Cervicothoracic neuroblastoma arising from the stellate ganglion in children: the use of muscle and bone sparing transmanubrial transcostal approach

Pimpalwar, Ashwin; Kroeker, Teresa R.; Ramachandran, Venkatraman

doi:10.1016/j.jpedsurg.2007.11.013

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…It is then prolonged with an anterior thoracotomy at the level of the second rib [7,8]. This approach allows a good control of the supra-aortic vessels and nerves through the thoracic inlet and a safe resection of the neoplastic mass [9,10].…”

Section: Resultsmentioning

confidence: 99%

Surgical Approaches to Neuroblastoma: Review of the Operative Techniques

et al. 2021

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Neuroblastoma (NB) is the most commonly occurring soft-tissue malignancy of childhood. Surgery plays an important role in multidisciplinary treatment and its principal aim is a local control of the disease, respecting the integrity of the surrounding structures. There is no unanimous consensus on the best surgical technique, and the operative approach largely depends on the anatomical location and the extension of the mass. To have a complete overview of the different type of treatment, we made a review of the literature from the last twenty years of all the surgical approaches applied for NBs resection, accordingly to the anatomical site.

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Section: Resultsmentioning

confidence: 99%

Surgical Approaches to Neuroblastoma: Review of the Operative Techniques

et al. 2021

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“…In 2008, Pimpalwar et al. split the sternal and clavicular fibers of the pectoralis major muscle in a 2‐year‐old girl with a localized neuroblastoma and resected 99% of the tumor . Parikh et al.…”

Section: Discussionmentioning

confidence: 99%

“…reported a modification of Dartevelle et al.’s technique that involved resecting the medial clavicular head in three patients with neuroblastoma, two with a localized tumor and one with metastases . Use of the trap‐door approach has been described in the context of benign (cystic hygroma, mesenchymal hamartoma) or malignant (ganglioneuroma or neuroblastoma, desmoid tumor, mixoid liposarcoma, Castleman's disease, rhabdomyosarcoma, germ cell tumor, nonrhabdomyosarcoma soft tissue sarcoma and neuroendocrine small cell carcinoma) tumors, or to treat recurrent trachea‐esophageal fistula following esophageal atresia repair . The most important series involving this approach included 13 patients, who achieved an overall survival rate of 61%, which reached 80% for primary tumors .…”

Section: Discussionmentioning

confidence: 99%

Long‐term results of the transmanubrial osteomuscular‐sparing approach for pediatric tumors

Madi¹,

Irtan

Sauvat

et al. 2017

Pediatric Blood & Cancer

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“…Parikh et al reported the resection of cervicothoracic neuroblastoma in three patients using Dartevelle's approach, requiring resection of the medial clavicular head. In adult series, this has been associated with shoulder girdle instability, delayed post-operative recovery, and bony malunion in up to 42% of patients [11-13]. …”

Section: Discussionmentioning

confidence: 99%

“Trap-door” and “clamshell” surgical approaches for the management of pediatric tumors of the cervicothoracic junction and mediastinum

Christison‐Lagay

Darcy

Stanelle

et al. 2014

Journal of Pediatric Surgery

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Background/Purpose For pediatric tumors of the cervicothoracic junction, an isolated cervical or thoracic surgical approach provides insufficient exposure for achieving complete resection. We retrospectively examined “trap-door” and “clamshell” pediatric thoracotomies as a surgical approach to these tumors. Methods We searched our database for pediatric patients with cervicothoracic tumors who underwent clamshell or trapdoor thoracotomy between 1991 and 2013, reviewing tumor characteristics, surgical technique, completeness of resection, morbidity, and outcome. Results Trap-door (n=13) and clamshell (n=4) thoracotomies were performed for neuroblastoma (n=9), non-rhabdomyosarcoma soft tissue sarcoma (n=4), germ cell tumor (n=2), rhabdomyosarcoma (n=1), and neuroendocrine small cell carcinoma (n=1). Fourteen of these cervicothoracic tumors were primary, and three were metastatic. Gross total resection was achieved in 15 patients (94%). Operative complications included vocal cord paralysis (n=2), mild upper-extremity neuropraxia (n=2), and hemidiaphragm paralysis (n=1), All but one involved encased nerves. Overall survival was 61% for the series and 80% for patients with primary tumors. Eleven (73%) of 15 patients who underwent gross total resection had no evidence of recurrence. Tree patients with metastatic disease died of distant progression within 1.3 years. Conclusions Gross total resection of primary cervicothoracic tumors can be accomplished with specialized exposure in pediatric patients with minimal morbidity.

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Cervicothoracic neuroblastoma arising from the stellate ganglion in children: the use of muscle and bone sparing transmanubrial transcostal approach

Cited by 6 publications

References 6 publications

Surgical Approaches to Neuroblastoma: Review of the Operative Techniques

Surgical Approaches to Neuroblastoma: Review of the Operative Techniques

Long‐term results of the transmanubrial osteomuscular‐sparing approach for pediatric tumors

“Trap-door” and “clamshell” surgical approaches for the management of pediatric tumors of the cervicothoracic junction and mediastinum

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