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A technique for excision of abdominal and pelvic neuroblastomas
1Department of Paediatric Surgery, Great Ormond Street Hospital for Children, London, UK. edwardkiely@mac.com
Introduction:
As neuroblastomas usually envelope major vessels, excision poses a significant technical problem.
Patients And Methods:
Over a 22-year period, 234 infants and children have undergone attempted surgical excision of abdominal or pelvic neuroblastomas using a consistent surgical approach. This entails a systematic dissection of the involved vessels prior to removal of the tumour.
Results:
Macroscopically complete or near complete tumour clearance was achieved in 89% of cases. Three aortic injuries occurred which required repair.
Conclusions:
The described technique is safe and reproducible and allows tumour clearance in the majority of affected children.