{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:31:15Z","timestamp":1772987475106,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:00:00Z","timestamp":1745366400000},"content-version":"vor","delay-in-days":112,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2025,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Cerebral infarction following abdominal surgical procedures is a rare but serious complication in children. We report a rare case of a full\u2010term neonate who developed a cerebral infarction after laparoscopic ovarian cystectomy.<\/jats:p>\n <\/jats:sec>\n \n Case<\/jats:title>\n A neonate weighing 2350\u2009g was prenatally diagnosed with a 30\u2009mm complex ovarian cyst that was suspected to be torsional. At 3\u2009days of age, she underwent laparoscopic ovarian cystectomy under general anesthesia. During the procedure, the twisted ovarian cyst, located in the upper abdomen, was excised after fluid drainage. The surgery lasted 64\u2009min, with a pneumoperitoneum time of 33\u2009min at a pressure of 8\u2009mmHg. The surgery was uneventful. Hemodynamics were managed with fluid and albumin administration throughout the procedure. After pneumoperitoneum, blood pressure was decreased temporally, and ephedrine was administered, which led to recovery. However, at 12\u2009h after surgery, cranial ultrasonography revealed a high\u2010density area in the left basal ganglia, which was not detected in the head ultrasound preoperatively. This was later confirmed to be a cerebral infarction by magnetic resonance imaging (MRI). No cardiac or vascular malformations or hypercoagulability were observed. No additional treatment was administered for cerebral infarction. She was discharged 14\u2009days after surgery. Follow\u2010up MRI at 3\u2009years post\u2010surgery indicated chronic infarction. Fortunately, the patient exhibited no neurological abnormalities.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This case highlights the importance of identifying and mitigating the perioperative risks of cerebral infarction to improve the outcomes of laparoscopic surgery in neonates.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ases.70071","type":"journal-article","created":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T01:51:30Z","timestamp":1745459490000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cerebral Infarction During Laparoscopic Ovarian Cystectomy in a Neonate: A Case Report"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9366-361X","authenticated-orcid":false,"given":"Naoki","family":"Hashizume","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery Kurume University School of Medicine Kurume Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saki","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Kurume University School of Medicine Kurume Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Kinoshita","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Child Health Kurume University School of Medicine Kurume Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Masui","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Kurume University School of Medicine Kurume Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naruki","family":"Higashidate","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Kurume University School of Medicine Kurume 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Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2021.08.004"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2006.03.005"},{"issue":"1","key":"e_1_2_9_4_1","first-page":"7","article-title":"Management of Neonatal Ovarian Cyst","volume":"68","author":"Akamine S.","year":"2019","journal-title":"Hiroshima Journal of Medical 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