Abstract：
PURPOSE:Adhesive small bowel obstruction (ASBO) is one of the most important cause of postoperative morbidity in children who underwent abdominal surgery. Laparoscopic management for ASBO in pediatric patients has been reported. However, its safety and efficacy has not been evaluated in details. The aim of this study is to compare the outcomes of laparoscopy and laparotomy for the treatment of ASBO in children. METHODS:A systematic review and meta-analysis were performed following the Cochrane Handbook for systematic reviews of intervention and the preferred reporting item for systematic reviews and meta-analysis (PRISMA) and a protocol registered in PROSPERO (CRD42017067914). The primary outcome was the number of intraoperative and postoperative complications. The secondary outcome was length of hospital stay. The risk of bias in non-randomized studies of interventions (ROBINS-I) tool was used to assess the risk of bias. Quality of evidence was summarized using the grades of recommendation, assessment, development and evaluation (GRADE) approach. RESULTS:We identified three observational studies and no randomized controlled trials. The meta-analysis was done only for the primary outcome. Complications were significantly fewer after laparoscopy compared to laparotomy (Odds ratio = 0.51; 95% CI 0.40-0.66; p < 0.01; I 2: 0%). The overall risk of bias was considered serious. CONCLUSIONS:Our results, based on observational studies, indicate that laparoscopy for ASBO was associated with less postoperative complications compared to conventional laparotomy. However, the quality of evidence is very low. A well-controlled study is needed to assess the efficacy of laparoscopy for pediatric patients with ASBO.
journal_name
Pediatr Surg Intjournal_title
Pediatric surgery internationalauthors
Miyake H,Seo S,Pierro Adoi
10.1007/s00383-017-4186-0subject
Has Abstractpub_date
2018-02-01 00:00:00pages
177-182issue
2eissn
0179-0358issn
1437-9813pii
10.1007/s00383-017-4186-0journal_volume
34pub_type
杂志文章,meta分析,评审abstract：:Although delayed repair with preoperative stabilization using high-frequency oscillatory ventilation (HFOV) has been advocated in neonates with congenital diaphragmatic hernia (CDH), improved survival has not been reported. We compared survival between neonates undergoing delayed repair after prolonged stabilization f...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050398
更新日期：1998-10-01 00:00:00
abstract：BACKGROUND:Cervicovaginal atresia is a rare Mullerian anomaly. The management of cervicovaginal atresia has evolved from historical recommendations of hysterectomy to various reconstructive procedures more recently. The latter carries a risk of significant morbidity and unknown fertility. We present our experience in t...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-014-3550-6
更新日期：2014-10-01 00:00:00
abstract：:A 31-year-old man who died of metastatic adenocarcinoma of the sigmoid colon had undergone bilateral ureterosigmoidostomy for exstrophy of the bladder 20 years earlier. The patient never underwent a colonoscopy. Neoplastic transformation at the ureterosigmoid anastomosis must be considered as a possible severe complic...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050458
更新日期：1998-11-01 00:00:00
abstract：:Recent evidence suggests that neutrophil recruitment may initiate germ cell apoptosis in the ischemic testis. The purpose of the present study was to examine the relationship between germ cell apoptosis and neutrophil recruitment in the contralateral testis following testicular ischemia-reperfusion (IR) injury in a ra...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-006-1854-x
更新日期：2007-05-01 00:00:00
abstract：:We review a single surgeon and surgical centre's experience with congenital cystic adenomatoid malformation of the lung (CCAML) in relation to clinical spectrum, operative experience, and postoperative course. A retrospective hospital record review was done on surgically treated cases of CCAML over a 10-year period, f...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-004-1225-4
更新日期：2004-07-01 00:00:00
abstract：PURPOSE:To evaluate the role of bone marrow-derived mononuclear cells (BMC) in rat bile duct ligation (BDL) model. METHODS:Wistar rats were categorized into four Groups A-D. Normal liver biopsy was taken from Group A. BDL model was created in Groups B and C (15 each). Normal saline and BMC were injected through portal...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-013-3314-8
更新日期：2013-06-01 00:00:00
