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Published on: March 24, 2023
[Minimally-invasive surgery in cancer children]
Marc-David Leclair1, Sabine Sarnacki, François Varlet
1Service de chirurgie infantile, Hôpital Mère-Enfant, CHU, 44093 Nantes Cedex, France. marcdavid.leclair@chu-nantes.fr
Insights
Minimally-invasive surgery (MIS) offers diagnostic and treatment benefits for pediatric solid tumors. MIS techniques reduce patient trauma and discomfort, leading to shorter hospital stays.
Area of Science:
- Pediatric oncology
- Surgical oncology
- Minimally-invasive surgery
Context:
- Malignant solid tumors in children present unique surgical challenges.
- Minimally-invasive surgery (MIS) encompasses techniques like laparoscopy, retroperitoneoscopy, and thoracoscopy.
- These methods are employed for both diagnostic biopsies and therapeutic resections.
Purpose:
- To evaluate the application and benefits of minimally-invasive surgery in pediatric oncology.
- To highlight the advantages of MIS over traditional open surgery for pediatric solid tumors.
Summary:
- Minimally-invasive surgery (MIS) is utilized for diagnosing and treating pediatric malignant solid tumors.
- Techniques include laparoscopy, retroperitoneoscopy, and thoracoscopy for biopsies and resections.
- Key indications involve neuroblastoma, lymphoma residual masses, and retroperitoneal tumors.
Impact:
- MIS reduces parietal trauma, leading to cosmetic benefits and fewer bowel adhesions.
- Patients experience less postoperative discomfort, including reduced pain and shorter hospital stays.
- MIS facilitates effective treatment for various pediatric cancers, improving patient outcomes.
Abstract:
Minimally-invasive surgery, or video-assisted surgery, includes laparoscopy, retroperitoneoscopy and thoracoscopy, can be used for diagnosis (biopsies) and treatment (resections) in various malignant solid tumours in children. Potential advantages of MIS techniques include a decreased parietal trauma (cosmetic benefit, bowel adhesions) and less postoperative discomfort (postoperative pain, analgesics requirement, postoperative ileus, length of hospital stay). Main indications of MIS techniques are represented by diagnostic biopsies (mediastinal or lung tumors, retroperitoneal extrarenal masses), resection of the primary tumor in thoracic and abdominal neuroblastic tumors and in post-treatment residual mass in lymphoma.
