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KMID : 0605920010070010046
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Journal of Korean Association of Pediatric Surgeons
2001 Volume.7 No. 1 p.46 ~ p.53
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Current Status (1999) of Neonatal Surgery in Korea
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Kim Woo-Ki
Kim Sang-Yoon
Kim Shin-Gon
Kim In-Gu
Kim Jae-Cheon
Kim Hyun-Hahk
Park Kwi-Won
Park Woo-Hyun
Song Young-Tack
Oh Soo-Myung
Yoo Su-Young
Lee Doo-Sun
Lee Myung-Duk
Lee Sung-Cheol
Lee Suk-Koo
Seo Jeong-Min
Jung Sang-Young
Jung Sung-Eun
Chung Eul-Sam
Jung Poong-Man
Cho Ma-Hae
Choi Kum-Ja
Chio Soon-Ok
Han Seok-Joo
Heo Young-Soo
Hong Jeong
Hwang Eui-Ho
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Abstract
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To understand the current status of neonatal surgery in Korea, a survey was made among the 36 members of the Korean Association of Pediatric Surgeons. The response rate was 75 % (26 surgeons in 20 hospitals). Five hundred fifty three neonatal surgical patients treated in 1999 were analyzed. Regional numbers of patients were closely related to the regional population in most areas. Ano-rectal malformations (17%), pyloric stenosis (16 %), Hirschsprung’s disease (13 %), atresia/stenosis of the gut (11 %) , esophageal atresia (8 %) were the most common anomalies treated. The majority of operations were done within the first week of life . Seventy one per cent of cases were major life threatening or so-called neonatal index cases. Over-all mortality was 8 per cent. Higher mortality was observed in patients with diaphragmatic hernia (26 %), gastro-intestinal perforation (18 %), NEC (18 %), and esophageal atresia(14 %). Higher mortality was observed in patients with extremely low birth weight (33 %) and low birth weight 08 %). Associated anomalies were observed in 20 %. Prenatal ultrasound was performed in 36 per cent with sensitivity of 20 %. Result of this study was compared to the previous report (994) and that of Japan (998).
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KEYWORD
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Neonatal surgery, National survey, Korea,
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