Journal of Pediatric Surgery小儿外科杂志
Journal of Pediatric Surgery(英文缩写 J PEDIATR SURG),ISSN 0022-3468,eISSN 1531-5037,中文译名:小儿外科杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-27 至 2026-09-27，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 2.549 | Q2 |
| 2022 | 2.400 | Q2 |
| 2023 | 2.400 | Q1 |
| 2024 | 2.500 | Q1 |
| 2025 | 2.300 | Q2 |
Journal of Pediatric Surgery 最新收录文献
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1. Gonadal function and fertility outcomes after orchiopexy versus orchiectomy for testicular torsion: A systematic review and meta-analysis.
PMID:日期:2026-10-01To review the early and late changes in hormonal profiles, semen parameters, and clinical outcomes in patients treated with orchiopexy versus orchiectomy for testicular torsion. A systematic search was conducted across MEDLINE, Scopus, Web of Science, Cochrane Library, and other databases, following PRISMA guidelines. FSH, LH, testosterone, inhibin-B, and semen parameters. Quality was assessed using the Newcastle-Ottawa Scale. Certainty of evidence was evaluated using the GRADE framework. Statistical analysis was performed using the random-effects model. Eleven studies involving 538 participants (197 orchiectomy, 341 orchiopexy) were included. Orchiectomy was associated with a significant increase in FSH (SMD: 1.63, P < 0.0001) and LH (SMD: 1.31, P < 0.0001) compared to orchiopexy. However, testosterone (MD: 0.31 ng/mL; P = 0.4) and inhibin-B (SMD: -0.14; P = 0.87) levels were comparable between groups. Regarding semen parameters, orchiectomy resulted in a significant reduction in sperm concentration (MD: -18 million/mL, P = 0.01). No significant differences were found in sperm count (MD: 13.9 million; P = 0.43), normal morphology (MD: 4.97%; P = 0.12), or total motility (MD: 4.05%; P = 0.49). The pooled rate for ipsilateral atrophy following orchiopexy was 38%, which likely depends on ischemia duration. Surgical choice in testicular torsion does not significantly affect the overall hormonal balance or most semen parameters due to compensatory mechanisms of the hypothalamic-pituitary-gonadal axis. Clinical decisions should consider individual case factors, as we lack reliable data on subsequent paternity rates.
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2. Transscrotal-assisted laparoscopic orchiopexy for high palpable undescended testes with a standardized Active Tension-Reduction protocol: A retrospective single-center experience of 336 testes.
PMID:日期:2026-10-01The looping vas deferens, reported in 2-20% of orchiopexy series [5,6], may be at risk of inadvertent injury during conventional intra-abdominal gubernaculum division. We describe a standardized four-step Active Tension-Reduction (ATR) protocol that relocates gubernaculum division from the abdominal cavity to the scrotal incision under direct vision. To describe the ATR protocol and report surgical outcomes in a single-center series. A retrospective review of 336 high palpable (peeping and canalicular) undescended testes (281 patients) who underwent transscrotal laparoscopic orchiopexy using the ATR protocol between January 2021 and December 2024. The four-step protocol comprises laparoscopic high dissection, transscrotal gubernaculum division under direct vision, routine spermatic-cord fascial release, and selective laparoscopic release of residual fibers. Testicular position, ultrasonographic volume, and complications were assessed; reporting followed STROBE. Median age was 20.0 months (IQR, 12.0-60.0). Among the 275 testes with a documented outcome, no positional failure was observed (all in satisfactory scrotal position); 61 testes (18.2%) lacked a documented outcome. A worst-case analysis counting all 61 as failures gave 81.8% (275/336; 95% CI, 77.4-85.6). There were no conversions to open surgery and no vas or vascular injury. Post-operative testicular volume increased from 0.264 to 0.334 mL (p < 0.001); absent an age-matched control, this before-after change cannot be attributed to surgery. The ATR protocol is a feasible, reproducible approach to transscrotal laparoscopic orchiopexy with favorable short-term positional outcomes. Its theoretical advantage in protecting the looping vas deferens needs prospective validation in studies that record the looping-vas incidence. Treatment Study (Retrospective Cohort) LEVEL OF EVIDENCE: III.
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3. Comparison of coaxial double-bar and other bar configurations during pectus bar removal in a single center: Retrospective single center study.
