On May 24, 2014, Qilu Hospital Qingdao Hospital District Pediatric Surgery admitted a small patient who was born only one month ago and repeatedly vomited for more than 10 days, “At that time, the baby’s performance has been crying, after exhaustive questioning and careful observation by the doctors and nurses, it was found that the child has the phenomenon of inability to eat milk and repeatedly vomit, etc., and the baby was starving because of the long term inability to eat normally. The child is crying and malnutrition and other symptoms.” Director Zhang Lei, an expert in pediatric surgery, said, “We immediately implemented intravenous nutritional supplementation for the baby to ensure that the baby’s nutritional needs, and immediately conducted an expert consultation, in an effort to explore the cause of the disease as soon as possible, and to treat the symptoms”. Expert consultation: congenital hypertrophic pyloric stenosis Through a series of detailed examination of the baby, as well as by the neonatology, pediatric surgery team composed of experts, diagnosed that the baby suffers from congenital hypertrophic pyloric stenosis. Director Zhang Lei, an expert in pediatric surgery, said that the incidence of congenital hypertrophic pyloric stenosis is about 1 in 3,000, with male infants accounting for more than 90% of the cases. It is a mechanical pyloric obstruction due to the pyloric annulus muscle hypertrophy and hyperplasia, which narrows the lumen of pylorus, and is mainly manifested as high gastrointestinal obstruction symptoms, and the typical case manifests itself as a progressive aggravation of projectile vomiting starting from the second to the third week of life, Children often suffer from malnutrition, anemia and growth retardation, which can be life-threatening. After confirming the diagnosis by the pediatric surgeon and communicating in detail with the parents, the final treatment plan was “laparoscopic pyloromyotomy”. Because ordinary surgery needs to cut the abdomen about 3-5cm incision, the child and malnutrition, the abdominal incision is likely to heal poorly, and ordinary open surgery trauma is large, the scar of the incision is obvious, and laparoscopic minimally invasive surgery is very good to avoid these complications. on May 27th, the formal implementation of the operation of the child, about more than 30 minutes after the operation was a complete success. According to the reporter’s understanding, due to the disease is a newborn, abdominal cavity volume is small, thin abdominal wall, the degree of surgical refinement requirements are extremely high, the anesthesia requirements are even higher, fortunately the most professional anesthesiology Li Jianjun, director of anesthesiology, Zhou Haipeng, deputy director of the anesthesia team led by the most advanced monitoring equipment, to ensure that the operation was a success. After the operation, the hospital also formed an intensive care team to provide special care for the baby. The baby was in very good condition after the operation, and was able to eat normally without vomiting or crying, and his weight gradually increased, so the parents finally let go of their worries, and the parents of the patient expressed their trust and gratitude to the doctors and nurses of Qingdao Qilu Hospital, and expressed their satisfaction with the results of the baby’s operation and the postoperative care. Director Zhang Lei, an expert in pediatric surgery, specializes in the diagnosis and treatment of difficult diseases in pediatric general surgery, urology, thoracic surgery, neonatal surgery, and surgery, especially in pediatric laparoscopic surgery technology with deeper attainments. The success of this case not only witnesses the strong combination of pediatric surgery and anesthesiology, but also signifies that more children in Qingdao and even the Jiaodong region will be provided with strong and effective medical protection.