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Children
Special Issues
Application of Endoscopy and Endosurgery in Pediatric Surgery
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Application of Endoscopy and Endosurgery in Pediatric Surgery

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Surgery".

Deadline for manuscript submissions: 15 May 2026 | Viewed by 722

Special Issue Editors

Dr. Federico G. Seifarth

E-Mail Website
Guest Editor
Division of Pediatric Surgery, West Virginia University, Morgantown, WV, USA
Interests: pediatric general surgery; minimally invasive techniques; robotic surgery; neonatal colorectal surgery; chest wall reconstructions
Dr. Stefan Scholz

E-Mail Website
Guest Editor
Division of Pediatric Surgery, UPMC, Pittsburgh, PA, USA
Interests: pediatric general surgery; minimally invasive techniques; chest wall reconstructions; congenital anomalies; pediatric hepatobiliary surgery; hyperhydrosis

Special Issue Information

Dear Colleagues,

Minimally invasive surgical (MIS) techniques have revolutionized both adult and pediatric surgery. Endoscopic techniques have facilitated enhanced procedural precision and enabled the unparalleled visualization of the abdominal and thoracic cavities in children. These innovations have established MIS techniques as the gold standard for numerous surgical procedures, as they reduce postoperative morbidity, shorten hospital stays, and improve overall clinical outcomes.

Technological advancements, including the refinement of fiberoptic systems, the miniaturization of surgical instruments, and the application of robotic surgical systems, are continuing to increase the scope and efficacy of pediatric endoscopic surgery.

We are pleased to invite you to contribute to this upcoming Special Issue of Children, which will focus on a comprehensive range of endoscopic applications in pediatric abdominal and thoracic surgery. We welcome submissions in the form of novel techniques, original research, comprehensive reviews, or case series.

We look forward to receiving your valuable contributions to shaping the future of our field and further improving the safety, efficacy, and accessibility of endoscopic minimally invasive surgical (MIS) techniques in pediatric patients.

Dr. Federico G. Seifarth
Dr. Stefan Scholz
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • pediatric laparoscopic surgery
  • innovations
  • thoracoscopy
  • robot-assisted surgery
  • MIS
  • minimally invasive surgery
  • neonatal minimally invasive surgery
  • pediatric colorectal surgery
  • chest wall deformities

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  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
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  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

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Research

11 pages, 5372 KB  
Article
Endoscopic Hemostasis as a Bridge to Surgical Portal Decompression in Children with Portal Hypertensive Bleeding: A Staged Endoscopic–Surgical Strategy
by Jianji Xu, Jinshan Zhang and Chihuan Kong
Children 2026, 13(5), 624; https://doi.org/10.3390/children13050624 - 30 Apr 2026
Viewed by 218
Abstract
Background: Portal hypertension is a major cause of esophagogastric variceal bleeding in children. Endoscopic therapy is widely used for acute hemostasis; however, it primarily controls the bleeding episode rather than the underlying portal hypertensive physiology, and definitive management often requires surgical portal decompression. [...] Read more.
Background: Portal hypertension is a major cause of esophagogastric variceal bleeding in children. Endoscopic therapy is widely used for acute hemostasis; however, it primarily controls the bleeding episode rather than the underlying portal hypertensive physiology, and definitive management often requires surgical portal decompression. Evidence regarding the outcomes of a staged endoscopic–surgical management strategy in pediatric patients remains limited. This study aimed to evaluate the clinical outcomes of children with portal hypertensive bleeding managed with endoscopic hemostasis as a bridging therapy followed by definitive portal decompression surgery. Methods: We conducted a retrospective consecutive cohort study including 12 children presenting with portal hypertension-related variceal bleeding at our tertiary pediatric center between January 2021 and December 2024. All patients underwent endoscopic hemostasis, followed by evaluation for portal decompression surgery when anatomically feasible. Clinical outcomes including hemostasis success, rebleeding, shunt patency, and survival were analyzed. An age-stratified exploratory analysis was performed to examine the association with early dysfunction after Rex shunt reconstruction. Results: Endoscopic hemostasis was successfully achieved in all patients, with no early rebleeding prior to surgery. Ten patients underwent portal decompression surgery within 7 days (Rex shunt, n = 8; splenorenal shunt, n = 2). During a median follow-up of 18 months, early Rex shunt dysfunction (<3 months) was observed in 2 of 8 patients (25%), both of whom were younger than 3 years, whereas no dysfunction was observed in older children. Given the small sample size, this observation should be interpreted descriptively. Rebleeding and mortality occurred exclusively in association with shunt dysfunction. Conclusions: A staged endoscopic–surgical strategy appears feasible for stabilizing children with acute portal hypertensive bleeding and enabling timely definitive portal decompression. In this small cohort (n = 12), an age-related signal in early Rex shunt dysfunction was observed in very young children; however, this finding should be interpreted cautiously and requires further validation in larger studies. Full article
(This article belongs to the Special Issue Application of Endoscopy and Endosurgery in Pediatric Surgery)
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