OBJECTIVE: Based on long-term results, to evaluate the safety and efficacy of 1-day surgery in pediatric otolaryngology. METHODS: Clinical records in our surgical day care unit during 10 years of its operation were retrospectively evaluated. RESULTS: From 12,331 children treated on day care unit, for 356 children (2.9%) it was necessary to stay in hospital overnight due to complications. CONCLUSIONS: Based on our results, 1-day surgery is safe and effective and has several advantages including patients' satisfaction, a short hospital stay and therefore cost reduction and shorter waiting time for elective surgery.

• MeSH
• ambulantní chirurgické výkony statistika a číselné údaje   MeSH
• délka pobytu MeSH
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• otorinolaryngologické chirurgické výkony statistika a číselné údaje   MeSH
• pooperační komplikace MeSH
• předškolní dítě MeSH
• retrospektivní studie MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• předškolní dítě MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

• Klíčová slova
• PEDIATRIC DISEASES/surgery *,
• MeSH
• dítě chirurgie   MeSH
• obory chirurgické * MeSH
• pediatrie chirurgie   MeSH
• Check Tag
• dítě chirurgie   MeSH
• Publikační typ
• časopisecké články MeSH

PURPOSE: Children diagnosed with Crohn's disease (CD) often undergo ileocecal resection (ICR) during childhood. Anastomotic recurrence is a frequent finding following this procedure. Data addressing the effect of the anastomosis type on disease recurrence are scarce in the pediatric population. The Kono-S anastomosis has shown promise in reducing endoscopic, clinical, and surgical recurrence rates in adults. We aimed to report our experience with Kono-S anastomosis in children, focusing on its feasibility and postoperative complications. METHODS: We retrospectively analyzed pediatric CD patients who underwent ICR with Kono-S anastomosis between August 2022 and May 2023. Data on demographics, clinical characteristics, surgery, hospitalization, and follow-up including colonoscopy were collected. Complications were classified using the Clavien-Dindo classification. RESULTS: Twelve patients (7 females, 58.3%) were included. Six (50%) of the patients had the B3 luminal form of the disease (according to Paris classification). Median surgery duration was 174 (interquartile range [IQR] 161-216) minutes. Anastomosis creation took a median of 62 (IQR, 54.5-71) minutes. Median hospitalization length was 6 (IQR 4-7) days. No short- or mid-term complications were observed. Median follow-up duration was 9.5 (IQR 6.8-12) months. CONCLUSION: According to our results, Kono-S anastomosis is safe and feasible in pediatric CD patients, with no observed postoperative complications. These findings support the potential benefit of using Kono-S anastomosis as a treatment approach in children with CD.

• Klíčová slova
• Crohn’s disease, Endoscopy, Kono-S, Pediatric surgery, Postoperative complication,
• MeSH
• anastomóza chirurgická MeSH
• Crohnova nemoc * chirurgie   MeSH
• dítě MeSH
• dospělí MeSH
• lidé MeSH
• pooperační komplikace epidemiologie   MeSH
• retrospektivní studie MeSH
• Check Tag
• dítě MeSH
• dospělí MeSH
• lidé MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

• Klíčová slova
• PEDIATRIC DISEASES/surgery *,
• MeSH
• dítě chirurgie   MeSH
• obory chirurgické * MeSH
• pediatrie chirurgie   MeSH
• Check Tag
• dítě chirurgie   MeSH
• Publikační typ
• časopisecké články MeSH

• Klíčová slova
• ANESTHESIA, SPINAL *, PEDIATRICS *,
• MeSH
• anestezie * MeSH
• dítě MeSH
• lidé MeSH
• pediatrie * MeSH
• spinální anestezie * MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

OBJECTIVES: The purpose of this study is to evaluate the characteristics of thyroid gland surgery focusing on malignancies at the pediatric age with the main concern on treatment results and complications in extensive primary treatment. METHODS: The records of all patients 18 years and younger with surgically treated thyroid diseases in the Prague Hospital, Motol, between 1991 and 2006 were retrospectively reviewed. RESULTS: Thyroid surgery was performed on 148 pediatric patients (including 56 carcinomas). The youngest patient involved in the study was seven years old, the oldest patient 18 years old (mean 13.7 years). Most frequent histological cancer type was PTC (42 cases, 75%). Follicular cancer was diagnosed in five cases (8.9%) and medullar cancer in nine cases (16.1%). A prophylactic thyroidectomy was performed in three cases (5.4%) without clinical signs of thyroid tumor with diagnosed RET gene mutation. CONCLUSIONS: We consider total thyroidectomy with subsequent radioiodine ablation and TSH suppression as the basic approach in the treatment protocol of pediatric WDTC. The observed 100% recurrence-free and overall survival together with a low incidence of postoperative complications strongly supports the idea of a total thyroidectomy with selective neck dissection in the treatment of metastases of WDTC and MTC.

• Klíčová slova
• Adolescent, Carcinoma, Child, Neck dissection, Thyroidectomy,
• MeSH
• adjuvantní radioterapie MeSH
• dítě MeSH
• hypokalcemie epidemiologie   MeSH
• karcinom genetika   mortalita   patologie   chirurgie   MeSH
• krční disekce MeSH
• lidé MeSH
• lymfatické metastázy MeSH
• mladiství MeSH
• mutace MeSH
• nádory plic sekundární   MeSH
• nádory štítné žlázy genetika   mortalita   patologie   chirurgie   MeSH
• pooperační komplikace epidemiologie   MeSH
• protoonkogenní proteiny c-ret genetika   MeSH
• radioizotopy jodu terapeutické užití   MeSH
• retrospektivní studie MeSH
• tyreoidektomie statistika a číselné údaje   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH
• Názvy látek
• protoonkogenní proteiny c-ret MeSH
• radioizotopy jodu MeSH
• RET protein, human MeSH Prohlížeč

