{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:06:21Z","timestamp":1777921581851,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2022,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aim:<\/jats:title>\n                    <jats:p>\n                      The distribution of board-certified pediatric surgeons (BCPSs) in Japan is highly biased. While Prefecture\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      has one of the smallest numbers of BCPSs per pediatric population, neighboring Prefecture\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      has one of the largest numbers of BCPSs per pediatric population. We examined the effect of BCPSs population on laparoscopic surgery and postoperative management and outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We compared postoperative duration to full-dose enteral nutrition, postoperative hospital stay, and complications of neurologically impaired patients who underwent laparoscopic fundoplication in two prefectures from 2006 to 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Laparoscopic fundoplication was performed in 17 patients in Prefecture\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      and 63 in\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      . The mean operative time was 248.8\u2009\u00b1\u200979.9 minutes in Prefecture\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      and 260.8\u2009\u00b1\u200994.8 in\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.64). The median number of days to full-dose enteral nutrition was 11.5 in Prefecture\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      and 10 in\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.29). The median postoperative hospital stay was 14 days in Prefecture\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      and 15 days in\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.38). Postoperative complications occurred in 7 cases in Prefecture\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      and in 10 in\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      . The incidence was significantly higher in Prefecture\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      than in\n                      <jats:italic toggle=\"yes\">K<\/jats:italic>\n                      (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.041).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Areas with insufficient numbers of BCPSs have a higher risk of complications in laparoscopic surgery than areas with sufficient numbers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2021.0713","type":"journal-article","created":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T10:19:38Z","timestamp":1646129978000},"page":"571-575","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of the Number of Board-Certified Pediatric Surgeons per Pediatric Population on the Outcomes of Laparoscopic Fundoplication for Neurologically Impaired Patients"],"prefix":"10.1177","volume":"32","author":[{"given":"Ryuta","family":"Masuya","sequence":"first","affiliation":[{"name":"Division of the Gastrointestinal, Endocrine and Pediatric Surgery, Department of Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki-gun, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuru","family":"Muto","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiko","family":"Nakame","sequence":"additional","affiliation":[{"name":"Division of the Gastrointestinal, Endocrine and Pediatric Surgery, Department of Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki-gun, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9247-4216","authenticated-orcid":false,"given":"Masakazu","family":"Murakami","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koshiro","family":"Sugita","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0417-3104","authenticated-orcid":false,"given":"Keisuke","family":"Yano","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shun","family":"Onishi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshio","family":"Harumatsu","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Waka","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan."},{"name":"Clinical Training Center, Kagoshima University Hospital, Kagoshima, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Matsukubo","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuru","family":"Kaji","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan."},{"name":"Clinical Training Center, Kagoshima University Hospital, Kagoshima, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Nanashima","sequence":"additional","affiliation":[{"name":"Division of the Gastrointestinal, Endocrine and Pediatric Surgery, Department of Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki-gun, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1250-093X","authenticated-orcid":false,"given":"Satoshi","family":"Ieiri","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Research Field in Medicine and Health Sciences, Medical and Dental Sciences Area, Research and Education Assembly, Kagoshima University, Kagoshima, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,5,12]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"Miyazaki Prefecture. https:\/\/www.pref.miyazaki.lg.jp\/ (Accessed February20 2022)."},{"key":"e_1_3_4_3_2","unstructured":"Kagoshima Prefecture. https:\/\/www.pref.kagoshima.jp\/ (Accessed February20 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