institution between 1993 and 2013 were analyzed. Patients with chromosomal aberrations were excluded. Forty...
Introduction:
We compared laparoscopic Toupet fundoplication (LTF) and laparoscopic Nissen fundoplication (LNF) in neurologically normal children.
Methods:
Forty neurologically normal children who were followed up for more than 3 years after LTF (n = 22) or LNF (n = 18) were reviewed retrospectively. LTF and LNF were performed between 2006 and 2...
For hereditary spherocytosis complicated by cholelithiasis, cholecystectomy is simultaneously performed with splenectomy. However, jaundice promptly disappears after removing the spleen, and the risk for recurrent cholelithiasis decreases in majority of cases; gallbladder-preserving cholecystolithotomy can be an option for such patients. We report...
Congenital subglottic stenosis (C-SGS) is a rare disease. In the case of severe stenosis, decannulation is often difficult. Our patient was a 4-year-old girl. Respiratory failure immediately after birth prompted the emergency tracheotomy. When she was 3 years old, a high degree of subglottic stenosis continuous from the vocal cord, bilateral vocal...
Introduction:
The aim of this study was to compare laparoscopic hepaticojejunostomy (LHJ) and open hepaticojejunostomy (OHJ) for choledochal cyst associated with hilar hepatic duct stenosis (HHDS).
Methods:
Data collection was prospective for LHJ cases from 2009 and retrospective for OHJ cases from 2003 to 2008. Data were compared with respect t...
Background:
The use of laparoscopic percutaneous extraperitoneal closure (LPEC) for pediatric inguinal hernia has recently been increasing. Recurrence and contralateral metachronous inguinal hernia (CMIH) are important problems for LPEC. This study analyzed the risk factors for recurrence and CMIH.
Methods:
This study included 1530 patients. The...
Purpose Patients with asplenia syndrome (AS) are likely to have upper gastrointestinal tract malformations such as hiatal hernia. This report discusses the treatment of such conditions. Methods Seventy-five patients with AS underwent initial palliation in our institution between 1997 and 2013. Of these, 10 patients had hiatal hernia. Of the patient...
Background/purpose:
The purpose of this study was to investigate echocardiographic parameters in relation to the outcomes of isolated left-sided congenital diaphragmatic hernia (CDH).
Methods:
This multicenter, retrospective, observational study was conducted among patients with CDH born between 2006 and 2010. Patients in this study did not have...
Purpose:
Surgical intestinal disorders (SID), such as necrotizing enterocolitis (NEC), focal intestinal perforation (FIP), and meconium-related ileus (MRI), are serious morbidities in extremely low birth weight (ELBW, birth weight <1000 g) infants. From 2010, we performed enteral antifungal prophylaxis (EAP) in ELBWI to prevent for SID. The aim of...
Purpose
The aim of this study was to validate our laparoscopic management strategy for asymptomatic and symptomatic patients with prenatally diagnosed choledochal cysts (CCs).
Methods
Thirteen prenatally diagnosed CC patients from 1997 to 2015 were included. Seven patients (1997–2008) underwent open surgery (OS group), and 6 (2009–2015) underwent l...
A 15-year-old girl was found to be hypertensive (230-270/140-170 mm Hg) without any subjective symptoms. Magnetic resonance imaging confirmed the presence of a well-defined 22 mm hypodense lesion in the lower pole of the left kidney, located close to the renal hilum. Plasma rennin activity was elevated (75 ng/mL/h), and reninoma was diagnosed. Retr...
This study presents a modified surgical approach to laparoscopic myotomy for achalasia using stepped dilation with a Rigiflex balloon and contrast medium under image guidance. A 10-year-old boy with persistent dysphagia and vomiting had ingested only liquids for 3 months, losing >10 kg in body weight. Barium swallow and esophageal manometry diagnos...
Background:
The purpose of this study was to investigate fetal cardiac ultrasonographic parameters in relation to the outcomes of patients with isolated left-sided congenital diaphragmatic hernia (CDH).
