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Minimally Invasive Surgery in Pediatric Oncology: Proposal of Guidelines
Przemyslaw Galazka1, Krzysztof Czyzewski2, Agata Marjanska2
1Department of General and Oncological Surgery for Children and Adolescents, Jurasz University Hospital, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Bydgoszcz, Poland galazkaprzemek@hotmail.com.
Background/Aim:
The objective of the study was to propose clinical guidelines for the use of minimally invasive surgery (MIS) in pediatric oncology.
Patients And Methods:
Two groups of experts, including pediatric surgeons and pediatric oncologists were created in order to establish strategies of diagnostic and therapeutic surgical management in pediatric oncology.
Results:
On the basis of the analysis of the existing literature, we elaborated guidelines that were graded according to the simple practical clinical system: yes/no. This project was dedicated to the following topics: adrenal tumors including neuroblastoma, renal tumors including Wilms tumor (nephroblastoma), ovarian tumors and pulmonary nodules and metastases (osteosarcoma).
Conclusion:
Although existing data do not allow the recommendation of the use of MIS for all indications, this technique should currently be regarded as a standard of care in several areas of pediatric oncology.
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