PMID:日期:2026-10-01Pectus bar removal following minimally invasive repair of pectus excavatum (MIRPE) is often considered a minor procedure, but operative difficulty can vary substantially due to fibrotic adhesion and osseous formation at the bar-chest wall interface. The influence of bar configuration on these factors remains insufficiently evaluated. A retrospective cohort study was conducted in patients under 20 years old who underwent elective pectus bar removal between January 2024 and February 2026 in our institution. Patients were categorized into coaxial double bar and non-double bar configurations. Primary outcomes included operative time, estimated blood loos (EBL), and intraoperative evidence of bony invasion or formation. Propensity score matching was performed using two approaches: (1) matching for age at bar removal and bar dwelling duration, and (2) matching for age at removal alone. Multivariable logistic regression was used to assess independent associations between bar configuration and removal-related outcomes. A total of 315 patients were analyzed; 109 coaxial double bar and 206 non-double bar. In the unmatched cohort, double bar configuration was associated with shorter operative time (30.09 vs. 53.96 minutes, P<0.001), lower EBL (6.86 vs. 28.4 mL, P=0.018), and reduced bony reaction (23.9% vs. 56.3%, P<0.001). After propensity score matching for age at removal alone, double-bar configuration remained associated with shorter operative time, lower EBL, and lower rates of bony reaction. After additional matching for bar dwelling duration, operative time and EBL remained significantly lower in the coaxial double-bar group, whereas differences in bony reaction were attenuated and no longer statistically significant. On multivariable analysis, coaxial double-bar configuration was independently associated with lower odds of bony reaction (OR 0.25; 95% CI, 0.14-0.47), high EBL (OR 0.36; 95% CI, 0.16-0.81), and prolonged operative time (OR 0.08; 95% CI, 0.04-0.17) (all P<0.05). Coaxial double-bar configuration is associated with reduced osseous reaction and more favorable intraoperative outcomes during pectus bar removal. These findings suggest that load distribution across multiple bars may mitigate periosteal stimulation and facilitate safer and less complex removal. Consideration of bar configuration at the time of MIRPE may influence both corrective and removal phases.
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4. Prospective comparison of near-infrared I and II fluorescence imaging for intraoperative navigation in pediatric hepatoblastoma resection.
PMID:日期:2026-10-01Complete resection is critical for cure in hepatoblastoma (HB), but small, superficial, or deep lesions may be missed by conventional intraoperative assessment or near-infrared window I (NIR-I) fluorescence imaging. We prospectively evaluated the feasibility and comparative performance of indocyanine green (ICG)-based near-infrared window II (NIR-II) fluorescence imaging during pediatric hepatoblastoma resection. Fourteen children with HB were prospectively enrolled. All patients received preoperative ICG administration and underwent intraoperative paired NIR-I and NIR-II fluorescence imaging using a self-developed multispectral imaging system. In vivo and ex vivo fluorescence findings were correlated with histopathology. In vivo tumor-to-normal ratio (TNR), ex vivo tumor-to-background ratio (TBR), and lesion detection performance were compared between the two modalities. NIR-II imaging showed higher intraoperative TNR than NIR-I imaging (10.11 ± 3.48 vs 6.49 ± 3.48, P < 0.05) and higher ex vivo TBR (16.05 ± 8.43 vs 9.88 ± 5.35, P < 0.05). In specimen-based analysis, NIR-II showed higher sensitivity (88.9% vs 77.8%) and accuracy (84.4% vs 80.0%) than NIR-I imaging. NIR-II also identified additional satellite or metastatic lesions not clearly visualized by NIR-I imaging in representative cases and improved localization of deeply located tumors. ICG-based NIR-II fluorescence imaging is feasible in pediatric HB surgery and may provide incremental intraoperative visualization compared with NIR-I imaging, particularly for selected small, deep, or weakly fluorescent lesions. These preliminary findings support the complementary role of NIR-II imaging in intraoperative decision-making but require validation in larger studies with standardized follow-up. Level III.
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6. Staying put: A single institution quality improvement initiative to reduce early gastrostomy tube dislodgement in children.
