Research Topics
| Shinjiro HiroseSummaryAffiliation: University of California Country: USA Publications
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Detail Information
Publications
Fetal surgery for myelomeningoceleShinjiro Hirose
Division of Pediatric Surgery, Department of Surgery, Fetal Treatment Center, University of California, San Francisco, CA 94143 0570, USA
Clin Perinatol 36:431-8, xi. 2009..MMC is the first nonlethal disease under consideration and study for fetal surgery. As a result, potential improvements in outcome must be balanced with maternal safety and well-being, in addition to that of the unborn patient...
Long-term outcomes after fetal therapy for congenital high airway obstructive syndromePayam Saadai
Division of Pediatric Surgery and Fetal Treatment Center, Department of Surgery, University of California, Box 0570, San Francisco, CA 94143 0570, USA
J Pediatr Surg 47:1095-100. 2012..Congenital high airway obstructive syndrome (CHAOS) is a rare and devastating condition that is uniformly fatal without fetal intervention. We sought to describe fetal treatment and long-term outcomes of CHAOS at a single referral center...
Alterations in maternal-fetal cellular trafficking after fetal surgeryPayam Saadai
Division of Pediatric Surgery and Fetal Treatment Center, Department of Surgery, University of California, San Francisco, CA 94143 0570, USA
J Pediatr Surg 47:1089-94. 2012..We hypothesized that patients undergoing open fetal surgery would have altered maternal-fetal cellular trafficking...
The ex utero intrapartum treatment procedure: Looking back at the EXITShinjiro Hirose
Division of Pediatric Surgery and the Fetal Treatment Center, Department of Surgery, University of California, San Francisco, San Francisco, CA 94143-0570, USA
J Pediatr Surg 39:375-80; discussion 375-80. 2004..EXIT procedures have evolved from an adjunct to fetal surgery to a potentially life-saving procedure in fetuses with airway compromise at birth...
Prenatal steroids for microcystic congenital cystic adenomatoid malformationsPatrick F Curran
The Fetal Treatment Center, University of California San Francisco, San Francisco, CA, USA
J Pediatr Surg 45:145-50. 2010..The purpose of this study is to evaluate the effect of prenatal steroid treatment in fetuses with sonographically diagnosed congenital cystic adenomatoid malformations (CCAMs)...
Resolution of hydrops fetalis in congenital cystic adenomatoid malformation after prenatal steroid therapyKuoJen Tsao
Fetal Treatment Center, Division of Pediatric Surgery, Department of Surgery, University of California, San Francisco, California 94143-0570, USA
J Pediatr Surg 38:508-10. 2003..Because the mechanism of this process is speculative, further studies are needed to elucidate the relationship between antenatal steroids and maturation of congenital cystic adenomatoid malformation...
The diagnosis and management of intradiaphragmatic extralobar pulmonary sequestrations: a report of 4 casesAmar Nijagal
Department of Surgery, University of California, San Francisco, CA 94143 0570, USA
J Pediatr Surg 47:1501-5. 2012..We report the largest series of patients with IDEPS and describe the diagnostic and operative challenges associated with this condition...
Magnetic mini-mover procedure for pectus excavatum III: safety and efficacy in a Food and Drug Administration-sponsored clinical trialMichael R Harrison
Department of Surgery, Division of Pediatric Surgery, University of California, San Francisco, San Francisco, CA 94143 0570, USA
J Pediatr Surg 47:154-9. 2012....
Comparison of drainage techniques for biliary atresiaKuoJen Tsao
Fetal Treatment Center, Department of Surgery, Division of Pediatric Surgery, San Francisco, CA 94143-0570, USA
J Pediatr Surg 38:1005-7. 2003..Although the appendix may serve as an alternative biliary conduit, traditional Kasai portoenterostomy appears to achieve better biliary drainage...
Magnamosis II: Magnetic compression anastomosis for minimally invasive gastrojejunostomy and jejunojejunostomyKullada O Pichakron
Department of Surgery, David Grant Medical Center, Travis AFB, CA, USA
J Am Coll Surg 212:42-9. 2011..Previously we demonstrated the safety and patency of a magnetic compression anastomosis (magnamosis). We present the further development of this technique, with specific focus on optimizing device design for minimally invasive magnamosis...
