Mini-Invasive Surgery for Adrenocortical Carcinoma in Children: Is It Safe?

Gelas, Thomas; Frappaz, Didier; Berlier, P.; Mouriquand, Pierre; Mure, Pierre-Yves

doi:10.3109/08880018.2013.771389

Cited by 8 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…13 14 However, there are also reports of successful MIS in ACTs. 8 15 16 These reports are supported by the current German AWMF recommendations that advocate that a MIS approach in ACTs is feasible as long as the principles of oncological surgery are maintained. 17 Furthermore, a recent publication of adult ACT cases found evidence that the open and laparoscopic approach may be comparable in terms of recurrence-free survival for patients with stage I and II ACT when the principles of surgical oncology are respected.…”

Section: Discussionmentioning

confidence: 70%

Minimally Invasive Surgery for Pediatric Adrenal Masses—Report on Four Cases

Elhaddad

Castellani

Sorantin

et al. 2019

European J Pediatr Surg Rep

View full text Add to dashboard Cite

The dignity of adrenal masses in children varies from benign lesions like adenoma and ganglioneuroma to malignant tumors like adrenocortical carcinoma and neuroblastoma. Any surgical approach, especially minimally invasive surgery (MIS), requires careful risk stratification based on oncological and technical criteria. Herein, we present four patients who underwent MIS for adrenal masses. Laboratory testing differentiated between simple cysts and adenoma, but could not identify a child with adrenocortical tumor preoperatively. Analysis of image-defined risk factors excluded vascular encasement in all cases. All patients underwent laparoscopic adrenalectomy without complications. Histopathology revealed simple cyst, ganglioneuroblastoma, adenoma, and potentially malignant adrenocortical tumor in one patient/case each. All specimen showed clear margins and no recurrence was noted at a mean follow-up of 18 months.

show abstract

Section: Discussionmentioning

confidence: 70%

Minimally Invasive Surgery for Pediatric Adrenal Masses—Report on Four Cases

Elhaddad

Castellani

Sorantin

et al. 2019

European J Pediatr Surg Rep

View full text Add to dashboard Cite

show abstract

“…As these tumors are usually large and their capsules are friable, rupture and spillage frequently occurs. Few pediatric cases operated by endosurgery for small tumors (<55 mm) have been reported 34 . However, because of the overall aggressive nature, and the fact that upfront complete (R0) resection is the only chance of survival, the authors generally recommend against using MIS for preoperatively identified ACTs.…”

Section: Current Status Of Pediatric Oncologic Endosurgerymentioning

confidence: 99%

Pediatric oncologic endosurgery

Boo

Goedecke

Muensterer

2017

International Journal of Surgery Oncology

View full text Add to dashboard Cite

Despite increasing popularity of minimal-invasive techniques in the pediatric population, their use in diagnosis and management of pediatric malignancy is still debated. Moreover, there is limited evidence to clarify this controversy due to low incidence of each individual type of pediatric tumor, huge diversity of the disease entity, heterogeneity of surgical technique, and lack of well-designed studies on pediatric oncologic minimal-invasive surgery. However, a rapid development of medical instruments and technologies accelerated the current trend toward less invasive surgery, including oncologic endosurgery. The aim of this article is to review current literatures about the application of the minimal-invasive approach for pediatric tumors and to give an overview of the current status, indications, individual techniques, and future perspectives.

show abstract

“…15 Few pediatric cases operated by laparoscopic approach for tumors smaller than 55 mm have been reported, with one conversion but no spill out and a good outcome. 17,31 Other Etiologies Rare etiologies of pathologic adrenal gland have been exceptionally reported in laparoscopic series such as adrenal teratoma and adrenal location of a metastatic rhabdomyosarcoma. 17 Despite the big size of the tumor, up to 8.5 cm long, laparoscopic removal was successful without recurrence.…”

Section: Adrenocortical Adenomamentioning

confidence: 99%