Methods:
Subjects comprised 33 fetuses with fetal CDH and 99 control fetuses without cardiac and lung anomalies. Three parameters, cardiothoraci...
Background/purpose:
In Japan, surgical repair of a laryngotracheoesophageal cleft (LTEC) typically consists of the anterior approach, with the lateral approach as an alternative. Endoscopic surgery to repair the tracheoesophageal septum has been reported, and this study reviewed our experience treating several cases of LTEC endoscopically.
Method...
To present the medium to long-term outcome of the largest pediatric series of laparoscopic Toupet fundoplications (LTF) performed at a single institution.
Subjects were 131 neurologically impaired children (81 M, 50 F) who underwent LTF between 2003 and 2013. Our LTF involves full dissection of the crus of the diaphragm to allow the intraabdominal...
We describe a novel technique for laparoscopic hepatic ductoplasty and hepaticojejunostomy in choledochal cyst with a narrow common hepatic duct. After complete cyst excision, a longitudinal incision was made in the anterior wall of the narrow common hepatic duct to enlarge the anastomotic opening. Next, the anterior wall was everted, then anchored...
We report a case of a 1.8-kg infant who had laparoscopic Toupet fundoplication (LTF) using the AirSeal Intelligent Flow System and Anchor Port (AP).
Our case had severe gastroesophageal reflux in association with genetic and cardiac anomalies. Despite the patient being continuously fed, persistent vomiting caused failure to thrive, and LTF was perf...
Recently, laparoscopic percutaneous extraperitoneal closure (LPEC) for pediatric inguinal hernia has become more popular. The aim of this study was to compare LPEC with open repair (OR) performed in one institution.
In total, 1050 patients underwent OR from July 2003 to June 2008, and 1017 patients underwent LPEC from July 2008 to June 2013. The me...
We report herein an adolescent case of Duchenne muscular dystrophy (DMD) with idiopathic gastric perforation, in which emergency surgical repair was performed laparoscopically. A 14-year-old nonambulatory boy with DMD was brought to our emergency department with sudden onset of severe abdominal pain and distention. Plain radiograph and computed tom...
Purpose: There are many reports on the prenatal severity index, which is a measure of the lung capacity of fetuses with congenital diaphragmatic hernia (CDH). However, whether this index can serve as a true measure for evaluating cardiopulmonary hypoplasia remains controversial. We devised an index for measuring the severity of prenatal CDH by feta...
Corrosive esophageal strictures have been primarily treated using balloon dilatation or endoscopic bougienage. However, many patients experience recurrence after dilatation, and surgical interventions such as esophageal replacement have been attempted. We have performed endoscopic cicatrectomy using a laryngoscope for corrosive esophageal stricture...
To determine the best way to perform diaphragmatic plication for diaphragmatic eventration (DE) using minimally invasive surgery.
We conducted a retrospective review of pediatric cases of DE treated between 2007 and 2012. Thoracoscopic plication (TP) is performed using single-lung ventilation with three 5-mm ports; laparoscopic plication (LP) is pe...
In children with choledochal cysts (CC), obstruction of the discharge of bile or pancreatic juice is frequently observed, and biliary perforation and severe pancreatitis may occur. In such cases, temporary drainage is necessary to stabilize these patients. We employed laparoscopic cholecystostomy followed by laparoscopic cyst excision in cases with...
We describe herein a case of unilateral pulmonary agenesis (PA) with oesophageal atresia (EA)/tracheoesophageal fistula (TEF) that was diagnosed prenatally and repaired by esophagoesophagostomy with stable postoperative course. The patient was born at 34 weeks gestation, after ultrasonography at 22 weeks gestation showed possible right-sided diaphr...
Aim:
To define the role of laparoscopy for treating malrotation in children.
Materials and methods:
The Ladd procedure (9 laparoscopic [lap-Ladd], 17 open [open-Ladd]; n=26) was performed in children up to and including 30 days of age (neonatal [Group N]) and older (Group C). These groups were compared retrospectively.
