Thoracoscopy versus thoracotomy for congenital lung malformations treatment: A single center experience.

Introduction: Our aim is to compare thoracoscopy to thoracotomy in the treatment of congenital lung malformations (CLM) in children.

Materials And Methods: We report a retrospective monocentric cohort study. Patients treated at our Center for CLM (1991-2020) were divided in two groups: patients treated with video-assisted thoracoscopic surgery (VATS) and open thoracotomy (OT).

Biliary atresia: 20-40-year follow-up with native liver in an Italian centre.

Introduction: Biliary atresia (BA) represents the leading indication for liver transplantation in childhood. Only few studies reported the outcome of patients who survived more than 20 years on their native liver, and up to date there are no Italian data available. We reported our 40-year single centre experience with long-term follow-up of BA patients.

Endoscopic management of sigmoid volvulus in children.

Sigmoid volvulus (SV) is extremely uncommon in children and is usually associated with a long-standing history of constipation or pseudo-obstruction. An early diagnosis and management are crucial in order to prevent the appearance of hemorrhagic infarction of the twisted loop, avoiding further complications such as necrosis, perforation and sepsis. In patients with no evidence of peritonitis or ischemic bowel, treatment starts with resuscitation and detorsion of the SV, accomplished by means of sigmoidoscopy and concomitant rectal tube placement.

Adenomyomatosis of the gallbladder in childhood: A systematic review of the literature and an additional case report.

Aim: To investigate the diagnostic and therapeutic assessment in children with adenomyomatosis of the gallbladder (AMG).

Methods: AMG is a degenerative disease characterized by a proliferation of the mucosal epithelium which deeply invaginates and extends into the thickened muscular layer of the gallbladder, causing intramural diverticula. Although AMG is found in up to 5% of cholecystectomy specimens in adult populations, this condition in childhood is extremely uncommon.