Minimally invasive surgery for pediatric renal tumors: A systematic review by the APSA Cancer Committee

Malek, Marcus M.; Behr, Christopher A.; Aldrink, Jennifer H.; Dasgupta, Roshni; Heaton, Todd E.; Gehred, Alison; Lautz, Timothy B.; Baertschiger, Reto M.; Christison‐Lagay, Emily R.; Tracy, Elisabeth T.; Rhee, Daniel S.; Rodeberg, David A.; Austin, Mary T.; Ehrlich, Peter F.

doi:10.1016/j.jpedsurg.2020.03.019

Cited by 20 publications

(19 citation statements)

References 61 publications

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“…Since its first description in 2004 by Duarte et al [ 4 ], laparoscopic nephrectomy for renal tumours in children has gained in popularity with over 100 cases described [ 5 – 10 ]. However, controversies regarding this procedure persist [ 10 ].…”

Section: Mis Approach To Renal Tumours In Childrenmentioning

confidence: 99%

“…Therefore, conversion should not be considered as a failure. Both trans- and retro-peritoneal approaches have been described and there is no evidence of superiority of any of those so far [ 10 ]. Robotic-assisted procedures have also been described with good results [ 16 ].…”

Section: Mis Approach To Renal Tumours In Childrenmentioning

confidence: 99%

“…The other subject of debate is the ability to perform appropriate lymph node sampling using MIS. Although most studies report insufficient numbers of lymph nodes sampled during laparoscopic procedures [ 10 ], there was no difference in the number of lymph nodes sampled between open and laparoscopic procedures in a single-centre series [ 13 ].…”

Section: Mis Approach To Renal Tumours In Childrenmentioning

confidence: 99%

“…Extraction in a specimen bag, through either a Pfannenstiel incision or an enlarged port site, has been described. Morcellation of the tumour is however formally contra-indicated as this precludes proper histologic staging [ 10 ].…”

Section: Mis Approach To Renal Tumours In Childrenmentioning

confidence: 99%

“…Laparoscopic nephrectomy results in less postoperative pain and a shorter length of stay [ 17 ]. Although length of follow-up varies among series, the reported event-free survival after laparoscopic nephrectomy is 93%, which is comparable to open surgery for stage I tumours of favourable histology [ 10 ].…”

Section: Mis Approach To Renal Tumours In Childrenmentioning

confidence: 99%

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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: Mis Approach To Renal Tumours In Childrenmentioning

confidence: 99%

Section: Mis Approach To Renal Tumours In Childrenmentioning

confidence: 99%

Section: Mis Approach To Renal Tumours In Childrenmentioning

confidence: 99%

Section: Mis Approach To Renal Tumours In Childrenmentioning

confidence: 99%

Section: Mis Approach To Renal Tumours In Childrenmentioning

confidence: 99%

See 3 more Smart Citations

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

Abib¹,

Chui²,

Cox³

et al. 2022

ecancer

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Technical advances in the surgical management of Wilms tumors in children

Romao

Steeg

Malek

et al. 2023

Pediatric Blood & Cancer

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Surgery is one of the cornerstones of Wilms tumor treatment. In this article, we present technical advancements that are finding their way into the armamentarium of pediatric cancer surgeons. We discuss the current approaches, challenges, opportunities, and future directions of minimally invasive surgery (laparoscopic and robotics), image‐guided surgery, and fluorescence‐guided surgery. Furthermore, we discuss the use of intraoperative ultrasonography, as well as the use of new techniques to improve the quality of lymph node sampling.

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Children's Oncology Group's 2023 blueprint for research: Surgery

Gow,

Lautz,

Malek

et al. 2023

Pediatric Blood & Cancer

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Surgery plays a crucial role in the treatment of children with solid malignancies. A well‐conducted operation is often essential for cure. Collaboration with the primary care team is important for determining if and when surgery should be performed, and if performed, an operation must be done in accordance with well‐established standards. The long‐term consequences of surgery also need to be considered. Indications and objectives for a procedure vary. Providing education and developing and analyzing new research protocols that include aims relevant to surgery are key objectives of the Surgery Discipline of the Children's Oncology Group. The critical evaluation of emerging technologies to ensure safe, effective procedures is another key objective. Through research, education, and advancing technologies, the role of the pediatric surgeon in the multidisciplinary care of children with solid malignancies will continue to evolve.

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Minimally invasive surgery for pediatric renal tumors: A systematic review by the APSA Cancer Committee

Cited by 20 publications

References 61 publications

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

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

Technical advances in the surgical management of Wilms tumors in children

Children's Oncology Group's 2023 blueprint for research: Surgery

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