Results:
Group N (n=14)...
Aim
We assessed the outcome of 72 cases of type-C esophageal atresia (EAc) treated by open (OR) or thoracoscopic (TR) repair from 2000 to 2013. During OR, direct lung retraction (DLR) is required but during TR, CO2 insufflation causes lung collapse so DLR is unnecessary.
Methods
Patient demographics, operative time, respiratory tract impact (RTI...
Intrathoracic kidney with Bochdalek hernia is a very rare congenital anomaly. Some case reports have discussed repair by laparotomy or thoracotomy. We report a case in a child performed using a laparoscopic approach. A 2-year-old boy arrived at our hospital with gastric volvulus caused by a left-sided Bochdalek hernia. CT also showed a left-sided i...
Purpose:
The potential benefits of thoracoscopic repair (TR) of esophageal atresia and tracheoesophageal fistula (EA/TEF) in newborns are still unclear. Our aim was to define the criteria, perioperative outcome after undergoing TR versus open repair (OR) for EA/TEF.
Patients and methods:
A retrospective chart review was conducted of 36 consecuti...
A 37 year-old primipara women was referred for management of a large solid tumor found in the neck of her fetus, showing the trachea to be compressed by the mass, and intubation through the ex utero intrapartum treatment (EXIT) was planned. After the mother was anesthetized using a Fentanyl with Isofluorane, the head and left arm of the baby were d...
A 9-month-old girl with a small suprasternal mass was referred for treatment after fine needle aspiration of the mass elsewhere suggested rhabdomyosarcoma. On admission, magnetic resonance imaging (MRI) identified a 58 x 42mm oval mass in the anterior mediastinum close to the common carotid artery and aortic arch. Surgical intervention was initiall...
Congenital lumbar hernias are rare, and the optimal surgical procedures for hernia repair are still controversial. A 13-month-old girl with a left-sided, 7 cm × 7 cm, congenital lumbar hernia underwent laparoscopic repair with autologous free fascia lata graft reinforcement. At 6 months, she was doing well with no recurrence of the hernia. Laparosc...
The appropriate surgical intervention strategies for solid pseudopapillary tumor (SPT) of the pancreas in children are still controversial. The aim of this study was to establish surgical intervention strategies based on the pathological findings.
We retrospectively reviewed the medical records of patients who underwent surgery for SPT between Janu...
A congenital esophageal stenosis (CES) is a rare anomaly, and therapeutic strategies are still controversial. Two children with CES located in the lower esophagus, who were treated by endoscopic esophagoplasty that consisted of partial esophageal resection and transverse anastomosis, are reported. A 23-month-old boy with CES at the level of T9 unde...
Repair of recurrent tracheoesophageal fistula (TEF) after repair of congenital esophageal atresia continues to be a difficult problem. The most common re-operation for a recurrent TEF involves repair via a right thoracotomy and use of a flap as interposed tissue between the closure sites. Although several materials have been reported for recurrent...
Purpose:
The purpose of this study was to evaluate long-term outcomes for a minimum of 3 years after cyst excision in children with choledochal cysts, focusing on the relationship between operative procedures and outcomes.
Methods:
Between 1977 and 2008, 138 children underwent cyst excision. Follow-up results were obtained from 120 patients. The...
Purpose:
To evaluate the clinicopathological features that indicate relapse and suggest a new risk based therapeutic strategy for unilateral Favorable Histology Wilms Tumor (FH-WT).
Materials & methods:
Thirty-three patients with unilateral WT were treated in two institutions between 1986 and 2010. Twenty-eight patients with FH-WT received prima...
The objective of this study was to clarify whether the alpha-fetoprotein (AFP) reduction rate during preoperative chemotherapy represents a prognostic factor for hepatoblastoma.
We divided 14 hepatoblastoma patients who underwent preoperative chemotherapy and curative resection into Group A (no recurrence; n = 10) and Group B (recurrence; n = 4). W...
