ArticlePediatric surgery international2014
Laparoscopic resection of adrenal neuroblastoma without image-defined risk factors: a prospective study on 21 consecutive pediatric patients.
Article in Pediatric surgery international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 30 citations in OpenAlex.
- Robot-assisted versus conventional minimally invasive surgery in the treatment of paediatric neuroblastoma: a single-centre retrospective study.Pediatric surgery international · 2026Article
- Surgical management in pediatric neuroblastoma diagnosis and treatment: a 20-year, single-center experience.World journal of pediatrics : WJP · 2022Article
- International Society of Paediatric Surgical Oncology (IPSO) Surgical Practice Guidelines.Ecancermedicalscience · 2022Article
- Surgical Approaches to Neuroblastoma: Review of the Operative Techniques.Children (Basel, Switzerland) · 2021Review
- Minimally Invasive Surgery for Pediatric Adrenal Masses-Report on Four Cases.European journal of pediatric surgery reports · 2019Article
- Minimally invasive resection of adrenal masses in infants and children: results of a European multi-center survey.Surgical endoscopy · 2017Article
- Laparoscopic resection of neuroblastomas in low- to high-risk patients without image-defined risk factors is safe and feasible.BMC pediatrics · 2017Article
- Cystic adrenal lesions: focus on pediatric population (a review).Clujul medical (1957) · 2017Review
- Abdominal tumors in children: Comparison between minimally invasive surgery and traditional open surgery.Medicine · 2016Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOver the last 20 years MIS has progressively gained popularity in children with cancer. We therefore aimed at evaluating the safety of Minimally Invasive Surgery (MIS) resection in a series of children affected by adrenal neuroblastoma (NB) presenting without Image-Defined Risk Factors (IDRFs).
methodsAn Institutional protocol for MIS resection of adrenal NB in pediatric patients without IDRFs has been applied since 2008. Absence of IDRFs represented the main indication for MIS in NB, regardless of tumor size. All pediatric patients who underwent MIS for NB between January 2008 and May 2013 were included. Specific technical considerations, demographic data, and outcome have been recorded.
resultsTwenty-one patients underwent MIS resection for IDRFs-negative adrenal NB. Nine of these patients experienced preoperative downgrading of IDRFs after chemotherapy. Radiological median diameter of the mass was 30 mm (range 10-83 mm). Median operative time was 90 min. Median hospital stay was 4 days. All patients were treated successfully, without serious intraoperative complications. One mild intraoperative hemorrhage occurred and was treated without the need for conversion to open surgery nor blood transfusion was required. No postoperative complications, including port-site or peritoneal metastases were experienced.
conclusionsThis study demonstrated the safety and effectiveness of MIS for the resection of adrenal NB without IDRFs in children. Pediatric surgeons dedicated to oncology should be aware of this alternative approach to open resection.
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