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Anticancer Res. 2019 Nov;39(11):5853-5859. doi: 10.21873/anticanres.13789.

Minimally Invasive Surgery in Pediatric Oncology: Proposal of Guidelines.

Author information

1
Department of General and Oncological Surgery for Children and Adolescents, Jurasz University Hospital, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland galazkaprzemek@hotmail.com.
2
Department of Pediatric Hematology and Oncology, Jurasz University Hospital, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland.
3
Department of General and Oncological Surgery for Children and Adolescents, Jurasz University Hospital, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland.

Abstract

BACKGROUND/AIM:

The objective of the study was to propose clinical guidelines for the use of minimally invasive surgery (MIS) in pediatric oncology.

PATIENTS AND METHODS:

Two groups of experts, including pediatric surgeons and pediatric oncologists were created in order to establish strategies of diagnostic and therapeutic surgical management in pediatric oncology.

RESULTS:

On the basis of the analysis of the existing literature, we elaborated guidelines that were graded according to the simple practical clinical system: yes/no. This project was dedicated to the following topics: adrenal tumors including neuroblastoma, renal tumors including Wilms tumor (nephroblastoma), ovarian tumors and pulmonary nodules and metastases (osteosarcoma).

CONCLUSION:

Although existing data do not allow the recommendation of the use of MIS for all indications, this technique should currently be regarded as a standard of care in several areas of pediatric oncology.

KEYWORDS:

Minimally invasive surgery; Wilms tumor; lung metastases; neuroblastoma; ovarian tumor; pediatric oncology; review

PMID:
31704809
DOI:
10.21873/anticanres.13789
[Indexed for MEDLINE]

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