Purpose: To evaluate outcomes of sutureless abdominal wall closure in gastroschisis. Methods: Clinical records of all patients who underwent abdominal wall closure between 1990 and 2010 in our hospital were retrospectively reviewed. Five patients who underwent sutureless closure were compared to a historical group of nine patients who underwent sut...
Newborn surgery for meconium peritonitis (MP) is sometimes very difficult owing to severe adhesions and bleeding. The aim of this study was to reveal the benefit of primary anastomosis (PA) for MP by comparing PA with multistep operations (MO).
We retrospectively reviewed 38 patients with MP who underwent surgery in our institution from 1983 to 200...
Several laparoscopic Duhamel-type procedures for Hirschsprung's disease (HD) have been reported, but laparoscopic, Z-shaped, colorectal, side-to-side anastomosis has not been described. Z-shaped anastomosis has been used as the treatment of choice for HD at our clinic for a long time. A laparoscopic approach was adopted to perform this Z-shaped ana...
Pathologic aerophagia is sometimes seen in patients with neurologic disorders. It rarely causes massive bowel distention, ileus, and volvulus. Here, we report the use of esophagogastric separation and abdominal esophagostomy via jejunal interposition to prevent bowel distention caused by severe aerophagia in 2 patients with neurologic disorders in...
Repair of recurrent congenital diaphragmatic hernia (CDH) continues to be a difficult problem. Although several materials have been used to repair recurrent CDH, the ideal material has yet to be established. We report the successful use of an autologous free fascia lata graft to repair the diaphragm following a second recurrence of CHD. The fascia...
Laryngotracheal separation is often performed to prevent intractable aspiration for children with severe mental and physical disabilities. However, tracheo-innominate artery fistula after surgery can occur as a severe complication and cause fatal hemorrhage. We have therefore developed a novel procedure to prevent tracheo-innominate artery fistula....
Cyst excision with hepaticojejunostomy is the treatment of choice for choledochal cyst. However, late complications after definitive surgery develop occasionally, including intrahepatic stones and cholangitis, because of bile stasis resulting from anastomotic stricture, intrahepatic bile duct stricture, and remnants of intrahepatic ductal dilatatio...
We report a case of ovarian fibroma with marked ascites and elevated serum CA-125 levels in a young girl. Ovarian fibromas are rare in children. They usually present as a solid mass and may be associated with ascites and elevated serum CA-125 levels. Because of their solid nature and these associations, they can be mistaken for a malignant tumor, r...
Purpose: Laryngotracheal separation is often performed for aspiration in severe psychophysiologic disorders. Tracheo-brachiocephalic fistula is a severe complication and causes fatal bleeding. Therefore prevention should be established. We have tried to decrease the incidence rate of tracheo-brachiocephalic fistula by modification of laryngotrachea...
Annular pancreas (AP) is usually associated with duodenal obstruction in neonates. Pancreatitis with AP occurs frequently in adults but is rare in children. This article describes pancreatitis in children with AP and pancreatobiliary anomalies and its surgical treatment.
Six children who underwent duodenal bypass for AP subsequently developed recur...
Suzuki K, Urushihara N, Fukumoto K, Watanabe K, Wada N, Takaba E. A case of Epstein–Barr virus–associated pulmonary leiomyosarcoma arising five yr after a pediatric renal transplant. Pediatr Transplantation 2011: 15: E145–E148. © 2010 John Wiley & Sons A/S.
Abstract: EBV-associated SMTs in immuno-compromised patients have recently been reported. We...
To review our cases of congenital cystic adenomatoid malformation (CCAM) with special emphasis on the management of prenatally diagnosed asymptomatic CCAM (PDA-CCAM).
A total of 42 consecutive CCAM patients treated between 1990 and 2008 at our institution and affiliated hospitals were divided into four groups, according to whether prenatal diagnosi...
Citations
... Thus post-operative pain is likely to reduce. So, Leng S. et al. [21] and Obayashi J. et al. [22] assessed pain intensity in surgical patients. One hour after the operation, the pain level was higher in those operated on by the open method. ...