PMID:日期:2026-10-01Gastrostomy tube (GT) placement is one of the most common surgical procedures performed in children. Early GT dislodgement is a potentially preventable complication associated with high morbidity, increased healthcare utilization, and need for early instrumentation or re-operation. This quality improvement initiative aimed to reduce the rate of early GT dislodgement from 14.3% to 7% within 12 months. After identifying a high rate of early GT dislodgements, a team of multidisciplinary stakeholders developed a quality improvement initiative to reduce early dislodgements, defined as any dislodgement within 60 days of surgery. The intervention included: 1) standardization of post-operative GT dressing; 2) robust family education focusing on common GT problems, GT dressings and securement, and instructions for management if dislodgement occurs; 3) nursing education and hands-on demonstration; and 4) creation of a post-operative order set, including the new dressing order and instructions to disconnect the extension tubing when not in use. Process measures included adherence to post-operative dressings and completion of family education. The outcome measure was GT dislodgement rate. Since Go-Live, there has been 100% compliance with completion of family education. Compliance with standard post-operative dressing initially lagged, but has been 100% since February 2025, with the exception of October 2025. At 1.5 years post-implementation, the rate of early dislodgements was not trending in the desired direction, so we identified patients at higher risk for dislodgement based on demographic factors. All high-risk patients are contacted via telephone two weeks post-operatively to check in and reinforce family education. The rate of early dislodgement has decreased from 14.8% to 4.3%. Interventions including hospital-wide post-operative protocols, standardized dressings, high-quality parent education, and targeted efforts for high-risk patients can reduce rates of early GT dislodgement in children and related morbidity.
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7. Comparison between segmentectomy and lobectomy for treating congenital lung malformation: A NSQIP database study.
PMID:日期:2026-10-01Congenital pulmonary airway malformation (CPAM) and bronchopulmonary sequestration (BPS) are diagnosed more often now than in past decades, largely because prenatal imaging has improved substantially. Thoracoscopic lobectomy is still the default operation, though anatomic segmentectomy has gained traction to spare healthy lung tissue. We used a national pediatric surgical database to compare the two approaches during the first 30 days after surgery. Patients under 19 years of age with CPAM or BPS who underwent thoracoscopic lobectomy or segmentectomy were identified in the National Surgical Quality Improvement Program Pediatric (NSQIP-P) between 2015 and 2023. We compared operative time (duration of surgery and anesthesia), postoperative length of stay, and 30-day complications, and then repeated the comparison after 1:1 propensity matching for age, sex, race, weight, American Society of Anesthesiologists (ASA) Physical Status Classification, wound classification, and relevant comorbidities. Among 1520 patients (1404 lobectomies, 116 segmentectomies), the matched groups (84 per arm) showed a clear operative time advantage for segmentectomy, 117.6 ± 62.5 vs. 185.4 ± 92.4 min (p < 0.001), and a shorter hospital stay, 2.00 ± 2.05 vs. 2.65 ± 2.53 days (p = 0.001). Surgical time alone was shorter with segmentectomy but was not significant (83.0 ± 31.2 vs. 92.8 ± 35.7 min; p = 0.061). Complications, reoperations, readmissions, and transfusion rates didn't differ meaningfully between groups, and there were no deaths. Segmentectomy appears to offer real operative and recovery advantages over lobectomy without a safety tradeoff, at least in this short-term window. Longer follow-up is still warranted before concluding effects on lung function or recurrence. Level III.
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8. Comparison of open and laparoscopic surgery for pediatric retroperitoneal teratoma: A single-center experience.
PMID:日期:2026-10-01The role of laparoscopic surgery in pediatric retroperitoneal teratomas remains unclear because of limited working space and vascular injury concerns. This study compared outcomes of open and laparoscopic surgeries for pediatric retroperitoneal teratomas. We retrospectively reviewed 24 children who underwent resection of a retroperitoneal teratoma at a single center between 2002 and 2024. Thirteen underwent open surgery and 11 underwent laparoscopic surgery. Patient characteristics and perioperative outcomes were compared between groups. Continuous variables were analyzed using the Mann-Whitney U test and categorical variables using exact tests. Open surgery was performed earlier, whereas laparoscopic surgery was introduced later and became more common. No statistically significant differences were observed between open and laparoscopic groups in age at surgery, sex, body weight, height, tumor location, tumor volume, tumor volume/body surface area, or vessel encasement. Operative time was longer in the laparoscopic group than in the open group (median, 304 vs. 146 min; P = 0.003), whereas postoperative hospital stay was shorter (7 vs. 10 days; P = 0.039). Blood loss, intraoperative tumor rupture, vessel dissection, time to oral intake, and postoperative complication rates did not differ significantly between groups. No laparoscopic cases required conversion to open surgery. No recurrences were observed in either group. Laparoscopic resection appears to be a feasible option for selected pediatric patients with retroperitoneal teratoma. In this small retrospective series, laparoscopic resection was completed without conversion to open surgery and showed no apparent increase in perioperative complications or recurrence during the available follow-up period.
