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"Myung-Duk Lee"

Original Articles

[English]
Comparative Analysis of Two National Surveys on Esophageal Atresia With or Without Tracheoesophageal Fistula: A Retrospective Study by the Korean Association of Pediatric Surgeons
Jinyoung Park, Dae Yeon Kim, Seong Chul Kim, Hyun-Young Kim, So Hyun Nam, Jeong-Meen Seo, Jung-Tak Oh, Myung-Duk Lee, Suk-Koo Lee, Soo Min Ahn, Hye Kyung Chang, Sung Eun Jung, Yeon Jun Jeong, Eunyoung Jung, Jae Hee Chung, Yong Hoon Cho, Soon Ok Choi, Seung Hoon Choi, Yun Mee Choe, Seok Joo Han, Jeong Hong, Nam-Hyuk Lee
Adv Pediatr Surg 2024;30(1):1-8.   Published online May 31, 2024
DOI: https://doi.org/10.13029/aps.2024.30.1.1
Purpose
The Korean Association of Pediatric Surgeons (KAPS) conducts annual nationwide surveys on various aspects of pediatric surgical diseases, with the results being discussed during KAPS’s annual spring meetings.
Methods
KAPS conducted two national surveys, in 1995 and 2016, to investigate esophageal atresia (EA) with or without tracheoesophageal fistula (TEF). The authors analyzed data from these surveys to identify differences or changes in the annual occurrence, demographic characteristics, clinical presentation, preoperative diagnostic methods, anatomical type, associated anomalies, surgical treatment, and postoperative outcomes among patients with EA/TEF treated by KAPS members.
Results
The first and second national surveys included 148 and 211 patients with EA/TEF, respectively. Excessive salivation was the most prevalent clinical symptom in both surveys. Type C was the most common form of EA/TEF in both surveys. The first survey included 126 patients, all of whom underwent open surgery. In the second survey, 152 (78.4%) of 194 patients underwent open surgery, while 34 (17.5%) underwent thoracoscopic surgery. Primary esophageal repair was performed on 96 (76.2%) of 126 patients in the first survey and on 160 (82.5%) of 194 patients in the second survey. Anastomotic strictures developed in 21.4% and 32.5% of patients, anastomotic leakage in 22.2% and 10.3%, recurrent fistula in 2.4% and 4.2% during the first and second surveys, respectively. The respective survival rates for group A were 90.2% and 98.3% in the first and second surveys. For group B, the rates were 73.9% and 98.1%, and for group C, they were 34.5% and 68.1%, respectively, according to the Waterston classifications.
Conclusion
These nationwide surveys provide comprehensive information on the status, detailed treatment, and outcomes for Korean pediatric patients with EA/TEF. They are anticipated to be an invaluable resource and guide for pediatric surgeons seeking to expand their knowledge on EA/TEF and its treatment options.
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[English]
Sacrococcygeal Teratoma: A Survey by the Korean Association of Pediatric Surgeons in 2018
Jung-Tak Oh, Hye Kyung Chang, Min Jeong Cho, Yong Hoon Cho, Soo Jin Na Choi, Yoon Mi Choi, Jae Hee Chung, Sang Young Chung, Jeong Hong, Seok Joo Han, Yeon Jun Jeong, Eunyoung Jung, Kyuhwan Jung, Dae Youn Kim, Hae-Young Kim, Hyun-Young Kim, Ki Hoon Kim, Sang Youn Kim, Seong Chul Kim, Seong Min Kim, Soo-Hong Kim, Jong-In Lee, Myung-Duk Lee, Nam-Hyuk Lee, Suk-Koo Lee, So Hyun Nam, Jin Young Park, Kwi-Won Park, Tae-Jin Park, Jeong-Meen Seo, Jae Ho Shin, Jiyoung Sul
Adv Pediatr Surg 2019;25(2):35-43.   Published online December 18, 2019
DOI: https://doi.org/10.13029/aps.2019.25.2.35
Purpose

The Korean Association of Pediatric Surgeons (KAPS) performed a nationwide survey on sacrococcygeal teratoma in 2018.

Methods

The authors reviewed and analyzed the clinical data of patients who had been treated for sacrococcygeal teratoma by KAPS members from 2008 to 2017.

Results

A total of 189 patients from 18 institutes were registered for the study, which was the first national survey of this disease dealing with a large number of patients in Korea. The results were discussed at the 34th annual meeting of KAPS, which was held in Jeonju on June 21–22, 2018.

Conclusions

We believe that this study could be utilized as a guideline for the treatment of sacrococcygeal teratoma to diminish pediatric surgeons' difficulties in treating this disease and thus lead to better outcomes.

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