Minimally invasive surgery for abdominal and thoracic neuroblastic tumors: A systematic review by the APSA Cancer committee

Gurria, Juan P.; Malek, Marcus M.; Heaton, Todd E.; Gehred, Alison; Lautz, Timothy B.; Rhee, Daniel S.; Tracy, Elisabeth T.; Grant, Christa N.; Baertshiger, Reto M.; Bruny, Jennifer; Christison‐Lagay, Emily R.; Rodeberg, David A.; Ehrlich, Peter F.; Dasgupta, Roshni; Aldrink, Jennifer H.

doi:10.1016/j.jpedsurg.2020.02.019

Cited by 22 publications

(16 citation statements)

References 36 publications

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“…Complications of laparoscopic surgery of neurogenic tumors mainly include intraoperative bleeding, conversion to laparotomy, renal atrophy or renal infarction, diaphragm injury and intestinal obstruction ( 3-5 ). There has been no reports of tumor recurrence at the puncture site of Trocar after laparoscopic neurogenic tumor resection ( 6 ). Leclair et al ( 7 ) report that laparoscopic minimally invasive technology is suitable for children with complete tumor capsule and negative image-defined risk factors (IDRFs).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery for stage III neuroblastoma: A case report

et al. 2022

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Laparoscopic surgery for malignant solid tumors is still in the stage of clinical exploration. Neuroblastoma is a common solid tumor in children. The present study discussed significance and feasibility of complete resection of stage III neuroblastoma by laparoscopic surgery and its safety and effectiveness was compared with traditional surgery. For children suffering from neuroblastoma with large tumor volume and vascular invasion, preoperative chemotherapy can be given and minimally invasive laparoscopic surgery can be one option to be considered when the tumor volume is <6 cm. During the operation, the tumor tissue can be removed by segmental resection and the removal of as much tumor tissue as possible is an important factor in improving the prognosis. Laparoscopic minimally invasive surgery is associated with minimal surgical trauma and quick recovery of patients, and children can receive postoperative chemotherapy as early as possible, which is conducive to good recovery. Basically, the prerequisite and requirements for performing this operation are professional laparoscopic skills and an experienced team.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery for stage III neuroblastoma: A case report

et al. 2022

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“…Although there is no clear recommendation regarding the tumor size, for adrenal masses in children, the International Pediatric Endosurgery Group (IPEG) recommends a maximum size of 6 cm in their guidelines 5 . In a systematic review or retrospective review of MIS for pediatric solid abdominal tumor, the maximum tumor diameter was 7–8 cm 3,6 . In addition, there are few case reports of the MIS approach for pediatric solid tumors larger than 10 cm.…”

Section: Discussionmentioning

confidence: 99%

“…5 In a systematic review or retrospective review of MIS for pediatric solid abdominal tumor, the maximum tumor diameter was 7-8 cm. 3,6 In addition, there are few case reports of the MIS approach for pediatric solid tumors larger than 10 cm. In our case, the tumor was huge with a maximum diameter of 13 cm.…”

Section: Discussionmentioning

confidence: 99%

Successful laparoscopy‐assisted en bloc resection of bulky omental malignant lymphoma involving the ascending colon and multiple lymph node metastases: Report of a technically demanding case in a pediatric patient

Murakami

Muto

Nakagawa

et al. 2022

Asian J Endoscop Surgery

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We herein report a 13-year-old boy with a chief complaint of abdominal pain and a palpable mass. Contrast-enhanced computed tomography (CT) scan showed an abdominal bulky tumor involving the ascending colon causing severe stenosis, with multiple abdominal lymph node metastases detected by positron emission tomography (PET)-CT. Laparoscopic radical resection with right hemicolectomy and lymph node dissection was planned. The bulky tumor was dissected from the retroperitoneum and resected en bloc with the right-side colon and omentum. The preoperatively detected metastatic lymph nodes were resected along with the tumor. A 6-cm longitudinal umbilical incision was made, and the huge tumor was removed, with functional end-to-end anastomosis performed for intestinal reconstruction. The pathological diagnosis was Burkitt-like lymphoma with 11q aberration. The postoperative course was uneventful. Laparoscopy-assisted extirpation is feasible for pediatric solid tumors involving other organs, but indications and procedures should be carefully determined based on preoperative imaging, intraoperative findings and surgeon's skills.

