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Clinical Updates on Pediatric Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Pediatrics".

Deadline for manuscript submissions: closed (15 May 2026) | Viewed by 1215

Special Issue Editors


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Guest Editor
DeWitt Daughtry Family Department of Surgery, Division of Pediatric Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, USA
Interests: pediatric surgery; general surgery; clinical outcomes

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Guest Editor
DeWitt Daughtry Family Department of Surgery, Division of Pediatric Surgery, University of Miami Miller School of Medicine, Miami, FL 33136, USA
Interests: pediatric surgery; general surgery; clinical outcomes

Special Issue Information

Dear Colleagues,

Pediatric surgery as a field continues to advance at a remarkable pace, driven by ongoing innovations in surgical techniques, as well as enhanced recovery and perioperative care. The introduction and refinement of minimally invasive and robotic-assisted operations, along with improvements in diagnostic imaging modalities, intraoperative adjuncts, and clinical artificial intelligence (AI) technologies, continue to enhance the precision, safety, and outcomes of surgical interventions in neonates, children, and adolescents.

This Special Issue, “Clinical Updates on Pediatric Surgery”, aims to provide a comprehensive overview of the recent developments and emerging trends that are shaping the practice of pediatric surgery. We will highlight both clinical and technological advancements that are transforming patient care across a wide spectrum of pediatric surgical conditions.

Topics of interest include, but are not limited to, the following:

  • Innovations in minimally invasive and robotic-assisted surgical techniques;
  • The use of intraoperative adjuncts and image-guided technologies;
  • The implementation of artificial intelligence and augmented reality in surgical care and research;
  • Enhanced recovery protocols and novel perioperative management strategies;
  • Advances in pediatric anesthesia and pain management.

We invite the submission of original research articles, both prospective and retrospective in nature, as well as systematic reviews, meta-analyses, and narrative reviews that explore updates to pediatric surgical practice. Submissions that provide insights into updated clinical guidelines and multidisciplinary approaches to the care of historically well-studied pathologies are also encouraged.

Dr. Carlos Theodore Huerta
Prof. Dr. Eduardo Alfonso Perez
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. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly 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 2600 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
  • robotic-assisted surgery
  • artificial intelligence
  • enhanced recovery after surgery
  • minimally inva-sive surgery
  • augmented reality

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Published Papers (1 paper)

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Research

13 pages, 830 KB  
Article
Laparoscopic Management of Benign Splenic Cysts in Children: Partial Splenectomy vs. Deroofing
by Zenon Pogorelić, Daniel Vidović, Miro Jukić and Zdravko Perko
J. Clin. Med. 2026, 15(4), 1401; https://doi.org/10.3390/jcm15041401 - 11 Feb 2026
Viewed by 689
Abstract
Objectives: This study aimed to compare laparoscopic deroofing and laparoscopic partial splenectomy regarding recurrence, perioperative safety, and short-term postoperative outcomes in pediatric patients. Methods: This retrospective single-center study included pediatric patients who underwent laparoscopic partial splenectomy or laparoscopic deroofing for benign splenic cysts [...] Read more.
Objectives: This study aimed to compare laparoscopic deroofing and laparoscopic partial splenectomy regarding recurrence, perioperative safety, and short-term postoperative outcomes in pediatric patients. Methods: This retrospective single-center study included pediatric patients who underwent laparoscopic partial splenectomy or laparoscopic deroofing for benign splenic cysts between January 2012 and August 2025. Demographics, cyst characteristics, operative variables, postoperative complications, and recurrence were analyzed. The primary outcome was cyst recurrence; secondary outcomes included duration of surgery and length of hospitalization. Results: Twenty-three patients met the inclusion criteria: 10 underwent laparoscopic partial splenectomy and 13 laparoscopic deroofing. Groups were comparable in age, sex distribution, cyst diameter, body mass index, and American Society of Anesthesiologists classification (all p > 0.3). No conversions to open surgery occurred. Operative time was significantly shorter for partial splenectomy (37.8 ± 7.1 min) compared with deroofing (77.3 ± 33.6 min; p = 0.001). Length of hospitalization did not differ significantly between groups (median 2 days; p = 0.596). Two minor postoperative complications occurred in the deroofing group, without a significant difference between techniques (p = 0.486). A striking difference in recurrence was observed: no recurrences occurred after partial splenectomy (0%), whereas recurrence was documented in 8/13 patients (61.5%) after deroofing (p = 0.003). Conclusions: Laparoscopic partial splenectomy offers superior long-term efficacy in treating benign splenic cysts in children, with significantly lower recurrence rates and shorter operative times than laparoscopic deroofing. While deroofing remains a technically accessible option, its high recurrence rate limits its role as a definitive treatment. Partial splenectomy appears to be the preferred spleen-preserving technique. Future prospective, multicenter, and ideally randomized studies are warranted to confirm these findings. Full article
(This article belongs to the Special Issue Clinical Updates on Pediatric Surgery)
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