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Minimally Invasive Approach for Wilms Tumor Treatment in a Small Child - A Case Report
Alexandre Azevedo Ziomkowski1, João Rafael Silva Simões Estrela1, Nilo Jorge Carvalho Leão Barretto2
1Urology Resident at Hospital São Rafael - Rede D'or, Salvador - Bahia, Brazil.
Insights
Minimally invasive surgery offers a less burdensome approach for treating pediatric Wilms tumors. This approach resulted in a swift recovery and positive oncological outcomes for a young patient.
Area of Science:
- Pediatric Oncology
- Surgical Innovation
Background:
- Wilms tumor is the most common primary kidney cancer in children.
- Traditional open surgery for Wilms tumor can be aggressive, leading to prolonged recovery, scarring, and complications.
Observation:
- A case study of a young child diagnosed with Wilms tumor on the right kidney.
- The child underwent successful minimally invasive surgical treatment.
Findings:
- The minimally invasive approach resulted in no tumor spillage or rupture.
- The patient was discharged the day after surgery with a good oncological outcome.
- A 1-year recurrence-free follow-up was achieved.
Implications:
- Minimally invasive surgery presents a viable, less aggressive alternative for treating pediatric Wilms tumor.
- This approach can significantly reduce patient burden, hospital stay, and complications.
- Further awareness and adoption of minimally invasive techniques in pediatric oncology are encouraged.
Abstract:
Wilms tumor is the most common malignant primary tumor in children. Open traditional approach is often aggressive and offers a burden on the patient's life, imposing longer hospital stays, scarring, and higher levels of complications. Here, we present a case of a small child with Wilms tumor on the right kidney that was successfully treated with minimally invasive surgery, with no tumor spillage or rupture, hospital discharge in the next day, and good oncological outcome, with 1-year recurrence-free follow-up. We also show a comprehensive literature review of similar cases, expecting to push forward medical awareness about this approach.
