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Operative considerations in pediatric retroperitoneal teratomas--a review.

Vinci S Jones¹, Cartland R Burns

¹Division of Pediatric General and Thoracic Surgery, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania 15224, United States. vinci.jones@chp.edu

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie

|July 10, 2012

Summary

Surgical resection of retroperitoneal teratomas in children is challenging due to tumor size and adhesions. Complications include vascular injury and organ damage, necessitating careful operative planning.

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Area of Science:

Pediatric Surgery
Surgical Oncology
Developmental Biology

Background:

Retroperitoneal teratomas are rare tumors, predominantly affecting infants.
Surgical resection is the primary treatment, but its difficulty varies.

Purpose of the Study:

To present a series of retroperitoneal teratomas in children.
To review literature on operative considerations and complications.

Main Methods:

Retrospective chart review of five pediatric patients (1996-2011).
Analysis of clinical, radiologic, operative, and outcome data.
Literature review for operative complications.

Main Results:

Four of five patients were infants; all had dense adhesions.
Resection complications included gastric and bile duct injury; one patient died post-staged resection.
Literature review highlighted inadequate vascular delineation by CT scans, risk of vessel injury, and adherence to viscera.
Perioperative mortality is 0-8%, with a 50-100% complication rate.

Conclusions:

Surgical resection of retroperitoneal teratomas is challenging due to tumor size, adhesions, and vascular distortion.
Careful operative planning is crucial for managing these complex pediatric tumors.