J.Jpn. Surg. Soc.. 80(11): 1285-1288, 1979

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Report on the annual meeting

RECENT ADVANCES IN PEDIATRIC SURGERY

Remarkable improvement of operative results have been achieved in diaphragmatic hernia, esophageal atresia, massive resection of the small intestine and biliary atresia during the last 10 years. Advances of assistant or controlled respintion for postoperative pediatric patients mainly contribute improved operative results of diaphragmatic hernia and esophageal atresia. The development of total parenteral mutrition has been the important factor lowering mortality after massive intestinal resection and radical operation for esophageal atresia. On the other hand, modifications of original hepatic porto-enterostomy for prevention of ascending cholangitis seems to be a main cause of recent excellent operative results in biliary atresia, although refinement of operative techniques and early operation are also atributed to recent advances in the treatment of this anomaly. Long-term follow-up is essential to evaluate pediatric surgical treatment. Although the majority of patients who underwent a surgery in the neonatal period or infancy show normal physical and mental development, some with specific anomaly have moderate to severe handicap. Medical and social care of these patients must be an important problem in which pediatric surgeons should participate.

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