• Klíčová slova
• Laparoscopy, Neuromuscular blockade, Pediatric patient, Surgery, Surgical conditions,
• MeSH
• dítě MeSH
• laparoskopie * MeSH
• lidé MeSH
• nervosvalová blokáda * škodlivé účinky   MeSH
• nervosvalové látky nedepolarizující * MeSH
• pilotní projekty MeSH
• rokuronium MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• Publikační typ
• dopisy MeSH
• randomizované kontrolované studie MeSH
• Názvy látek
• nervosvalové látky nedepolarizující * MeSH
• rokuronium MeSH

• Klíčová slova
• PEDIATRICS/surgery *,
• MeSH
• obory chirurgické * MeSH
• pediatrie chirurgie   MeSH
• úspěšnost * MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Československo MeSH

BACKGROUND: Appendicitis is one of the most common diagnoses in pediatric populations. Although new recommendations for the treatment of pediatric appendicitis were published, management varies among different institutions. OBJECTIVES: To determine current practices in 4 (n = 4) representative pediatric surgical departments in Central Europe. MATERIAL AND METHODS: One department from each of the 4 countries was surveyed using an online questionnaire. Questions focused on preoperative, operative and postoperative practices in 2018, particularly those related to antibiotic (ATB) therapy and laparoscopy. RESULTS: A total of 519 appendectomies were performed, among which 413 (79.6%) were laparoscopic appendectomies (LAs), with a conversion rate of 5.1%. Appendectomy, as an elective procedure, was performed in 43 (8.3%) patients. One-quarter (129 patients) had complex appendicitis and 72.3% of these were operated laparoscopically. In 3 departments, ATB prophylaxis was administered, based on the decisions of the operating surgeon. One department used standard ATB prophylaxis (metronidazole). Whenever phlegmonous appendicitis was detected, ATB were administered therapeutically in 2 departments. Two other departments administered ATB based on surgeon decision. The choice of ATB was not standardized. If complex appendicitis was detected, all sites administered ATB therapeutically. The type of ATB treatment was standardized in complex cases in 2 departments. Thirty-four complications (6.6%) at surgical sites were recorded - 4.1% (16/390) after uncomplicated and 14% (18/129) after complex appendicitis. Thirty-two occurred after acute surgeries and 26 of these followed laparoscopic procedures. Postoperatively, intra-abdominal abscesses occurred in 3.5% of laparoscopic and in 2.9% of open appendectomy (OA) cases. CONCLUSIONS: This questionnaire study showed that treatment outcomes for appendicitis in children in Central Europe are comparable with data reported in the literature. Laparoscopic appendectomy is the predominant surgical method, but there is a little consensus for ATB treatment in the management of appendicitis at our 4 pediatric surgical departments.

• Klíčová slova
• antibiotics, appendectomy, laparoscopy, pediatric surgery, postoperative complications,
• MeSH
• apendektomie * statistika a číselné údaje   MeSH
• apendicitida * chirurgie   MeSH
• břišní absces * MeSH
• délka pobytu MeSH
• dítě MeSH
• laparoskopie * MeSH
• lidé MeSH
• pooperační komplikace MeSH
• průzkumy a dotazníky MeSH
• retrospektivní studie MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Evropa MeSH

BACKGROUND & AIMS: A better understanding of prognostic factors within the heterogeneous spectrum of pediatric Crohn's disease (CD) should improve patient management and reduce complications. We aimed to identify evidence-based predictors of outcomes with the goal of optimizing individual patient management. METHODS: A survey of 202 experts in pediatric CD identified and prioritized adverse outcomes to be avoided. A systematic review of the literature with meta-analysis, when possible, was performed to identify clinical studies that investigated predictors of these outcomes. Multiple national and international face-to-face meetings were held to draft consensus statements based on the published evidence. RESULTS: Consensus was reached on 27 statements regarding prognostic factors for surgery, complications, chronically active pediatric CD, and hospitalization. Prognostic factors for surgery included CD diagnosis during adolescence, growth impairment, NOD2/CARD15 polymorphisms, disease behavior, and positive anti-Saccharomyces cerevisiae antibody status. Isolated colonic disease was associated with fewer surgeries. Older age at presentation, small bowel disease, serology (anti-Saccharomyces cerevisiae antibody, antiflagellin, and OmpC), NOD2/CARD15 polymorphisms, perianal disease, and ethnicity were risk factors for penetrating (B3) and/or stenotic disease (B2). Male sex, young age at onset, small bowel disease, more active disease, and diagnostic delay may be associated with growth impairment. Malnutrition and higher disease activity were associated with reduced bone density. CONCLUSIONS: These evidence-based consensus statements offer insight into predictors of poor outcomes in pediatric CD and are valuable when developing treatment algorithms and planning future studies. Targeted longitudinal studies are needed to further characterize prognostic factors in pediatric CD and to evaluate the impact of treatment algorithms tailored to individual patient risk.

• Klíčová slova
• ASCA, Complications, Growth Impairment, NOD2/CARD15, Polymorphism, Prognostic Factors, Serology, Structuring or Penetrating Disease,
• MeSH
• Crohnova nemoc diagnóza   terapie   MeSH
• dítě MeSH
• hodnocení výsledků zdravotní péče MeSH
• kojenec MeSH
• konsensus MeSH
• lidé MeSH
• mladiství MeSH
• novorozenec MeSH
• prediktivní hodnota testů MeSH
• předškolní dítě MeSH
• prognóza MeSH
• Check Tag
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• novorozenec MeSH
• předškolní dítě MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• metaanalýza MeSH
• práce podpořená grantem MeSH
• systematický přehled MeSH