Pediatric Surgery at Fudan University Children's Hospital Shanghai | CMCS

Expert Surgical Care for Children at China's Premier Children's Hospital

The Department of Pediatric Surgery at Fudan University Children's Hospital (FUCH) is one of China's most distinguished and highest-volume pediatric surgery centers, with a national reputation for excellence in neonatal surgery, minimally invasive pediatric surgery, pediatric oncological surgery, urological surgery, and the surgical management of complex congenital anomalies. With one of the highest volumes of pediatric surgical procedures in China, the department combines outstanding surgical expertise with a world-class research program and a fully integrated multidisciplinary approach, offering international families access to some of China's most eminent pediatric surgeons.

For international families with a child requiring surgical treatment for a congenital anomaly, a tumor, a urological condition, or a complex surgical problem — FUCH's pediatric surgery department offers an unparalleled combination of surgical expertise, volume, and subspecialty integration. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international families throughout their child's surgical care journey at FUCH.

About the Department

FUCH's pediatric surgery department is a national key clinical specialty operating dedicated pediatric surgical wards, a pediatric surgical intensive care unit (PSICU), multiple minimally invasive surgical theaters, a neonatal surgery unit, a pediatric urology service, a pediatric oncological surgery service, and works in close collaboration with neonatology, pediatric oncology, radiology, and anesthesia through a fully integrated multidisciplinary team.

Faculty members publish regularly in leading pediatric surgery journals including Journal of Pediatric Surgery, Pediatric Surgery International, Journal of Urology, European Journal of Pediatric Surgery, and Annals of Surgery.

Surgical Specialties

Neonatal Surgery

• Esophageal Atresia & Tracheoesophageal Fistula (EA/TEF) — Primary repair; thoracoscopic repair for type C TEF; long-gap EA management with delayed primary anastomosis or esophageal replacement; Foker process for ultra-long-gap EA
• Congenital Diaphragmatic Hernia (CDH) — Minimally invasive thoracoscopic repair; open repair for large defects; patch repair; post-repair pulmonary hypertension management with ECMO coordination
• Intestinal Atresia — Duodenal atresia (diamond-shaped duodenoduodenostomy); jejunoileal atresia; colonic atresia; tapering enteroplasty for dilated proximal bowel
• Malrotation & Volvulus — Emergency Ladd's procedure; laparoscopic Ladd's for non-volvulus malrotation
• Hirschsprung's Disease — Transanal endorectal pull-through (TEPT); laparoscopic-assisted pull-through; Swenson, Soave, and Duhamel procedures; long-segment and total colonic Hirschsprung's
• Anorectal Malformations — Posterior sagittal anorectoplasty (PSARP); laparoscopic-assisted PSARP; colostomy and staged repair; bowel management programs
• Abdominal Wall Defects — Gastroschisis: primary closure and staged silo reduction; omphalocele: primary and staged repair; giant omphalocele management
• Necrotizing Enterocolitis (NEC) — Peritoneal drainage; laparotomy and bowel resection; stoma formation; short bowel syndrome management
• Biliary Atresia — Kasai portoenterostomy; laparoscopic Kasai; liver transplantation coordination for Kasai failure
• Choledochal Cyst — Laparoscopic cyst excision with Roux-en-Y hepaticojejunostomy; open repair for complex cases

Minimally Invasive Pediatric Surgery

• Laparoscopic Surgery — Appendectomy; cholecystectomy; splenectomy; fundoplication for GERD; pyloromyotomy for pyloric stenosis; adrenalectomy; nephrectomy; ovarian cystectomy; inguinal hernia repair
• Thoracoscopic Surgery — Lung resection for CPAM and sequestration; empyema drainage and decortication; mediastinal tumor resection; esophageal atresia repair; CDH repair; thymectomy
• Robotic Pediatric Surgery — Robotic pyeloplasty for UPJ obstruction; robotic fundoplication; robotic Kasai portoenterostomy; robotic cholecystectomy
• Single-Incision Laparoscopic Surgery (SILS) — Appendectomy; cholecystectomy; pyloromyotomy

Pediatric Urological Surgery

• Ureteropelvic Junction (UPJ) Obstruction — Laparoscopic and robotic dismembered pyeloplasty; endopyelotomy for recurrent obstruction
• Vesicoureteral Reflux (VUR) — Endoscopic injection (Deflux); laparoscopic ureteral reimplantation; open Cohen and Politano-Leadbetter reimplantation
• Hypospadias — Distal hypospadias: MAGPI, TIP (Snodgrass) repair; proximal hypospadias: staged repair with buccal mucosa graft; chordee correction
• Cryptorchidism (Undescended Testis) — Laparoscopic orchiopexy for intra-abdominal testis; Fowler-Stephens orchiopexy; standard orchiopexy for palpable undescended testis
• Posterior Urethral Valves (PUV) — Endoscopic valve ablation; vesicostomy for neonates; long-term renal function monitoring
• Bladder Exstrophy & Epispadias — Complete primary repair (CPRE); staged repair; bladder neck reconstruction; continence surgery
• Duplex Kidney & Ureterocele — Endoscopic ureterocele puncture; upper pole heminephrectomy; ureteral reimplantation
• Neurogenic Bladder — Clean intermittent catheterization; botulinum toxin; augmentation cystoplasty; Mitrofanoff appendicovesicostomy
• Wilms Tumor (Nephroblastoma) — Nephrectomy; nephron-sparing surgery for bilateral Wilms; laparoscopic nephrectomy for small tumors

