Pediatric General Surgery Clinic（越秀院区）

The Department of Pediatric General Surgery of Guangdong Provincial Women’s and Children’s Hospital (Guangdong Provincial Children’s Hospital) is a provincial clinical key specialty and one of the largest pediatric general surgery diagnosis-and-treatment specialties in the province. It conducts the diagnosis, treatment, and research of pediatric acute abdominal diseases, pediatric gastrointestinal and hepatobiliary diseases, pediatric abdominal tumors, pediatric minimally invasive conditions, and others; its advantages in laparoscopic minimally invasive surgery are particularly prominent; it undertakes the rescue of children with acute, severe, and critical illnesses in Guangdong Province and accepts children from primary hospitals for the diagnosis and treatment of severe postoperative complications and poor outcomes after multiple operations. The Department of Pediatric General Surgery has 36 open beds and currently has 2 chief physicians and 7 attending physicians, including 6 master’s postgraduate students, 1 doctoral postgraduate student, and several other physicians. Department members include a national committee member of the Hepatobiliary Surgery Group of the Pediatric Surgery Branch of the Chinese Medical Association, the director of the Pediatric Surgery Branch of the Guangdong Health Management Association, a deputy-chair unit of the Pediatric Surgery Branch of the Guangdong Medical Association and a member of its Minimally Invasive Group, and a deputy chairperson of the Pediatric Surgery Branch of the Guangdong Medical Doctor Association. It is one of the first units in the province to carry out pediatric day surgery, adopting the “centralized admission, centralized management” model to achieve rapid recovery after laparoscopic minimally invasive surgery. The Department has reached a domestically advanced level in the diagnosis and treatment of congenital choledochal cysts (bile duct dilatation), congenital megacolon, anal atresia (anorectal malformations), pediatric acute abdomen, abdominal masses, gastrointestinal bleeding, superficial masses, indirect inguinal hernia (hydrocele), and other diseases. Laparoscopic minimally invasive surgery accounts for more than 70% of the total number of operations. Minimally invasive laparoscopic techniques are widely used in the diagnosis and treatment of lesions related to routine acute abdominal conditions, and the Department comprehensively performs laparoscopic radical surgery for choledochal cysts, laparoscopic biliary exploration, cholecystectomy, laparoscopic Kasai surgery for biliary atresia, laparoscopic treatment of giant splenomegaly in children, and laparoscopic surgery for abdominal tumors with dissection of surrounding lymph nodes, among others. The surgical methods are advanced, the techniques are highly skilled, the treatment results are excellent, and the medical standard has reached a domestically advanced level. Technical advantages and specialties: various pediatric acute abdominal conditions; masses of the head and neck, superficial masses, and various abdominal tumors; surgery for various diseases of the stomach, small intestine, colon, rectum, and anus; and various operations on the liver, biliary tract, pancreas, and spleen. These include acute appendicitis, intussusception, gastrointestinal obstruction, gastrointestinal bleeding, gastrointestinal perforation, acute pancreatitis, peritonitis, abdominal trauma, inguinal hernia (hydrocele), hiatal hernia, achalasia of the cardia, Meckel’s diverticulum, intestinal duplication, intestinal polyps, all types of megacolon, congenital anorectal malformations, hemangioma, lymphangioma, popliteal cyst, thyroglossal duct cyst, branchiogenic cysts and fistulas, abdominal tumors, liver tumors, obstructive jaundice, choledochal cysts, biliary atresia, pancreatic and splenic diseases, perianal abscess, anal fistula, anorectal prolapse, and others. Minimally invasive surgery. This Department was one of the earliest units in China and Guangdong Province to carry out the clinical application of pediatric laparoscopy. Laparoscopic choledochal cyst excision and biliary reconstruction, radical surgery for megacolon, adrenal tumor excision, ovarian cyst excision, appendectomy, Meckel’s diverticulum excision, and treatment of inguinal hernia are currently performed as routine operations in the Department. Laparoscopic minimally invasive day surgery for inguinal hernia (hydrocele) has been performed for many years, with standardized management and optimized processes, and is highly welcomed by families. With the establishment of our hospital’s pediatric tumor treatment team and the standardization of the pediatric tumor treatment process, pediatric general surgery tumor treatment has made great progress, achieving one-stop, integrated treatment of pediatric tumors under the principle “making specialization more specialized.” In addition to professional surgical oncology and medical oncology teams, subspecialty teams have been established around tumors on shared platforms for imaging, ultrasonography, pathological and molecular diagnosis, nutrition, and others. On this basis, the MDT (multidisciplinary consultation) model has been implemented institutionally, achieving one-stop, integrated treatment of pediatric malignant solid tumors. Vascular, nerve, and skeletal skeletonization surgery for complex and difficult tumors of the liver and retroperitoneum has achieved good results; fully laparoscopic adrenal tumor excision has produced significant results; pediatric laparoscopic precise excision of ovarian tumors is performed; and abdominal minimally invasive incisions are scarless and cosmetically pleasing. In addition, a “biliary atresia Kasai surgery–liver transplantation” collaboration group was jointly established with the Organ Transplantation Center of the Third Affiliated Hospital of Sun Yat-sen University, achieving integrated diagnosis, treatment, and follow-up for biliary atresia. The Department was the first in the province to apply an infant and young-child jaundice screening and graded diagnosis-and-treatment process, including stool color-card screening. The projects carried out for the diagnosis and treatment of jaundice in infants and young children include neonatal jaundice screening, genetic analysis, tandem mass spectrometry analysis, color Doppler ultrasonographic diagnosis of jaundice, CT examination, MRCP, liver biopsy, laparoscopic minimally invasive biliary exploration and cholangiography, and laparoscopic Kasai surgery (hepatic portoenterostomy for biliary atresia). It provides firm support for children with refractory jaundice.