{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T23:29:21Z","timestamp":1786663761358,"version":"build-2736575974"},"reference-count":23,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"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":[[2026,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The current surgical approaches for treating congenital diaphragmatic hernia (CDH) are challenging. Thoracoscopic transcutaneous closure of CDH is described, of which a retrospective study was conducted to investigate the safety and effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>In thoracoscopic transcutaneous closure, a thoracoscope and operating forceps are placed through two intercostal ports to expose the defect, followed by stepwise thoracic pressure elevation to facilitate herniated organ reduction. A fascial closure device is introduced through a small skin incision to encircle the diaphragmatic rim in two semicircular passes, and the suture is then tightened extracorporeally to close the defect.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Over a 8-year period, 33 TTC repairs were performed for CDH, including 31 Bochdalek and 2 Morgagni cases. Bochdalek repairs were completed in a mean operative time of 53.68 \u00b1 45.81 minutes (range, 10\u2013200 minutes), with a median age of 1 day and median weight of 3.25 kg. Among them, two patients experienced recurrence at 3 months and 7 months postoperatively. During hospitalization, four patients developed pneumothorax, and one patient developed chylothorax. The two Morgagni cases were repaired in 35 and 30 minutes at 5 and 6 months of age. Respiratory support was a median of 59 hours (range, 0\u2013352 hours) in patients who required respiratory assistance, intensive care unit stay was a median of 15 days (range, 1\u201391 days) in patients admitted to the intensive care unit, and hospital stay was a median of 15 days (range, 2\u201391 days). All patients had uneventful wound healing without rib-development complications during follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Thoracoscopic transcutaneous closure is a feasible and effective technique to treat CDH. While possessing the advantages of minimally invasive surgery, it shortens the operative time and learning curve.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10926429261449965","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T02:19:08Z","timestamp":1778120348000},"page":"765-770","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Simplified Surgical Technique for Thoracoscopic Repair of Congenital Diaphragmatic Hernia"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5644-0107","authenticated-orcid":false,"given":"Jiepin","family":"Wang","sequence":"first","affiliation":[{"name":"Department of General Surgery, Shenzhen Children\u2019s Hospital, Shenzhen, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuting","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Adolescent Gynecology, Shenzhen Children\u2019s Hospital, Shenzhen, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haozhong","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shenzhen Children\u2019s Hospital, Shenzhen, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junxiang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shenzhen Children\u2019s Hospital, Shenzhen, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiuliang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shenzhen Children\u2019s Hospital, Shenzhen, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shenzhen Children\u2019s Hospital, Shenzhen, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shenzhen Children\u2019s Hospital, Shenzhen, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Shenzhen Children\u2019s Hospital, Shenzhen, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0000000000004324"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306174"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2014.09.006"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40748-017-0045-1"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2018.02.040"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1469-0705.2002.00635.x"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13065"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.6450"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2019.05.007"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2014.09.002"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-41724-6_45"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2001.28818"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/s1010-7940(01)00934-4"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/sle.0b013e318209021f"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-3468(03)00564-5"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0b013e31828fab55"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2020.11.007"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2020.06.022"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2012.06.025"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-010-2724-0"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.30654\/MJS.10013"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.4103\/njcp.njcp_1371_21"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-008-2128-6"}],"container-title":["Journal of Laparoendoscopic &amp; 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