Magnamosis III: delivery of a magnetic compression anastomosis device using minimally invasive endoscopic techniquesKelly D Gonzales
Department of Surgery, University of California, San Francisco, San Francisco, CA 94143 0570, USA
J Pediatr Surg 47:1291-5. 2012..In this study, we further develop and test delivery devices capable of creating a secure duodeno-colonic anastomosis using available minimally invasive endoscopic techniques...
Microcystic congenital pulmonary airway malformation with hydrops fetalis: steroids vs open fetal resectionKenneth C Loh
Department of Surgery, University of California at San Francisco, San Francisco, CA 94143 0570, USA
J Pediatr Surg 47:36-9. 2012..The presence of hydrops fetalis is an indicator of poor prognosis. Here we present a retrospective review of fetuses undergoing either open fetal surgery or steroids for predominantly microcystic CPAM with hydrops fetalis...
Spectrum of intrapartum management strategies for giant fetal cervical teratomaShinjiro Hirose
Department of Surgery, University of California, San Francisco, California 94143-0570, USA
J Pediatr Surg 38:446-50; discussion 446-50. 2003..In patients with airway obstruction, EXIT procedure provides the luxury of time to obtain airway control either by intubation, tracheostomy, or, if necessary, tumor resection on placental support...
Hepatic portocholecystostomy for biliary atresia: a 25-year follow-up and reviewSamuel C Schecter
East Bay Surgery Program, University of California San Francisco, San Francisco, CA 94143 0570, USA
J Pediatr Surg 48:262-6. 2013..Life-long follow-up of patients with biliary atresia is important to prevent life-threatening complications of biliary stasis/obstruction...
Long-term surgical outcomes in congenital diaphragmatic hernia: observations from a single institutionTim Jancelewicz
Division of Pediatric Surgery, Department of Surgery, University of California, San Francisco, CA 94143, USA
J Pediatr Surg 45:155-60; discussion 160. 2010..Surgical complications are common in survivors of congenital diaphragmatic hernia (CDH), but little is known about long-term incidence patterns and associated predictors...
Prenatal intraabdominal bowel dilation is associated with postnatal gastrointestinal complications in fetuses with gastroschisisNancy G Huh
Department of Radiology, University of California at San Francisco School of Medicine, San Francisco, CA 94143, USA
Am J Obstet Gynecol 202:396.e1-6. 2010..The purpose of this study was to determine whether prenatal intraabdominal bowel dilation (IBD) is associated with increased postnatal complications in fetuses with gastroschisis...
The influence of portoenterostomy on transplantation for biliary atresiaBrendan C Visser
The University of California, San Francisco, CA, USA
Liver Transpl 10:1279-86. 2004..The 1-, 5-, and 10-year actuarial patient survival rates were 91%, 89%, and 83%. PE remains an important bridge to transplant. In conclusion, transplantation for BA offers excellent long-term graft and patient survival...
Fetal intervention for complications of monochorionic twinningDiana L Farmer
The Fetal Treatment Center, Department of Surgery, Division of Pediatric Surgery, University of California, San Francisco, 513 Parnassus Avenue, Room HSW 1601, San Francisco, California 94143-4086, USA
World J Surg 27:103-7. 2003..A still greater danger exists when monochorionic twins also share a single amniotic sac. Fetal surgical interventions now exist to treat many of the complications associated with twin gestation pregnancies...
Fetal surgery for sacrococcygeal teratomaShinjiro Hirose
Fetal Treatment Center, University of California-San Francisco, 513 Parnassus Avenue, HSW 1601, San Francisco, CA 94143-0570, USA
Clin Perinatol 30:493-506. 2003..Further study is required to determine the role of minimal access techniques in SCT. Future directions for treatment of fetal SCT with hydrops might include fetoscopic resection or high-intensity ultrasound ablation...
Spontaneous resolution of prenatal megalourethraAmar Nijagal
Fetal Treatment Center, University of California, San Francisco Medical Center, San Francisco, CA 94143-0570, USA
J Pediatr Surg 39:1421-3. 2004..All 3 experienced spontaneous resolution of the presumed obstruction. On follow-up, all are alive and well with no adverse genitourinary tract sequelae. No postpartum intervention was required...
