{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T12:45:25Z","timestamp":1781700325599,"version":"3.54.5"},"reference-count":14,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"unspecified","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"National Key Clinical Specialty Construction Project","award":["Z155080000004"],"award-info":[{"award-number":["Z155080000004"]}]},{"name":"the Development of a Comprehensive Prevention and Control Verification System for Pediatric Birth Defects","award":["JX122C2022011"],"award-info":[{"award-number":["JX122C2022011"]}]},{"name":"Projects of Shanxi Provincial Children\u2019s Hospital","award":["2023002\uff1b"],"award-info":[{"award-number":["2023002\uff1b"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["World Jnl Ped Surgery"],"accepted":{"date-parts":[[2025,10,16]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>This study aimed to evaluate the feasibility and efficacy of laparoscopic management in neonates diagnosed with congenital gastric muscular layer defects and gastric perforation. A retrospective analysis was conducted on four male neonates (median gestational age: 36.79 weeks; median birth weight: 2460\u2009g) who underwent laparoscopic repair at Shanxi Provincial Children\u2019s Hospital between January 2022 and October 2024. All neonates presented with symptoms of vomiting, feeding intolerance, and abdominal distension, with preoperative imaging confirming pneumoperitoneum. Laparoscopic surgery was successfully completed in all cases without conversion to open surgery. The median operative time was 102\u2009min, and no surgery-related complications such as anastomotic leakage or hemorrhage were observed. One neonate was transferred to the department of internal medicine due to postoperative feeding difficulties, failure, and persistent oxygen dependence. The median hospital stay was 27.5\u2009days. At the 6-month postoperative follow-up, three neonates exhibited satisfactory growth and development, while one exhibited mild growth delay. Our findings indicate that laparoscopic repair offers significant advantages, including mitigated surgical trauma, quicker recovery, and lower incidence of intestinal adhesion. Provided that surgical indications are strictly assessed and the surgeon possesses proficient laparoscopic skills, it is feasible for specialized surgeons to manage this disease using laparoscopy.<\/jats:p>","DOI":"10.1136\/wjps-2025-001090","type":"journal-article","created":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T14:45:16Z","timestamp":1765982716000},"page":"e001090","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic management of congenital gastric muscular layer defect and gastric perforation: a case series"],"prefix":"10.1136","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5566-7096","authenticated-orcid":false,"given":"Ying","family":"Wu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxia","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baohong","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanyuan","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenyue","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongxia","family":"Ren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"2025121706451225000_8.6.e001090.1","first-page":"274","article-title":"Characteristics and prognosis-related study of neonatal gastric perforation","volume":"39","author":"Wang","year":"2018","journal-title":"Chin J Pediatr Surg"},{"key":"2025121706451225000_8.6.e001090.2","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1016\/j.jpedsurg.2015.04.007","article-title":"Prognostic factors and concomitant anomalies in neonatal gastric perforation","volume":"50","author":"Yang","year":"2015","journal-title":"J Pediatr Surg"},{"key":"2025121706451225000_8.6.e001090.3","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000010369","article-title":"Neonatal gastric perforation: a report of two cases and a systematic review","volume":"97","author":"Chen","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"2025121706451225000_8.6.e001090.4","doi-asserted-by":"crossref","first-page":"2668","DOI":"10.1007\/s00268-018-4509-x","article-title":"Neonatal Gastric Perforation: Case Series and Literature Review","volume":"42","author":"Yang","year":"2018","journal-title":"World J Surg"},{"key":"2025121706451225000_8.6.e001090.5","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1007\/s00383-017-4205-1","article-title":"Neonatal gastric perforations in very low birth weight infants: a single center experience and review of the literature","volume":"34","author":"Babayigit","year":"2018","journal-title":"Pediatr Surg Int"},{"key":"2025121706451225000_8.6.e001090.6","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.aorn.2008.04.002","article-title":"Pediatric laparoscopy","volume":"88","author":"Harrington","year":"2008","journal-title":"AORN J"},{"key":"2025121706451225000_8.6.e001090.7","unstructured":"Herbut PA . Congenital defect in the musculature of the stomach with rupture in a newborn infant. Paedfialtrica Indonesiana 1943;106\u20138."},{"key":"2025121706451225000_8.6.e001090.8","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1097\/00000658-195904000-00012","article-title":"Spontaneous perforation of the stomach in the newborn; analysis of thirteen cases","volume":"149","author":"LINKNER","year":"1959","journal-title":"Ann Surg"},{"key":"2025121706451225000_8.6.e001090.9","first-page":"1048","article-title":"Diagnosis and treatment of congenital gastric musculature defects: an analysis of 104 cases","volume":"20","author":"Feng","year":"2021","journal-title":"J Clin Pediatr Surg"},{"key":"2025121706451225000_8.6.e001090.10","first-page":"162","article-title":"Early diagnosis and treatment of congenital gastric musculature defects via laparoscopy","volume":"41","author":"Zhao","year":"2020","journal-title":"Chin J Pediatr Surg"},{"key":"2025121706451225000_8.6.e001090.11","first-page":"402","article-title":"Multivariate analysis of prognostic factors for neonatal gastric perforation","volume":"45","author":"Wan","year":"2024","journal-title":"Chin J Pediatr Surg"},{"key":"2025121706451225000_8.6.e001090.12","doi-asserted-by":"crossref","first-page":"1112","DOI":"10.1055\/s-0041-1733780","article-title":"Neonatal Gastric Perforation: 14-Year Experience from a Tertiary Neonatal Intensive Care Unit","volume":"40","author":"Sakaria","year":"2023","journal-title":"Am J Perinatol"},{"key":"2025121706451225000_8.6.e001090.13","first-page":"396","article-title":"Diagnosis and treatment of congenital gastric musculature defects: a report of 9 cases","volume":"35","author":"Zheng","year":"2015","journal-title":"J Gannan Med Univ"},{"key":"2025121706451225000_8.6.e001090.14","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1177\/00099228231201315","article-title":"Visualization of Risk Factors and Predictive Models for Early Death of Neonatal Gastric Perforation","volume":"63","author":"Mengying","year":"2024","journal-title":"Clin Pediatr (Phila)"}],"container-title":["World Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/wjps-2025-001090","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T14:45:26Z","timestamp":1765982726000},"score":1,"resource":{"primary":{"URL":"https:\/\/wjps.bmj.com\/lookup\/doi\/10.1136\/wjps-2025-001090"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":14,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,12,17]]},"published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1136\/wjps-2025-001090"],"URL":"https:\/\/doi.org\/10.1136\/wjps-2025-001090","relation":{},"ISSN":["2516-5410"],"issn-type":[{"value":"2516-5410","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]}}}