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[Laparoscopy in oncological pediatrics].

P Spinelli1, P Pizzetti, C Lo Gullo

  • 1Divisione di Endoscopia, Istituto Nazionale per lo Studio e la Cura dei Tumori, Milano, Italia.

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|January 1, 1988
PubMed
Summary
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Laparoscopy is a valuable tool in pediatric oncology for diagnosing and staging cancers. This minimally invasive procedure demonstrated high reliability in assessing neoplastic disease, with low morbidity rates.

Area of Science:

  • Minimally invasive surgical techniques
  • Pediatric oncology
  • Diagnostic imaging

Context:

  • Laparoscopy offers direct visualization of the peritoneal cavity.
  • Its application is crucial in both adult and pediatric oncology.
  • This study reviewed 147 laparoscopic procedures performed between 1973 and 1985 on 137 pediatric patients (aged 2-16).

Purpose:

  • To evaluate the role and reliability of laparoscopy in pediatric oncology.
  • Indications included defining neoplastic disease nature (8 cases), staging known neoplasia (132 cases), and restaging (7 cases).

Summary:

  • Laparoscopy aided in diagnosing Hodgkin's disease, revealing splenic involvement in 8/113 cases via biopsy.
  • Histological examination confirmed ovarian tumors in 4/22 cases.

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  • The overall morbidity rate was 1.2%.

    • Impact:

    • Despite some false negatives identified during subsequent laparotomies, clinical and instrumental follow-up confirmed the reliability of laparoscopic findings.
    • Laparoscopy provides essential diagnostic and staging information in pediatric cancer management.