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Minimally-invasive surgery in paediatric oncology: proposal of recommendations
G Cecchetto1, G Riccipetitoni, A Inserra
1Department of Pediatrics, Division of Paediatric Surgery, University of Padua, Italy. giovanni.cecchetto@unipd.it
Insights
This study proposes recommendations for minimally invasive surgery (MIS) in pediatric oncology. It outlines the feasibility of MIS for common childhood solid tumors, emphasizing adherence to oncologic principles.
Area of Science:
- Pediatric Surgery
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- The role of minimally invasive surgery (MIS) in pediatric oncology requires further definition.
- Existing literature and expert consensus are crucial for establishing guidelines.
Purpose of the Study:
- To propose recommendations for the application of MIS in pediatric oncology.
- To provide guidance for pediatric surgeons on approaching pediatric tumors using MIS techniques.
Main Methods:
- A panel of Italian pediatric surgeons with expertise in oncology and MIS developed a document.
- Recommendations were primarily based on a review of existing literature data.
- The final draft was approved by the Italian Group of Pediatric Oncologic Surgeons.
Main Results:
- The study summarizes the feasibility of MIS for biopsy and resection of common pediatric solid tumors.
- It addresses the use of MIS at different surgical timings (initial vs. delayed).
- Oncologic criteria are highlighted as paramount for MIS, equivalent to open surgery.
Conclusions:
- Minimally invasive surgery can be a feasible approach for managing pediatric solid tumors.
- Strict adherence to oncologic principles is essential when utilizing MIS in pediatric cancer surgery.
- These recommendations aim to standardize and improve MIS practices in pediatric oncology.
Abstract:
The Authors report a proposal of recommendations concerning Minimally Invasive Surgery (MIS) in Paediatric Oncology. Since the exact role of MIS in Paediatric Oncology is still not completely defined, a restrict panel of Italian Paediatric Surgeons, some interested in Oncologic Surgery, others in MIS, prepared a schematic document, mainly founded on literature data, to provide Paediatric Surgeons with recommendations useful to approach paediatric tumours with MIS. The final draft was approved by the Italian Group of Paediatric Oncologic Surgeons. The Authors summarize the feasibility of MIS, when performed with different purposes (biopsy / resection) and timing (initial / delayed surgery) for the most common solid tumours in children. The oncologic criteria must be always followed with MIS as well as with "open" surgery.
