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. 2023 Nov 18;15(22):5467.
doi: 10.3390/cancers15225467.

Thoracoscopy for Pediatric Thoracic Neurogenic Tumors-A European Multi-Center Study

Jean François Lecompte  1 , Sabine Sarnacki  2 , Sabine Irtan  3 , Christian Piolat  4 , Aurélien Scalabre  5 , Isabelle Talon  6 , Julien Rod  7 , Nicoleta Panait  8 , Gregory Rodesch  9 , Ana Lourdes Luis Huertas  10 , Olivier Abbo  11 , Martine Demarche  12 , Edouard Habonimana  13 , Quentin Ballouhey  14 , Dominique Valteau-Couanet  15 , Florent Guérin  16
Affiliations

Thoracoscopy for Pediatric Thoracic Neurogenic Tumors-A European Multi-Center Study

Jean François Lecompte et al. Cancers (Basel). .

Abstract

Objectives: To assess the efficacy of thoracoscopy and the outcome for children with thoracic neurogenic tumors.

Methods: We performed a retrospective review of 15 European centers between 2000 and 2020 with patients who underwent thoracoscopy for a neurogenic mediastinal tumor. We assessed preoperative data, complications, and outcomes. Results were expressed with the median and range values.

Results: We identified 119 patients with a median age of 4 years old (3 months-17 years). The diameter was 5.7 cm (1.1-15). INRG stage was L1 n = 46, L2 n = 56, MS n = 5, M n = 12. Of 69 patients with image-defined risk factors (IDRF), 29 had only (T9-T12) locations. Twenty-three out of 34 patients with preoperative chemotherapy had an 18 mm (7-24) decrease in diameter. Seven out of 31 patients lost their IDRF after chemotherapy. Fourteen had a conversion to thoracotomy. The length of the hospital stay was 4 days (0-46). The main complications included chylothorax (n = 7) and pneumothorax (n = 5). Long-term complications included Horner's syndrome (n = 5), back pain, and scoliosis (n = 5). Pathology was 53 neuroblastomas, 36 ganglioneuromas, and 30 ganglioneuroblastomas. Fourteen had a postoperative residue. With a median follow-up of 21 months (4-195), 9 patients had a recurrence, and 5 died of disease. Relapses were associated with tumor biology, histology, and the need for chemotherapy (p = 0.034, <0.001, and 0.015, respectively). Residues were associated with preoperative IDRF (excluding T9-T12 only) and the need for preoperative chemotherapy (p = 0.04 and 0.020).

Conclusion: Our results show that thoracoscopy is safe, with good outcomes for thoracic neurogenic tumors in selected cases. Surgical outcomes are related to the IDRFs, whereas oncologic outcomes are related to tumor histology and biology.

Keywords: neuroblastoma; pediatrics; thoracoscopy; tumor.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Survival curves. EFS: event-free survival, OS: overall survival.
See this image and copyright information in PMC

References

    1. Suita S., Tajiri T., Sera Y., Takamatsu H., Mizote H., Ohgami H., Kurosaki N., Hara T., Okamura J., Miyazaki S., et al. The Characteristics of Mediastinal Neuroblastoma. Eur. J. Pediatr. Surg. 2000;10:353–359. doi: 10.1055/s-2008-1072390. - DOI - PubMed
    1. Murphy J.M., La Quaglia M.P. Advances in the Surgical Treatment of Neuroblastoma: A Review. Eur. J. Pediatr. Surg. 2014;24:450–456. doi: 10.1055/s-0034-1396421. - DOI - PubMed
    1. Decarolis B., Simon T., Krug B., Leuschner I., Vokuhl C., Kaatsch P., von Schweinitz D., Klingebiel T., Mueller I., Schweigerer L., et al. Treatment and outcome of Ganglioneuroma and Ganglioneuroblastoma intermixed. BMC Cancer. 2016;16:542. - PMC - PubMed
    1. Kucukarslan N., Kirilmaz A., Arslan Y., Sanioglu Y., Ozal E., Tatar H. Muscle sparing thoracotomy in pediatric age: A comparative study with standard posterolateral thoracotomy. Pediatr. Surg. Int. 2006;22:779–783. - PubMed
    1. Clark R.A., Perez E.A., Chung D.H., Pandya S.R. Predictive Factors and Outcomes for Successful Thoracoscopic Lung Resection in Pediatric Patients. J. Am. Coll. Surg. 2021;232:551–558. - PubMed