Minimally Invasive Techniques in Pediatric Surgical Oncology

Wijnen, Marc; Davidoff, Andrew M.

doi:10.1016/j.soc.2020.11.008

Cited by 2 publications

(2 citation statements)

References 35 publications

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“…Centers were encouraged to utilize minimally invasive techniques for surgery whenever feasible. There are numerous benefits to minimally invasive surgery (MIS) including decreased pain with less opioid need and shorter LOS ( 16 ). While MIS is gaining momentum in pediatric surgical oncology ( 17 ), it is still not universally applicable.…”

Section: Methods and Analysismentioning

confidence: 99%

Development of an enhanced recovery after surgery program for pediatric solid tumors

Mansfield,

Kotagal,

Hartman

et al. 2024

Front. Surg.

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IntroductionEnhanced recovery after surgery (ERAS) is an evidence-based, multi-modal approach to decrease surgical stress, expedite recovery, and improve postoperative outcomes. ERAS is increasingly being utilized in pediatric surgery. Its applicability to pediatric patients undergoing abdominal tumor resections remains unknown.Methods and AnalysisA group of key stakeholders adopted ERAS principles and developed a protocol suitable for the variable complexity of pediatric abdominal solid tumor resections. A multi-center, prospective, propensity-matched case control study was then developed to evaluate the feasibility of the protocol. A pilot-phase was utilized prior to enrollment of all patients older than one month of age undergoing any abdominal, retroperitoneal, or pelvic tumor resections. The primary outcome was 90-day complications per patient. Additional secondary outcomes included: ERAS protocol adherence, length of stay, time to administration of adjuvant chemotherapy, readmissions, reoperations, emergency room visits, pain scores, opioid usage, and differences in Quality of Recovery 9 scores.Ethics and DisseminationInstitutional review board approval was obtained at all participating centers. Informed consent was obtained from each participating patient. The results of this study will be presented at pertinent society meetings and published in peer-reviewed journals. We expect the results will inform peri-operative care for pediatric surgical oncology patients and provide guidance on initiation of ERAS programs. We anticipate this study will take four years to meet accrual targets and complete follow-up.Trial Registration NumberNCT04344899.

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Section: Methods and Analysismentioning

confidence: 99%

Development of an enhanced recovery after surgery program for pediatric solid tumors

Mansfield,

Kotagal,

Hartman

et al. 2024

Front. Surg.

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“…Urology and kidney oncological treatments using XR or 3D modeling and printing technologies are the most described in the literature, as well as orthopedic and lung cancers. However, most cases focus on adult patients and very few examples exist in pediatrics [30][31][32][33][34][35][36][37][38][39][40].…”

Section: Introductionmentioning

confidence: 99%

Exploring the Potential of Three-Dimensional Imaging, Printing, and Modeling in Pediatric Surgical Oncology: A New Era of Precision Surgery

Valls-Esteve,

Adell-Gómez,

Pasten

et al. 2023

Children

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Pediatric surgical oncology is a technically challenging field that relies on CT and MRI as the primary imaging tools for surgical planning. However, recent advances in 3D reconstructions, including Cinematic Rendering, Volume Rendering, 3D modeling, Virtual Reality, Augmented Reality, and 3D printing, are increasingly being used to plan complex cases bringing new insights into pediatric tumors to guide therapeutic decisions and prognosis in different pediatric surgical oncology areas and locations including thoracic, brain, urology, and abdominal surgery. Despite this, challenges to their adoption remain, especially in soft tissue-based specialties such as pediatric surgical oncology. This work explores the main innovative imaging reconstruction techniques, 3D modeling technologies (CAD, VR, AR), and 3D printing applications through the analysis of three real cases of the most common and surgically challenging pediatric tumors: abdominal neuroblastoma, thoracic inlet neuroblastoma, and a bilateral Wilms tumor candidate for nephron-sparing surgery. The results demonstrate that these new imaging and modeling techniques offer a promising alternative for planning complex pediatric oncological cases. A comprehensive analysis of the advantages and limitations of each technique has been carried out to assist in choosing the optimal approach.

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Minimally Invasive Techniques in Pediatric Surgical Oncology

Cited by 2 publications

References 35 publications

Development of an enhanced recovery after surgery program for pediatric solid tumors

Development of an enhanced recovery after surgery program for pediatric solid tumors

Exploring the Potential of Three-Dimensional Imaging, Printing, and Modeling in Pediatric Surgical Oncology: A New Era of Precision Surgery

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