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[Minimally Invasive Surgery in Pediatric Oncology. Tertiary center experience]
J Gómez-Chacón Villalba1, L Rodríguez Caraballo1, A Marco Macián1
1Hospital Universitario Politécnico La Fe. Valencia.
Aims:
To describe our experience using Minimally Invasive Surgery (MIS) techniques in tertiary center with specific oncological pediatric surgery unit.
Methods:
Retrospective review of patients undergoing MIS techniques in pediatric oncology surgery unit between January 2011 and December 2014. MIS procedures were considered made by both techniques such as laparoscopy and thoracoscopy with both diagnostic and therapeutic intent.
Results:
4 procedures were diagnostic and the rest were therapeutic: During the study, 56 procedures were performed by MIS. By type of technique, 13 were thoracoscopic (7 metastasectomies, 6 thoracic masses) and 43 laparoscopic (3 hepatic masses, 3 pancreatic masses 7 abdominal masses, 2 ovarian masses, 2 typhlitis 1 splenic mass and 25 oophorectomy for ovarian cryopreservation). In 5 cases (2 thoracic masses 1 pancreatic mass abdominal masses) conversion to open surgery to complete the procedure (2 for caution in the absence of vascular control bleeding 1 and 2 for lack of space) was necessary. In all cases safety principles of oncological surgery were respected.
Conclusions:
Providing an adecuate selection of patiens, MIS techniques are safe, reproducible and fulfill the objectives of quality of cancer surgery.
Insights
Minimally Invasive Surgery (MIS) is safe and effective for pediatric cancer surgery. This approach in a specialized unit achieved oncological goals with good outcomes.
Area of Science:
- Pediatric Surgery
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Minimally Invasive Surgery (MIS) offers potential benefits in pediatric oncology.
- Evaluating MIS techniques in a specialized pediatric oncological surgery unit is crucial.
Purpose of the Study:
- To describe the experience with Minimally Invasive Surgery (MIS) techniques.
- To assess the safety and efficacy of MIS in pediatric oncological surgery.
Main Methods:
- Retrospective review of patients undergoing MIS (laparoscopy and thoracoscopy).
- Procedures performed between January 2011 and December 2014.
- Included both diagnostic and therapeutic interventions.
Main Results:
- 56 MIS procedures were performed, with 4 diagnostic and 52 therapeutic.
- Laparoscopic procedures (43) included various abdominal and ovarian mass excisions, and oophorectomies for cryopreservation.
- Thoracoscopic procedures (13) involved metastasectomies and thoracic mass removals.
- Conversion to open surgery occurred in 5 cases (9%) due to technical challenges.
- Oncological safety principles were maintained in all cases.
Conclusions:
- Minimally Invasive Surgery is a safe and reproducible technique for pediatric cancer surgery.
- Appropriate patient selection is key to successful outcomes.
- MIS fulfills the objectives of quality cancer surgery in pediatric patients.
