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Review
. 2021 May 25;8(6):446.
doi: 10.3390/children8060446.

Surgical Approaches to Neuroblastoma: Review of the Operative Techniques

Federica Fati  1 , Rebecca Pulvirenti  1 , Irene Paraboschi  2   3 , Giuseppe Martucciello  2   3
Affiliations
Review

Surgical Approaches to Neuroblastoma: Review of the Operative Techniques

Federica Fati et al. Children (Basel). .

Abstract

Neuroblastoma (NB) is the most commonly occurring soft-tissue malignancy of childhood. Surgery plays an important role in multidisciplinary treatment and its principal aim is a local control of the disease, respecting the integrity of the surrounding structures. There is no unanimous consensus on the best surgical technique, and the operative approach largely depends on the anatomical location and the extension of the mass. To have a complete overview of the different type of treatment, we made a review of the literature from the last twenty years of all the surgical approaches applied for NBs resection, accordingly to the anatomical site.

Keywords: innovative techniques; laparoscopy; laparotomy; neuroblastoma; surgery; thoracoscopy; thoracotomy.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Patient’s position and site of incision in thoracotomy (A) and thoracoscopy (B), respectively.
Figure 2
Figure 2
Patient’s position and site of incision/trocars in laparotomy (A) and laparoscopy (B), respectively, for left adrenal NBs.
Figure 3
Figure 3
Trocars site for right (A) and left (B) lateral laparoscopic adrenalectomy.
Figure 4
Figure 4
Trocars site for retroperitoneal laparoscopic adrenalectomy.
Figure 5
Figure 5
Thoracophrenolaparotomic incision for thoraco-abdominal NBs.
Figure 6
Figure 6
Posterior sagittal incision for pelvic NBs.
See this image and copyright information in PMC

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