Pediatric Oncological Surgery

• Neuroblastoma — Surgical resection after induction chemotherapy; image-defined risk factor (IDRF) assessment; adrenalectomy; retroperitoneal tumor resection
• Hepatoblastoma — Hepatic resection after neoadjuvant cisplatin; liver transplantation for unresectable hepatoblastoma
• Rhabdomyosarcoma — Wide local excision; lymph node sampling; re-excision for positive margins
• Germ Cell Tumors — Sacrococcygeal teratoma resection; gonadal germ cell tumor surgery; retroperitoneal lymph node dissection
• Lymph Node Biopsy & Staging — Excisional and core needle biopsy for lymphoma diagnosis; sentinel lymph node biopsy
• Central Venous Access — Port-a-cath and Broviac catheter insertion for chemotherapy; PICC line placement

Gastrointestinal Surgery

• Appendicitis — Laparoscopic appendectomy; interval appendectomy for appendiceal abscess; perforated appendicitis management
• Intussusception — Pneumatic and hydrostatic reduction; laparoscopic reduction for failed non-operative management; bowel resection for irreducible intussusception
• Meckel's Diverticulum — Laparoscopic diverticulectomy; bowel resection for complicated Meckel's
• Inflammatory Bowel Disease Surgery — Colectomy for medically refractory UC; strictureplasty and bowel resection for Crohn's disease
• Short Bowel Syndrome — STEP (serial transverse enteroplasty); Bianchi longitudinal intestinal lengthening and tailoring (LILT); intestinal transplantation evaluation

Thoracic Surgery

• Congenital Pulmonary Airway Malformation (CPAM) — Thoracoscopic lobectomy or segmentectomy
• Pulmonary Sequestration — Thoracoscopic resection; embolization for intralobar sequestration
• Empyema & Parapneumonic Effusion — Thoracoscopic decortication; fibrinolytic therapy
• Mediastinal Tumors — Thoracoscopic resection of neurogenic tumors, cysts, and thymoma
• Pectus Excavatum & Carinatum — Nuss procedure for pectus excavatum; Ravitch procedure; dynamic compression brace for pectus carinatum

Head, Neck & Soft Tissue Surgery

• Thyroglossal Duct Cyst — Sistrunk procedure
• Branchial Cleft Anomalies — Surgical excision
• Lymphatic Malformations — Sclerotherapy (OK-432, bleomycin, doxycycline); sirolimus for complex lymphatic malformations; surgical excision
• Hemangiomas — Propranolol; timolol; surgical excision for involuted hemangiomas with residual deformity
• Vascular Malformations — Sclerotherapy; embolization; surgical excision; sirolimus for complex vascular anomalies

Why International Families Choose FUCH Pediatric Surgery

• High-Volume Neonatal Surgery — One of China's highest-volume neonatal surgery programs for EA/TEF, CDH, Hirschsprung's, and other complex neonatal conditions
• Minimally Invasive Leadership — Thoracoscopic EA repair, laparoscopic Hirschsprung's pull-through, and robotic pyeloplasty as routine offerings
• Pediatric Urology Expertise — Comprehensive urological surgery including hypospadias, bladder exstrophy, and neurogenic bladder management
• Oncological Surgery Integration — Seamless collaboration with pediatric oncology for neuroblastoma, hepatoblastoma, and other pediatric solid tumors
• Complex Anomaly Expertise — Long-gap EA, total colonic Hirschsprung's, bladder exstrophy, and other rare complex anomalies
• Cost-Effectiveness — World-class pediatric surgical care at significantly lower cost than equivalent treatment in Western countries

The CMCS Patient Journey

1. Initial Inquiry — Share your child's surgical diagnosis, imaging, prior surgical history, and current clinical status with CMCS.
2. Medical Record Preparation — We translate and organize your child's records for specialist pre-consultation review.
3. Specialist Matching — We identify the most appropriate pediatric surgeon based on your child's condition — neonatal surgery, urology, oncological surgery, GI surgery, or thoracic surgery.
4. MDT Submission — Where appropriate, we facilitate pre-arrival case review by FUCH's pediatric surgical MDT.
5. Priority Scheduling — We secure a consultation and surgical slot with minimal waiting time.
6. Travel & Logistics — Assistance with visa invitation letters, family accommodation near FUCH, and Shanghai airport transfers.
7. Surgical Admission Support — Full coordination of pre-operative assessment, surgical admission, and PSICU care.
8. Post-Operative Follow-Up — Surgical report translation, wound care guidance, and remote follow-up coordination after you return home.

Book a Consultation

If your child requires surgical treatment for a congenital anomaly, a tumor, a urological condition, or a complex surgical problem — CMCS can arrange a specialist consultation with FUCH's pediatric surgery team in Shanghai.

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