Thoracoscopy and Solid Tumors in Children: A Multicenter Study

Abstract

Thoracoscopy is a safe, effective approach for the evaluation and resection of solid lung tumors and for biopsy. Thoracoscopic resection of metastatic lesions is reasonable for nephroblastoma, but a thoracotomy is suggested for other metastases.

Thoracic neuroblastoma: a retrospective review of our institutional experience with comparison of the thoracoscopic and open approaches to resection

“…They found no differences in the incidence of complications between the open and thoracoscopic resection patients. Interestingly, the incidence of Horner's syndrome was 11% overall in our series (4/37) that is consistent with the reported incidence of 3% to 29% [4][5][6]15,16]. The incidence of Horner's syndrome is likely related to the location of the tumor in the superior cervical sympathetic chain ganglion and not the mode of resection.…”

“…After the year 2000, most thoracic neuroblastomas at our institution (11/14) have been resected using a thoracoscopic approach. The minimally invasive approach has several well-accepted advantages including enhanced visualization, shorter length of stay, and less postoperative pain [4,6,7]. We sought to confirm that in the case of thoracic neuroblastoma, a thoracoscopic approach would indeed provide patients with these advantages without negatively affecting outcome.…”

“…Despite reports that suggest complete resection is not always necessary for cure for thoracic neuroblastoma [3], it has also been demonstrated that the thoracoscopic approach to resection can offer equivalent results with resection compared to open techniques. Several institutions have reported the regular application of the minimally invasive approach for thoracic neuroblastomas with good results [4][5][6]. Here, we review our own institutional experience with thoracic neuroblastoma for an 18-year period (1990)(1991)(1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007) comparing the open and minimally invasive approaches.…”

Séquelles des chirurgies thoraco-abdomino-pelviennes réalisées pour tumeurs chez l’enfant

“…sont rarement pratiquées mais elles laissent des séquelles cutanées parfois notables. La chirurgie mini-invasive (vidéo-thoracoscopie, chirurgie vidéo-assistée, médiastinoscopie) pratiquée depuis quelques années a permis de réduire les séquelles esthé-tiques des chirurgies thoraciques [3,4].…”

Video-assisted thoracic surgery resection for pediatric mediastinal neurogenic tumors

“…Many investigators have enthusiastically reported their experience with VATS for pediatric mediastinum neurogenic tumor resection [5,[7][8][9][10]. Despite these benefits, the use of VATS to treat intrathoracic malignancies in childhood is still controversial [11].…”