abstract：PURPOSE:Pediatric patients with intestinal failure need long-term parenteral nutrition (PN), but this nutritional support causes liver dysfunction, such as intestinal failure-associated liver disease (IFALD). Several studies have shown that the lipid emulsion produced by soybean oil (SO) is associated with the occurren...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-017-4190-4
更新日期：2018-02-01 00:00:00
abstract：PURPOSE:To study the effects of frenulotomy on nipple pain, latch and the success in exclusive breastfeeding (EBF) at 3-month follow-up. METHODS:A prospective cross-sectional study of 328 mother-infant pairs with both tongue-tie and breastfeeding problems was performed. Nipple pain and latch were evaluated using numer...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-016-3952-8
更新日期：2016-10-01 00:00:00
abstract：PURPOSE:Lgr5+ intestinal epithelial stem cells (ISCs) crucial for intestinal epithelial regeneration are impaired during necrotizing enterocolitis. This study aims to investigate the influence of different stressors on intestinal epithelial injury and regeneration in vitro. METHODS:Intestinal epithelial cells (IEC-18)...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-017-4183-3
更新日期：2018-02-01 00:00:00
abstract：:The Thomsen-Friedenreich cryptantigen (TCA) is located on the surface of all red cells, but is concealed by a layer of neuraminic acid. When bacteria that produce neuraminidase disrupt this coating, the TCA can be exposed and activated. If blood products containing antibody to the TCA are subsequently administered, ha...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050488
更新日期：1998-12-01 00:00:00
abstract：:Pulmonary sequestrations are non-functional masses of lung tissue lacking normal communication with the tracheobronchial tree and systemic-circulation-derived blood supply. The disconnection between the normal airway and pulmonary arterial supply prevents pulmonary sequestrations from participating in respiration whil...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-017-4072-9
更新日期：2017-07-01 00:00:00
abstract：:Extrarenal malignant rhabdoid tumour is a rare neoplasm of childhood. A congenital example has only been reported once previously, presenting as a facial mass. We report a second congenital case with the tumour over the right shoulder in which postoperative investigations revealed multiple hepatic metastases proving f...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/BF00497837
更新日期：1996-06-01 00:00:00
abstract：:The confluence of the right and left hepatic ducts at the hepatic hilum frequently shows normal anatomic variations. Choledochal cysts (CC) are also accompanied by similar variations, and devices for free drainage of bile are occasionally required in biliary reconstruction. We present a CC that had an aberrant posteri...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/BF01371914
更新日期：1997-01-01 00:00:00
abstract：OBJECTIVES:Both aquaporin (AQP) 1 and the stem-cell factor/C-kit system seem to have a definite role in testis function, but very few studies have been reported in humans, especially in the paediatric age group. With the present study we wanted to investigate the expression of these proteins to better delineate their r...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-003-1125-z
更新日期：2004-04-01 00:00:00
abstract：PURPOSE:Congenital hyperinsulinism is a rare disease, and the newly developed 18 fluoro-L-dihydroxyphenylalanine-positron emission tomography (18F-DOPA PET) examination can detect hyperplastic lesions. Our purpose was to report the results of a nationwide survey on surgical treatment of congenital hyperinsulinism in Ja...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-018-4315-4
更新日期：2018-10-01 00:00:00
abstract：INTRODUCTION:An experimental study was conducted to investigate the effects of erythropoietin on the acute phase of esophageal burn damage induced by sodium hydroxide. MATERIALS AND METHODS:A standard esophageal alkaline burn was produced by the application of 10% sodium hydroxide to the distal esophagus in an in vivo...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-009-2480-1
更新日期：2010-02-01 00:00:00
abstract：PURPOSE:The goal of this study was to determine the degree of consensus in the management of spinal cord tethering (TC) in patients with anorectal malformation (ARM) in a large cohort of European pediatric centers. METHODS:A survey was sent to pediatric surgeons (one per center) members of the ARM-Net Consortium. RES...