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“…Pre-operative diagnostic workup and identification of IDRFs obtained by computed tomography (CT) and/or magnetic resonance are essential to precisely localize the lesion and identify the extent of the disease. A recent systematic review conducted by the APSA Cancer Committee confirmed how a pre-operative objective assessment by IDRFs and size criteria are recommended to guide the approach, in order to follow oncologic principles of surgical resection of neuroblastic tumors with the least possible morbidity (36).…”

Section: Discussionmentioning

confidence: 99%

The Role of Video-Assisted Thoracoscopic Surgery in Pediatric Oncology: Single-Center Experience and Review of the Literature

et al. 2021

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Aim: Video-assisted thoracoscopic surgery (VATS) has been widely used in the last decades. Nevertheless, the pros and cons of thoracoscopy vs. open surgery in pediatric oncology are still under debate. In literature, VATS has been applied for both diagnostic and ablative surgery to treat neurogenic tumors, thymic neoplasms, lung tumors and metastases, germ cell tumors, lymphoproliferative diseases, and other rare tumors. Recent reviews described excellent outcomes in pediatric oncology as well as in the treatment of adult lung cancer, with a significantly higher rate of mortality and complication in thoracotomy compared to VATS. We reviewed our experience on thoracoscopy in pediatric malignancy and compared it to the literature.Materials and Methods: This was a retrospective cohort-study of pediatric oncological patients who underwent VATS at our institution from 2007 to 2020, and a review of the recent literature on the topic.Results: A total of 43 procedures were performed on 38 oncological patients (18 males, 20 females). Median age was years 7.72 (0.35–18.6). Diagnosis: 10 neurogenic tumors, nine hematological diseases, five metastases, four lypoblastomas, three thymic pathologies, three germ cell tumors, two pleuropneumoblastomas, two myofibroblastic tumors, one myoepithelial carcinoma, one liposarcoma, and three suspected oncological mass. In three cases, a 3D model was elaborated to better plan the surgical approach. Diagnostic biopsies were 22 (51.1%), and ablative surgeries, 21 (48.9%). One neurogenic tumor was resected with the Da Vinci Robot. Median operative time was 120 min (30–420). A drain was left in place in 20 (46.5%) for a median of 4 days. Median length of hospitalization was 5 days (1–18). One case (2.3%) was converted (intraoperative bleeding). There were three post-operative complications (7.0%): one pneumonia, one pleural effusion, and one diaphragmatic paralysis (need for plication). Results were compared to recent literature, and morbidity and conversion rate were comparable to reviewed publications.Conclusion: VATS represents a valuable tool for diagnostic and therapeutic procedures in pediatric oncology. Nonetheless, it is a challenging technique that should be performed by expert surgeons on oncological and mini-invasive surgery. Three-dimensional reconstruction can optimize the pre-operative planning and guarantee a safer and more targeted treatment. Finally, the advent of robotics-assisted surgery represents a new challenge that may further implement the advantages of VATS.

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Minimally invasive surgery for abdominal and thoracic neuroblastic tumors: A systematic review by the APSA Cancer committee

Cited by 22 publications

References 36 publications

Laparoscopic surgery for stage III neuroblastoma: A case report

Laparoscopic surgery for stage III neuroblastoma: A case report

Successful laparoscopy‐assisted en bloc resection of bulky omental malignant lymphoma involving the ascending colon and multiple lymph node metastases: Report of a technically demanding case in a pediatric patient

The Role of Video-Assisted Thoracoscopic Surgery in Pediatric Oncology: Single-Center Experience and Review of the Literature

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