Bringing the skills laboratory home: an affordable webcam-based personal trainer for developing laparoscopic skillsSow Alfred Kobayashi
Department of Surgery, University of California, San Francisco, California 94143, USA
J Surg Educ 68:105-9. 2011..The purpose of this work was to develop a more flexible system of laparoscopic surgery training with demonstrated effectiveness and construct validity...
Laparoscopic excision of an antenatally diagnosed large simple hepatic cyst in the newbornPilyung S Oh
Division of Pediatric Surgery, Department of Surgery, Columbia University College of Physicians and Surgeons, Morgan Stanley Children s Hospital of New York Presbyterian, New York, NY 10032, USA
Pediatr Surg Int 28:719-23. 2012..We present a case of an antenatally diagnosed non-parasitic hepatic cyst in a neonate, which was successfully excised laparoscopically with no recurrence...
Maternal-fetal surgery: history and general considerationsEveline H Shue
Division of Pediatric Surgery, Department of Surgery, Fetal Treatment Center, University of California, San Francisco, 513 Parnassus Avenue, HSW 1601, San Francisco, CA 94143 0570, USA
Clin Perinatol 39:269-78. 2012..However, there were many trials and tribulations as fetal surgery developed into a medical specialty...
Fetal therapy for giant hepatic cystsKuoJen Tsao
Department of Surgery, University of California, San Francisco, CA 94143-0570, USA
J Pediatr Surg 37:E31. 2002..Decompression of giant hepatic cysts may reverse this phenomenon and allow normal fetal development...
Fetal surgery for myelomeningocele: panacea or peril?Shinjiro Hirose
The Fetal Treatment Center, Department of Surgery, Division of Pediatric Surgery, University of California, San Francisco, 513 Parnassus Avenue, Room HSW 1601, San Francisco, California 94143 0570, USA
World J Surg 27:87-94. 2003..The long-term clinical consequences of these findings are not clear. What is clear, however, is that further study in the form of a prospective, randomized trial is mandatory...
Myelomeningocele: characterization of a surgically induced sheep model and its central nervous system similarities and differences to the human diseaseCornelia S von Koch
Department of Neurological Surgery, University of California, San Francisco, CA 94143-0570, USA
Am J Obstet Gynecol 193:1456-62. 2005..This model may be useful to develop new minimally invasive techniques to halt CSF leak in utero...
The ex utero intrapartum treatment (EXIT) procedureShinjiro Hirose
Division of Pediatric Surgery, Fetal Treatment Center, University of California, 513 Parnassus Avenue, HSW 1601, San Francisco, CA 94143-0570, USA
Semin Neonatol 8:207-14. 2003..While the technique of tracheal occlusion remains under study in clinical trials, EXIT procedures have been shown to be useful for management of other causes of foetal airway obstruction...
Initial experience with complex laparoscopic biliary surgery in children: biliary atresia and choledochal cystHanmin Lee
Division of Pediatric Surgery, Department of Surgery, University of California, San Francisco, San Francisco, CA, USA
J Pediatr Surg 39:804-7; discussion 804-7. 2004..Excellent visualization of the portal structures can be achieved laparoscopically with adequate retraction of the liver. Further follow-up is needed to determine broader application...
Magnetic mini-mover procedure for pectus excavatum II: initial findings of a Food and Drug Administration-sponsored trialMichael R Harrison
Division of Pediatric Surgery, University of California, San Francisco, CA 94143 0570, USA
J Pediatr Surg 45:185-91; discussion 191-2. 2010..This is an interim report of the evolution of the 3MP during a Food and Drug Administration-approved clinical trial...
Chorioamniotic membrane separation following fetal surgeryRoman M Sydorak
Division of Pediatric Surgery, Department of Surgery, The Fetal Treatment Center, University of California San Francisco, San Francisco, CA 94143-0570, USA
J Perinatol 22:407-10. 2002..Following fetal surgery, the finding of CMS can be a life-threatening complication that warrants further study to understand its etiology and prevention...
