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Review
. 2017 Aug;2(7):e30.
doi: 10.1097/IJ9.0000000000000030. Epub 2017 Jun 20.

Pediatric oncologic endosurgery

Yoon Jung Boo, Jan Goedecke  1 , Oliver J Muensterer  1
Affiliations
Review

Pediatric oncologic endosurgery

Yoon Jung Boo et al. Int J Surg Oncol (N Y). 2017 Aug.

Abstract

Despite increasing popularity of minimal-invasive techniques in the pediatric population, their use in diagnosis and management of pediatric malignancy is still debated. Moreover, there is limited evidence to clarify this controversy due to low incidence of each individual type of pediatric tumor, huge diversity of the disease entity, heterogeneity of surgical technique, and lack of well-designed studies on pediatric oncologic minimal-invasive surgery. However, a rapid development of medical instruments and technologies accelerated the current trend toward less invasive surgery, including oncologic endosurgery. The aim of this article is to review current literatures about the application of the minimal-invasive approach for pediatric tumors and to give an overview of the current status, indications, individual techniques, and future perspectives.

Keywords: Children; Endosurgery; Laparoscopy; Solid tumors; Thoracoscopy.

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Figures

Figure 1
Figure 1
Endoscopic view of laparoscopic resection of neuroblastoma in the left adrenal gland. In this depiction, the tumor has been circumferentially mobilized and the adrenal vein is being ligated using a bipolar sealing device.
Figure 2
Figure 2
When mature features are clearly visible on preoperative imaging, an ovary-spearing resection of an ovarian teratoma (A) can be performed. The tube is preserved and the capsule is carefully opened (B). A plane can usually be developed between the teratoma (below the electrocautery hook) and healthy ovarian tissue, above (C).
Figure 3
Figure 3
The surgeon is preparing for oophorosalpingectomy of a germ cell tumor using the endoscopic bipolar sealing device.
Figure 4
Figure 4
Endoscopic view of ligation of middle sacral artery in a neonate with sacrococcygeal teratoma.
Figure 5
Figure 5
View of single-incision surgery performing left adrenalectomy for neuroblastoma.
Figure 6
Figure 6
Images of multiphoton microscopy for hepatocellular carcinoma through the tumor capsule. Collagen fibers are visible in red (second harmonic generation), cellular components in green (autofluorescence).
See this image and copyright information in PMC

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