Publications by authors named "Ayano Tsukizaki"

Background Umbilical mucosal polyps are common, but physicians' unfamiliarity with them can prolong the patient's illness. Furthermore, the details of surgery for umbilical mucosal polyp removal are not well documented. Methods Patients with an umbilical mucosal polyp diagnosed on the basis of the lesion's characteristic appearance were prospectively enrolled.

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  • This study reviews the treatment of seven children with trisomy 18 who developed hepatoblastoma, highlighting the successful outcomes of multidisciplinary approaches.
  • Out of 69 patients, six had hepatoblastoma, with seven undergoing complete surgical resection and supportive treatments like chemotherapy.
  • The findings suggest that children with trisomy 18 and stable health conditions can benefit from aggressive treatment strategies, leading to disease-free outcomes in all observed cases post-surgery.
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Purpose: Long-gap esophageal atresia (LGEA) is still a challenge for pediatric surgery. No consensus exists as to what constitutes a long gap, and few studies have investigated the maximum gap length safely repairable by primary anastomosis. Based on surgical outcomes at a single institution, we aimed to determine the gap length in LGEA with a high risk of complications.

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  • The study investigates treatment experiences and outcomes for patients with Currarino syndrome (CS) who also suffer from anorectal stenosis.
  • It reviews seven cases treated in a single hospital over 23 years, detailing various surgical interventions for associated conditions like teratomas and meningoceles.
  • The findings suggest that improving clinical outcomes for CS requires a comprehensive treatment approach and a better understanding of the disease’s complex pathology.*
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  • The study compares the cosmetic outcomes of two types of transumbilical surgical incisions (vertical vs. periumbilical) in children under one year old after minimally invasive surgery.
  • Forty patients were surveyed on satisfaction and evaluated for scar appearance, with results showing better satisfaction and shorter scar lengths in the vertical incision group.
  • The findings suggest that vertical incisions may lead to more favorable cosmetic results, with a higher number of patients achieving better umbilical shape and scar visibility.*
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  • - The study examined 46 pediatric patients who underwent laparotomy for congenital biliary dilatation (CBD), analyzing how disease classification and preoperative conditions affect surgical difficulty and time.
  • - Patients were split into two groups based on operative time: short (≤ 360 min) and long (> 360 min), with findings showing that certain preoperative factors like AST/ALT levels and bile duct size were significantly associated with longer surgeries.
  • - Key predictors of surgical difficulty identified were maximum cyst diameter, preoperative AST levels, and bile duct anastomosis diameter, suggesting these factors could help anticipate surgery length and complexity in pediatric patients.
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Purpose: The slide tracheoplasty (STP) is the standard treatment for severe congenital tracheal stenosis (CTS). Understanding the features of the tracheal stenosis in each case and choosing an appropriate incision design are very important for successfully executing the procedure. The present study aimed to evaluate the advantages of three-dimensional (3D) printed models of the trachea for improving CTS.

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Purpose: The application of slide tracheoplasty (STP) in the treatment of congenital tracheal stenosis (CTS) has improved patient outcomes over the past few decades. We reviewed our experiences with the procedure, elucidated risk factors, and discussed important aspects of perioperative management to improve outcomes.

Method: Patients with CTS undergoing STP between July 1998 and December 2020 were enrolled.

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  • Pediatric pancreatic trauma management is still debated, and the effectiveness of using stents with endoscopic retrograde pancreatography (ERP) is not well understood.
  • A study examined ten male children aged 4-14 with various grades of pancreatic injuries, where ERP showed that out of six patients, four had pancreatic duct injuries (PDI).
  • The findings suggest that ERP can be beneficial, especially for managing PDI, as only one patient required surgery when the stent was placed directly across the injury, indicating that early ERP may be a viable treatment option.
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  • Patients with severe motor and intellectual disabilities often face tracheal stenosis due to chest deformities, which can lead to serious complications, including potentially life-threatening events.* -
  • Two patients undergoing a novel thoracoplastic procedure with brachiocephalic artery transection experienced significant improvement in airflow and respiratory symptoms post-surgery, as confirmed by CT scans.* -
  • The patients remain in stable condition one year after the procedure, with improved airway health and no further complications related to chest fragility or limb movement disorders.*
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