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Pediatric Minimal Access Surgery: Updates in Thoracic, Abdominal, and Cervical...
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Pediatric Minimal Access Surgery: Updates in Thoracic, Abdominal, and Cervical Procedures

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

Deadline for manuscript submissions: closed (30 October 2025) | Viewed by 2270

Special Issue Editor

Dr. Yu-Tang Chang

E-Mail Website
Guest Editor
Division of Pediatric Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung City, Taiwan
Interests: laparoscopy surgery; laparoscopic surgery; minimally invasive surgery; abdominal surgery; gastrointestinal surgery; pediatric surgery

Special Issue Information

Dear Colleagues,

Pediatric minimal access surgery (MAS) has advanced significantly in recent decades, revolutionizing the surgical management of thoracic, abdominal, and, increasingly, cervical (neck) diseases. With the refinement of laparoscopic, thoracoscopic, endoscopic, and robotic techniques, pediatric surgeons can now offer safer, less invasive interventions across a wider range of conditions, leading to improved recovery, reduced morbidity, and enhanced quality of care.

This Special Issue, "Pediatric Minimal Access Surgery: Updates in Thoracic, Abdominal, and Cervical Procedures," will present the latest innovations, clinical experiences, and future directions in pediatric MAS. Topics of interest include thoracoscopic and laparoscopic surgery, endoscopic neck procedures, robotic-assisted techniques, perioperative management strategies, and technological innovations relevant to pediatric and neonatal populations.

We welcome the submission of original research articles, comprehensive reviews, technical notes, and illustrative case series that contribute to advancing the practice and understanding of minimal access surgery in children.

Dr. Yu-Tang Chang
Guest Editor

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 surgery
  • minimal access surgery
  • thoracoscopy
  • laparoscopy
  • endoscopic neck surgery
  • robotic surgery
  • neonatal surgery
  • surgical innovation

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Published Papers (2 papers)

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Research

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16 pages, 2167 KB  
Article
Parathyroidectomy in the Treatment of Childhood Hyperparathyroidism: A Single-Institution Experience
by Seyithan Ozaydin, Serkan Sari, Emel Hatun Aytac Kaplan, Zumrut Kocabey Sutcu, Sevgi Yavuz, Hamit Yucel Barut, Huseyin Karatay and Burcu Esen Akkas
Children 2026, 13(1), 64; https://doi.org/10.3390/children13010064 - 31 Dec 2025
Cited by 1 | Viewed by 659
Abstract
Purpose: Hyperparathyroidism (HPT) is a condition marked by excessive secretion of parathyroid hormone (PTH), leading to disturbances in calcium, phosphate, and vitamin D metabolism. HPT is classified into primary (pHPT), secondary (sHPT), and tertiary (tHPT) types, which can cause systemic complications. Parathyroidectomy (PTX) [...] Read more.
Purpose: Hyperparathyroidism (HPT) is a condition marked by excessive secretion of parathyroid hormone (PTH), leading to disturbances in calcium, phosphate, and vitamin D metabolism. HPT is classified into primary (pHPT), secondary (sHPT), and tertiary (tHPT) types, which can cause systemic complications. Parathyroidectomy (PTX) remains the cornerstone treatment for pHPT and refractory cases of sHPT and tHPT. Methods: A retrospective review was conducted on 10 pediatric patients who underwent PTX for HPT at our clinic between 2016 and 2024. Demographic data, preoperative imaging, laboratory findings, surgical details, pathology reports, and postoperative outcomes were analyzed. Patients were categorized as having either pHPT (n = 6) or renal HPT (r-HPT; n = 4), which included one case of sHPT and three cases of tHPT. Results: The mean age of pHPT and r-HPT patients was 15 and 13 years, respectively. While 50% of pHPT patients were female, all r-HPT patients were female. Preoperative imaging localized parathyroid lesions using ultrasonography in all cases, but Sestamibi scintigraphy had a lower detection rate (66.7%). Minimally invasive parathyroidectomy was performed in single-gland pHPT cases, while bilateral neck exploration was used for multiglandular pHPT and all r-HPT cases. No intraoperative complications were observed. Postoperatively, all patients demonstrated normalized calcium, phosphate, and PTH levels with significant symptomatic improvement. Hungry bone syndrome developed in one r-HPT patient and was managed successfully. No recurrences were noted during an average follow-up of 39 months. Conclusions: PTX is a safe and effective treatment for pediatric HPT, providing excellent biochemical and clinical outcomes. Multidisciplinary collaboration is crucial in managing pediatric cases, particularly those with complex renal HPT. Full article
(This article belongs to the Special Issue Pediatric Minimal Access Surgery: Updates in Thoracic, Abdominal, and Cervical Procedures)
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7 pages, 976 KB  
Case Report
Mind the Missing Gap: A Cervical Variant of Type A Esophageal Atresia
by Marco Di Mitri, Riccardo Coletta, Edoardo Collautti, Cristian Bisanti, Annalisa Di Carmine, Roberto Lo Piccolo, Elena Rovero, Francesca Tocchioni, Elisa Severi, Marco Moroni, Ioannis Georgopoulos, Dariusz Patkowski and Mario Lima
Children 2025, 12(6), 740; https://doi.org/10.3390/children12060740 - 6 Jun 2025
Viewed by 1210
Abstract
Background: Esophageal atresia (EA) type A, characterized by the absence of a tracheoesophageal fistula and typically presenting with a long esophageal gap, usually requires staged repair. Methods: We report a rare case of a newborn with type A EA in which both the [...] Read more.
Background: Esophageal atresia (EA) type A, characterized by the absence of a tracheoesophageal fistula and typically presenting with a long esophageal gap, usually requires staged repair. Methods: We report a rare case of a newborn with type A EA in which both the proximal and distal esophageal pouches were unexpectedly close and located in the cervical region. This anatomical variant allowed for a successful primary anastomosis through a cervical approach. Results: Initial imaging was misleading, and the true anatomy was clarified only through thoracoscopic exploration, underscoring the importance of intraoperative flexibility. Conclusions: To our knowledge, this is the first report of such a presentation in type A EA, with significant implications for diagnosis and surgical strategy. Full article
(This article belongs to the Special Issue Pediatric Minimal Access Surgery: Updates in Thoracic, Abdominal, and Cervical Procedures)
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