![[object Object]](https://i1.rgstatic.net/ii/profile.image/583424538230785-1516110657512_Q64/Juma-Obayashi.jpg)
... Older children may present with the classical triad of pain, mass, and jaundice with fever and vomiting described in surgical textbooks but this mode of presentation is rarely seen today, although a report from 1995 [26] described that some 15% of all CC patients presented with the classical triad. When adolescents and adults present with CC, there is a much higher risk for premalignant and malignant histology (PMMH) in the CC, IHBD, and/or gallbladder compared with children [27]. Thus, all specimens after surgery for CC, especially from older children and adults, must have thorough histopathology for cholangiocarcinoma performed to ensure any suspicious tissue has been excised thoroughly. ...
Reference: Choledochal cyst
... The median follow-up period was 7.3 years, with good results, as only 1.3% of patients experienced late pancreatic disorders, mostly recurrent pancreatitis [17]. On the other hand, Miyake et al. [18] in 2022 reported results of 7 patients with non-dilated biliary pathways PBM who underwent RYHJ. In all cases, symptoms disappeared after definitive surgery. ...
... A CXR is an important tool in the assessment of a child with suspected FBA. Previous studies [16][17][18][19] showed that CXR has a high positive predicted value, when it comes to a radiopaque FBA, but has a low negative predicted value for a radiolucent FB, which is much more commonly aspirated in children. Considering its cost-effectiveness and the complications of delayed diagnosis of FBA, a CXR is essential in the first-line assessment, when suspicion of FBA is raised, in addition to a meticulous history and physical examination. ...
... One strategy to promote those factors is by gastrostomy tube (G-tube) feeding. Although routinely carried out in many surgical centers, only few publications have examined G-tube contribution to weaning off PN [4,5]. Nevertheless, G-tube placement is also associated with high rates of ER revisits and hospital readmissions due to various complications including infections, mechanical problems, and recurrent replacements [6]. ...
... Contrarily, reports state that up to 30% of Nissen operation patients experience DS. They believed that the chance of getting DS after Nissen's fundoplication was either the same or greater than the risk following a Toupet fundoplication [22,23]. ...
... Patients exposed to repetitive or sustained cervical flexion may be at risk of developing HD, possibly through destabilization of the cervical dural adhesions. One case report documented a five-year-old child who developed an iatrogenic Hirayama-like presentation following prolonged chinto-chest positioning after laryngeal surgery [17]. An Italian case series identified tall adolescent basketball players with HD, potentially associated with disproportionate spinal growth related to tall stature and repetitive athletic trauma [18]. ...
![[object Object]](https://i1.rgstatic.net/ii/profile.image/734858900938755-1552215423577_Q64/Tatsuya-Kawasaki.jpg)
... К одному из плюсов минимально инвазивной герниорафии с применением лапароскопии относят возможность интраоперационной записи оперативного приема, что может способствовать улучшению результатов оперативного лечения паховых грыж у детей. Появляется возможность анализа техники выполнения оперативного приема каждого хирурга в отделении посредством самоанализа или анализа старшими ординаторами [17]. ...
... Our technique is similar to the method used by Sekioka (2018) et al., who performed open cystogastrostomy by a mini-laparotomy (4 cm) using a wound retractor (Smart Retractor ® ). [2] Our technique of minimally invasive open cystogastrostomy is a viable option for pediatric pancreatic pseudocysts. The insertion of conventional retractors created a satisfactory operative field. ...
... This result is likely the consequence of children who did not require mechanical ventilation undergoing decannulation earlier than their peers who did require advanced respiratory support which adds to the overall time that the tracheostomy is in place. 35 At present there are no studies that have directly examined the relationship between the presence of BPD, pulmonary hypertension, and time to decannulation. However, existing literature does suggest that decannulation within the first few years of life is likely across a spectrum of BPD severity with excellent survival rates. ...