journal_title：Pediatric surgery international
pub_type： 杂志文章,多中心研究
doi：10.1007/s00383-017-4105-4
更新日期：2017-08-01 00:00:00
abstract：:The successful use of a combination of "patch, drain, and wait" (PDW) and home total parenteral nutrition (TPN) in the management of a case of acute, catastrophic midgut volvulus in a 2-year-11-month-old boy with near-total ischemia/necrosis of his small intestine is reported. The PDW approach to the highly effective ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：
更新日期：1997-03-21 00:00:00
abstract：PURPOSE:Megacystis microcolon intestinal hypoperistalsis syndrome (MMIHS) is a rare and the most severe form of functional intestinal obstruction in the newborn. This congenital condition is associated with non-obstructed urinary bladder, microcolon and decreased or absent intestinal peristalsis. This study was designe...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s00383-011-2954-9
更新日期：2011-10-01 00:00:00
abstract：PURPOSE:Pancreatic neoplasms are uncommon in children. This study sought to analyze the clinical and pathological features of surgically resected pancreatic tumors in children and discuss management strategies. METHODS:We conducted a retrospective review of patients ≤21 years with pancreatic neoplasms who underwent su...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-016-3925-y
更新日期：2016-08-01 00:00:00
abstract：:A case of bilateral urinary tract tuberculosis presenting with acute renal failure is reported. It is believed to be the first reported instance of the disease presenting in this form. The patient was managed with preliminary high diversion followed by bilateral replacement of the ureters with ileal loops that were an...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050291
更新日期：1998-03-01 00:00:00
abstract：PURPOSE:Pediatric surgeons at our institution are often asked by families about a theoretical increased risk of severe common upper respiratory infections in children status post lung resection. No data exist on this topic. We, therefore, aimed to examine the risk of severe respiratory infection in children after pulmo...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-020-04851-5
更新日期：2021-01-10 00:00:00
abstract：:We examined immunohistochemically the expression and localisation of synapse-associated proteins, syntaxin (SNT) and synaptotagmin (STG) in the entire resected specimens of colon obtained at the time of pull-through operation from 15 patients with Hirschsprung's disease (HD) and 6 age-matched controls. Both antibodies...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050408
更新日期：1998-10-01 00:00:00
abstract：:Confirmation of the clinical diagnosis of Hirschsprung's disease on standard rectal suction biopsy requires demonstration of aganglionosis in 60 adequate serial sections of submucosa. Positive staining for acetylcholinesterase (AChE), demonstrating an increase in nerve fibres within the lamina propria, muscularis muco...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050237
更新日期：1998-01-01 00:00:00
abstract：:Since January 2006, robotic assistance has been used for performing minimal invasive laparoscopic fundoplications in children. These patients were compared with those operated on with either the open surgical technique or the laparoscopic procedure. The first six children operated on with a fundoplication using the op...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-006-1817-2
更新日期：2007-02-01 00:00:00
abstract：:Coagulopathies associated with malignancies are not extremely rare, but are uncommonly associated with Wilms' tumour (WT). A 6-month-old female with a WT and an abnormal coagulation profile is reported. Due to the Coagulopathy and elevated D-dimers in the blood, surgery was deferred and chemotherapy was given, after w...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-002-0853-9
更新日期：2003-06-01 00:00:00
abstract：:Recent reports indicate that extracellular matrix and cytoskeleton plasmalemmal elements are altered in infantile hypertrophic pyloric stenosis (IHPS). Desmin is a cytoskeletal protein that is important for the organization and function of muscular fibers. It has been found to be increased in the smooth muscle in chro...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050745
更新日期：2000-01-01 00:00:00
abstract：:Evolution of the present-day policy of conservative management of ruptured spleen has been hailed as one of the most notable advances in pediatric surgery. Until 1971, routine splenectomy used to be the sacrosanct treatment for splenic trauma. It was universally believed that non-operative management carried a high mo...
journal_title：Pediatric surgery international
pub_type： 历史文章,杂志文章,评审
doi：10.1007/s00383-003-0972-y
更新日期：2003-11-01 00:00:00
abstract：:Anorectal injuries (ARI) are uncommon in children in civil practice. In developed countries the injuries are mainly due to sexual abuse and firearms. This report reviews the experience in tropical Africa. A retrospective study of children aged 12 years or less managed for ARI over 10 years was undertaken. There were s...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830000347
更新日期：2000-01-01 00:00:00
abstract：PURPOSE:Tracheoesophageal fistula (TEF) is a bellwether for a country's ability to care for sick newborns. We aim to review the existing literature from low- and middle-income countries in regard to management of those newborns and the possible approaches to improve their outcomes. METHODS:A review of the existing Eng...
journal_title：Pediatric surgery international
pub_type： 杂志文章,评审
doi：10.1007/s00383-020-04639-7
更新日期：2020-05-01 00:00:00
