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Published on: January 17, 2018
Minimally invasive adrenalectomy in children
Yves Heloury1, Mathie Muthucumaru, Gayathri Panabokke
1Department of Pediatric Surgery, Monash Children's, Monash Medical Center, Clayton, Victoria,3168, Australia. yves.heloury@gmail.com
Journal of Pediatric Surgery
|February 14, 2012
Summary
Minimally invasive adrenalectomy (MIA) is effective for pediatric adrenal tumors, offering benefits over open surgery. Further research is needed to confirm long-term outcomes, especially for neuroblastomas.
Area of Science:
- Pediatric Surgery
- Surgical Oncology
- Endocrinology
Background:
- Minimally invasive adrenalectomy (MIA) is standard for adult adrenal tumors.
- Its role in pediatric patients requires further definition.
Purpose of the Study:
- To determine the place and efficacy of MIA in children.
- To review techniques and indications for pediatric MIA.
Main Methods:
- Systematic review of pediatric and adult literature on MIA.
- Focus on surgical techniques and indications.
Main Results:
- MIA shows superiority over open adrenalectomy for small adrenal tumors.
- Potential benefits include reduced pain, lower obstruction risk, and better scars.
- Transperitoneal lateral laparoscopy is common; prone retroperitoneoscopy is emerging.
- Neuroblastoma is the primary indication in children; learning curve is a consideration.
- Local recurrence rates are low, but follow-up is often short.
Conclusions:
- MIA is a promising approach for pediatric small adrenal tumors.
- Long-term follow-up is essential to assess MIA efficacy in neuroblastoma.
- Benign adrenal diseases are well-suited for MIA in children.
