Modern surgical strategies in pediatric oncology

Abstract

all india institute of medical sciences, new Delhi, india СОВРЕМЕННЫЕ ХИРуРГИчЕСКИЕ СТРАТЕГИИ В ДЕТСКОй ОНКОЛОГИИ Ш. Шарма, Д. К. Гупта Всеиндийский институт медицинских наук, Нью-Дели, ИндияIn review showed modern surgical strategies in selected areas of pediatric oncology. The newer energy sources have contributed to less blood and thus fewer complications following major resections. Robotic, endoscopy and stereotactic surgery have been the major advances in the treatment of pediatric tumours. There is more dependence on the use of chemotherapy, newer protocols with less toxic drugs and for shorter duration.In a review of the current literature assesses the recently discovered phenomenon and the toxicity of anesthetics in the developing child brain. The ways of diagnostics of morphological and functional abnormalities of brain activity in children. Provides indisputable data on the possibility of this type of interactions taking into account the mechanism of action of anesthetics. Comparative characteristics of strength toxic effects on children's brain different types of inhalation and non-inhalation anesthetics. There is a comparison of the degree of toxic impact on the brain at single and repeated exposure of anesthesia. Emphasizes the lack of information and especially objective data visualization of degenerative changes in children's brain due to ethical constraints and the impossibility of obtaining samples for biopsy. The conclusion about the appropriateness of expectant surgical tactics in the absence of urgent indications for surgical intervention to 4 years of a child's life. Also, our patients need more researches in this direction.В обзоре дается оценка недавно обнаруженному феномену токсичности анестетиков для развивающегося детского мозга. Определяются способы диагностики морфофункциональных нарушений мозговой активности у детей. Приводятся неоспоримые данные о возможности такого вида взаимодействий с учетом механизма действия анестетиков. Дается сравнительная характеристика силы токсического воздействия на детский