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Advances and Trends in Pediatric Surgery
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Advances and Trends in 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: 25 July 2025 | Viewed by 555

Special Issue Editors

Dr. Nikolaos Zavras

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Guest Editor
Department of Pediatric Surgery, School of Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece
Interests: pediatric laparoscopic surgery; bariatric surgery; oncology; robotics; urology
Special Issues, Collections and Topics in MDPI journals
Dr. Anastasia Dimopoulou

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Guest Editor
Department of Pediatric Surgery, Medical School, Attikon University Hospital, National and Kapodistrian University of Athens, Athina, Greece
Interests: pediatric surgery; perioperative; antimicrobial; septic shock; surgical; endoscopic procedures

Special Issue Information

Dear Colleagues,

Over the last 30 years, the pediatric surgical literature has shown a significant expansion in understanding the pathophysiology of complex congenital and acquired surgical diseases. Furthermore, the introduction of new refinements in surgical instruments, the rapid evolution and implementation of minimally invasive surgery in severe malformations, and, more recently, robotic surgery have all contributed to a significant decrease in morbidity, mortality, and improvement in the quality of life of pediatric surgical patients. This could not be possible if anesthesiology, radiology, pediatric subspecialties in the fields of neonatology, gastroenterology, infectious diseases, and intensive care medicine did not evolve at the same time. Moreover, the establishment of therapeutic protocols emerged from evidence-based medicine, and research on predictive factors for the outcome of important diseases has added to the armamentarium of pediatric surgeons. We encourage you and your peers to submit your articles in this Special Issue entitled “Advances and Trends in Pediatric Surgery”. Your contribution will help expand our knowledge on important pediatric surgical issues.

Dr. Nikolaos Zavras
Dr. Anastasia Dimopoulou
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 100 words) can be sent to the Editorial Office for announcement on this website.

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
  • minimally invasive surger
  • robotics
  • trends
  • advances

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Published Papers (1 paper)

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Research

7 pages, 651 KiB  
Article
Micro-URS Experience in the Treatment of Distal Ureteral Stones in Preschool-Aged Children
by Mehmet Mazhar Utangac
J. Clin. Med. 2025, 14(7), 2500; https://doi.org/10.3390/jcm14072500 - 6 Apr 2025
Viewed by 322
Abstract
Objective: The incidence of urolithiasis in the paediatric population is rising, leading to a progressive shift towards minimally invasive management strategies. This study evaluated the efficacy and safety of using micro-ureteroscopy (micro-URS) to treat distal ureteral stones in preschool-aged paediatric patients. Methods: A [...] Read more.
Objective: The incidence of urolithiasis in the paediatric population is rising, leading to a progressive shift towards minimally invasive management strategies. This study evaluated the efficacy and safety of using micro-ureteroscopy (micro-URS) to treat distal ureteral stones in preschool-aged paediatric patients. Methods: A retrospective analysis was conducted on 57 children (aged 6–72 months), all of whom had undergone micro-URS treatment for distal ureteral stones between September 2022 and April 2024. Patient demographics, along with perioperative and postoperative outcomes, were assessed. Stone fragmentation was achieved using a 4.85 Fr micro-ureteroscope and a 200 μm Ho:YAG laser fibre. Postoperative complications were graded according to the Clavien–Dindo classification system, and stone-free status was confirmed for each patient at their one-month follow-up appointment. Results: The mean patient age was 44.2 months, and the median stone size was 9.4 mm (range: 6–24 mm). Stone-free status was confirmed in all patients at their one-month follow-up appointment. In 22.8% of cases, reintervention was required to address minor complications, including haematuria (n = 6), urinary tract infections (n = 4), and stone migration (n = 3). No major intraoperative complications were observed. A total of 41 patients (71.9%) required a double-J stent to treat intraoperative oedema or stone impaction. The mean operative time was 28.6 min, and the mean hospitalisation duration was 19.7 h. Conclusions: Micro-URS achieved a 100% stone-free rate with minimal complications, establishing it as a safe and highly effective option for treating distal ureteral stones in preschool-aged children. These findings show that micro-URS offers advantages over Shock Wave Lithotripsy (SWL) in paediatric urolithiasis management, supporting it as a first-line treatment modality. Further prospective, randomised studies are needed to validate these results. Full article
(This article belongs to the Special Issue Advances and Trends in Pediatric Surgery)
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