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Minimally invasive surgery in childhood cancer: a challenging future

Matthieu Peycelon1, Georges Audry1, Sabine Irtan1

  • 1Department of Paediatric Surgery, Trousseau Hospital, Arnold Netter, Paris, France.

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|December 6, 2014
PubMed
Abstract

Insights

Minimally invasive surgery (MIS) is a promising approach for pediatric cancer resection, expanding to new tumor types. Strict oncological principles and long-term follow-up are essential for its successful application in children.

Area of Science:

  • Pediatric Surgery
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Minimally invasive surgery (MIS) has been used for pediatric cancer diagnosis for two decades.
  • Its application in pediatric tumor resection is more recent, with this review focusing on the last five years.

Purpose of the Study:

  • To provide an updated review on the use of MIS in pediatric oncological surgery.
  • To analyze recent advancements and outcomes in the field.

Main Methods:

  • Systematic review of scientific papers.
  • Literature search focused on studies published between 2009 and 2014.
  • Analysis of indications and results of MIS in pediatric cancer surgery.

Main Results:

  • New indications for MIS have emerged, including Wilms tumor, pheochromocytoma, and lung nodules.
  • MIS demonstrates satisfactory results in benign urological and thoracic surgery.
  • Early robot-assisted procedures for solid tumors require further investigation.
  • Comparative studies of MIS versus open surgery for neurogenic tumors have been published.

Conclusions:

  • Minimally invasive surgery is a viable option for resecting pediatric thoracic and abdominal malignancies.
  • Adherence to oncological principles is crucial for successful MIS outcomes.
  • Long-term follow-up data are necessary to define optimal indications for MIS in pediatric oncology.

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