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9. Safety and efficacy of ultrasound-guided percutaneous biopsy with FAL tract sealing for pediatric hypervascular malignant solid tumors: A retrospective cohort study.
PMID:日期:2026-10-01To evaluate the safety and efficacy of ultrasound (US)-guided percutaneous needle biopsy combined with FAL tissue adhesive needle tract sealing in pediatric hypervascular malignant solid tumors. A retrospective analysis was conducted on 149 pediatric patients with Adler grade ≥2 malignant solid tumors who underwent US-guided percutaneous needle biopsy between January 2021 and October 2025. Based on the application of FAL sealing, patients were divided into the FAL group (n = 57) and control group (n = 92). Using 1:1 propensity score matching (PSM) for baseline covariates (e.g., age, tumor size, Adler grade, biopsy needle size, and hematological metrics), we generated 39 matched pairs. The number of needle passes, postoperative changes in laboratory values, complication rates, and follow-up outcomes were compared between the two cohorts. Before matching, the FAL group presented with larger tumors, lower preoperative hemoglobin levels, a different pathological distribution, and imbalance in biopsy needle size than the control group. After PSM, baseline characteristics were balanced between the two groups. Patients in the FAL group more frequently underwent ≥4 needle passes than those in the control group [84.6% (33/39) vs. 60.5% (23/38), P = 0.034]. Furthermore, there were no significant differences in postoperative laboratory changes, complication rates, or diagnostic accuracy among surgically validated cases between the two groups. No FAL-related adverse events or needle tract seeding were observed during a median follow-up of 140 days in the matched FAL group. In pediatric hypervascular malignant solid tumors, US-guided PNB combined with FAL tract sealing was associated with a higher number of biopsy passes without an observed increase in procedure-related complications, while diagnostic accuracy remained comparable. Further prospective multicenter and large-sample studies are needed for validation. Level III (Retrospective comparative study).
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10. Multiple relaxing short incisions significantly reduce urethral fistula after hypospadias repair: A retrospective cohort study.
10. 多个松弛短切口可显著减少尿道下裂修复术后尿道瘘：一项回顾性队列研究PMID:日期:2026-10-01The study aimed to assess the safety, efficacy, and reproducibility of the multiple relaxing short incisions (MRSI) technique in hypospadias repair. This retrospective cohort study included 316 patients with hypospadias who used the MRSI technique (group MRSI) or not (group traditional) in hypospadias surgery between September 2020 and September 2023. A comparison was made between the two groups regarding the penis skin cosmetic outcomes and the occurrence of complications such as urethral fistula, wound infection, glans dehiscence, urethral stricture, and urethral diverticulum. Among 316 patients, 139 were assigned into group MRSI while 177 were into group traditional. TIP was performed on 169 patients, inlay with TIP on 82 patients, and onlay island flap urethroplasty on 65 patients. The postoperative complication rate was significantly lower in group MRSI than in group traditional (P = 0.009). Group MRSI presented 3 cases of urethral fistula, with one concurrent wound infection, resulting in a ratio of 2.16%. In contrast, group traditional had 15 cases of urethral fistula, with 8 concurrent wound infections, yielding a ratio of 8.47%. The occurrence of urethral fistula in group MRSI was significantly lower than in group traditional (P = 0.025). Multivariable logistic regression confirmed that MRSI was independently associated with a reduced risk of fistula (OR = 0.081; 95% CI: 0.010-0.372; P = 0.005). No significant differences were observed between the two groups in terms of wound infection, glans dehiscence, urethral stricture, urethral diverticulum, and penile skin cosmetic score. MRSI technique decreases the occurrence of urethral fistula complications following hypospadias repair in patients with identifiable skin tension, providing a safe, effective, and reproducible method with favorable cosmetic results.