Thoraco-abdominal neuroblastoma resection: the thoracophrenolaparotomic (TPL) approach

Martucciello, G.; Paraboschi, Irene; Avanzini, Stefano; Fati, Federica

doi:10.1007/s11748-019-01264-7

Cited by 6 publications

(2 citation statements)

References 7 publications

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“…For thoraco-abdominal tumours : Thoraco-abdominal/thoracophreno-laparotomy or extended rooftop (‘Mercedes Benz’) incisions are favoured, with early division of the diaphragm in an anteroposterior/radial direction. The thoraco-abdominal approach is generally well tolerated and provides superior exposure of these tumours which traverse both body compartments [ 57 – 59 ].…”

Section: Surgical Goalsmentioning

confidence: 99%

International Society of Paediatric Surgical Oncology (IPSO) Surgical Practice Guidelines

Abib¹,

Chui²,

Cox³

et al. 2022

ecancer

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Most children with tumors will require one or more surgical interventions as part of the care and treatment, including making a diagnosis, obtaining adequate venous access, performing a surgical resection for solid tumors (with staging and reconstruction), performing procedures for cancer prevention and its late effects, and managing complications of treatment; all with the goal of improving survival and quality of life. It is important for surgeons to adhere to sound pediatric surgical oncology principles, as they are closely associated with improved local control and survival. Unfortunately, there is a significant disparity in survival rates in low and middle income countries, when compared to those from high income countries.The International Society of Paediatric Surgical Oncology (IPSO) is the leading organization that deals with pediatric surgical oncology worldwide. This organization allows experts in the field from around the globe to gather and address the surgical needs of children with cancer. IPSO has been invited to contribute surgical guidance as part of the World Health Organization Initiative for Childhood Cancer. One of our goals is to provide surgical guidance for different scenarios, including those experienced in High-(HICs) and Low-and Middle-Income Countries (LMICs). With this in mind, the following guidelines have been developed by authors from both HICs and LMICs. These have been further validated by experts with the aim of providing evidence-based information for surgeons who care for children with cancer.We hope that this initiative will benefit children worldwide in the best way possible.

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Section: Surgical Goalsmentioning

confidence: 99%

International Society of Paediatric Surgical Oncology (IPSO) Surgical Practice Guidelines

Abib¹,

Chui²,

Cox³

et al. 2022

ecancer

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“…The procedure is characterized by thoracotomy, in which the periosteum-sparing partial resection of rib can is fundamental to provide a wide exposition and guarantee a regrowth of the rib, laparotomy and radial incision of the diaphragm along the posterior peripheral margin. This technique provides an excellent and complete vision of the mass, allowing a macroscopic radical tumor resection, without major complications (Figure 5) [63]. The PSAM technique follows the same principles of the Posterior Sagittal AnoRecto-Plasty described by deVries and Peña [64], and routinely used for the treatment of anorectal malformations (Figure 6).…”

Section: New Surgical Approachesmentioning

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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