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Nationwide questionnaire survey on pediatric pancreatic tumors in Japan

World Journal of Gastrointestinal Oncology 2024年第10期16卷 4166-4176页

作者： Satoshi Makita hiroo uchida Motohiro Kano Naonori Kawakubo Hiromu Miyake Akihiro Yoneda Tatsuro Tajiri Koji Fukumoto Department of Pediatric Surgery Nagoya University Graduate School of MedicineNagoya 466-8550Japan Department of Pediatric Surgery National Center for Child Health and DevelopmentTokyo 157-8535Japan Department of Pediatric Surgery Reproductive and Developmental MedicineFaculty of Medical SciencesKyushu UniversityFukuoka 819-0395Japan Department of Pediatric Surgery Shizuoka Children’s HospitalShizuoka 420-8660Japan

BACKGROUND Pediatric pancreatic tumors are rare and account for<0.1%of all childhood *** primary treatment for pancreatic tumors is surgical ***,because of the lack of knowledge regarding pediatric pancreatic tumors,no comprehensive treatment plans for pediatric pancreatic tumors have been *** To compared the clinical features,treatment methods,and prognosis of pediatric pancreatic tumors in Japan with those in other *** Questionnaires were sent to 213 pediatric surgical units in *** tumors that were not surgically treated were excluded from the *** primary survey investigated the number of patients aged 0-18 years who underwent pancreatic tumor surgery and the type of tumors managed during the 22-year study period(from January 1,2000 to December 31,2021)by post *** secondary survey assessed the clinical images,treatment methods,and tumor outcomes via *** The primary survey enrolled 228 *** the secondary survey,213 patients were eventually *** most common type of pancreatic tumor was solid pseudopapillary neoplasm(SPN)[n=164(77.0%)],followed by pancreatoblastoma[n=16(7.5%)],pancreatic endocrine tumor[n=14(6.6%)],non-epithelial tumor[n=9(4.2%)],pancreatic tumor[n=7(3.3%)],and metastatic pancreatic tumor[n=3(1.4%)].Overall,123(57.7%)patients underwent distal pancreatectomy,of whom 49 underwent laparoscopic ***-four(20.7%)patients underwent enucleation,of whom eight underwent laparoscopic ***-two(15.0%)patients underwent pancreaticoduodenectomy,of whom one underwent laparoscopic *** patients with SPN,including those with distant metastases and recurrent disease,*** SPN was more common in Japan than in other *** of the histological type,resection is the most effective treatment for pediatric pancreatic tumors.

关键词： Pancreatic tumors Pediatric Nationwide survey Solid pseudopapillary tumors Pancreatoblastoma

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Novel zinc alloys for biodegradable surgical staples

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World Journal of Clinical Cases 2020年第3期8卷 504-516页

作者： Hizuru Amano Koichi Miyake Akinari Hinoki Kazuki Yokota Fumie Kinoshita Atsuko Nakazawa Yujiro Tanaka Yasuhiro Seto hiroo uchida Department of Pediatric Surgery Graduate School of MedicineThe University of TokyoTokyo 113-8655Japan Mitsui Mining and Smelting Co. Ltd.Tokyo 141-0032Japan Department of Pediatric Surgery Nagoya University Graduate School of MedicineNagoya 466-8550Japan Department of Advanced Medicine Nagoya University HospitalNagoya 466-8560Japan Department of Clinical Research Saitama Children’s Medical CenterSaitama 330-8777Japan

BACKGROUND The development of biodegradable surgical staples is desirable as non-biodegradable Ti alloy staples reside in the human body long after wound healing, which can cause allergic/foreign-body reactions, adhesion, or other adverse effects. In order to develop a biodegradable alloy suitable for the fabrication of surgical staples, we hypothesized that Zn, a known biodegradable metal, could be alloyed with various elements to improve the mechanical properties while retaining biodegradability and biocompatibility. Considering their biocompatibility, Mg, Ca, Mn, and Cu were selected as candidate alloying elements, alongside Ti, the main material of clinically available surgical *** To investigate the in vitro mechanical properties and degradation behavior and in vivo safety and feasibility of biodegradable Zn alloy *** Tensile and bending tests were conducted to evaluate the mechanical properties of binary Zn alloys with 0.1–6 wt.% Mg, Ca, Mn, Cu, or Ti. Based on the results,three promising Zn alloy compositions were devised for staple applications(wt.%): Zn-1.0Cu-0.2Mn-0.1Ti(Zn alloy 1), Zn-1.0Mn-0.1Ti(Zn alloy 2), and Zn-1.0Cu-0.1Ti(Zn alloy 3). Immersion tests were performed at 37℃ for 4 wk using fed-state simulated intestinal fluid(Fe SSIF) and Hank’s balanced salt solution(HBSS). The corrosion rate was estimated from the weight loss of staples during immersion. Nine rabbits were subjected to gastric resection using each Zn alloy staple, and a clinically available Ti staple was used for another group of nine rabbits. Three in each group were sacrificed at 1, 4, and 12 wk *** Additions of ≤1 wt.% Mn or Cu and 0.1 wt.% Ti improved the yield strength without excessive deterioration of elongation or bendability. Immersion tests revealed no gas evolution or staple fracture in any of the Zn alloy staples. The corrosion rates of Zn alloy staples 1, 2, and 3 were 0.02 mm/year in HBSS and 0.12, 0.11, and 0.13 mm/year, respective

关键词： Zinc alloy Surgical staple Gastric resection Biodegradability,Biocompatibility Mechanical Strength

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Laparoscopic Kasai portoenterostomy can be a standard surgical procedure for treatment of biliary atresia

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World Journal of Gastrointestinal Surgery 2022年第1期14卷 56-63页

作者： Chiyoe Shirota Akinari Hinoki Takahisa Tainaka Wataru Sumida Fumie Kinoshita Kazuki Yokota Satoshi Makita Hizuru Amano Yoichi Nakagawa hiroo uchida Department of Pediatric Surgery Nagoya University Graduate School of MedicineNagoya 4668550AichiJapan Rare/Intractable Cancer Analysis Research Nagoya University Graduate School of MedicineNagoya 4668550AichiJapan Department of Advanced Medicine Nagoya University HospitalNagoya 466-8560AichiJapan

BACKGROUND Biliary atresia(BA)is a rare pediatric *** To compare the outcomes of laparoscopic portoenterostomy(Lap-PE)with those of laparotomy(Open-PE)at a single *** The surgical outcomes of PE were retrospectively analyzed for patients with a non-correctable type of BA from 2003 to *** Throughout the assessment period,119 patients received PE for BA treatment,including 66 Open-PE and 53 Lap-PE *** the operation duration was longer(medians:for Open-PE,242 min;for Lap-PE,341 min;P80%for both groups for the first half year post surgery,followed by a gradual decrease with time;there were no statistically significant differences in the native liver survival rates for any durations *** Lap-PE could be a standard therapy for BA.

关键词： Laparoscopic Kasai portoenterostomy Biliary atresia Native liver survival Pediatric Liver Transplantation

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