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首页> 外文期刊>Medical and Pediatric Oncology: The Official Journal of the American Association for Cancer Education >A prospective study of minimally invasive techniques in pediatric surgical oncology: preliminary report.
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A prospective study of minimally invasive techniques in pediatric surgical oncology: preliminary report.

机译：小儿外科肿瘤学微创技术的前瞻性研究：初步报告。

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BACKGROUND: Thoracoscopic and laparoscopic techniques play a major role in pediatric surgery. However, minimally invasive surgery (MIS) has not yet established itself in pediatric surgical oncology. The authors present a prospective study investigating the role of MIS in children with cancer. PROCEDURE: All children with abdominal or thoracic tumors requiring surgery were registered between September, 2000 and February, 2002. Decisions regarding procedures and approaches-conventional or minimally invasive-were made by the interdisciplinary team. Data on diagnoses, surgical procedures, complications, and conversion rates were registered prospectively. RESULTS: Seventy-four patients received 78 operations, 21 (26.9%) of the 78 operations were minimally invasive. Seven of 16 tumor biopsies (43.8%) and 9 of 57 tumor resections (15.8%) were performed using MIS, which was also exclusively used for diagnostic interventions. Conversions to standard techniques only occurred in 5 of 9 tumor resections. No major complications were encountered in the MIS group. CONCLUSIONS: MIS was practical in every fourth patient in our experience so far. It proved to be an excellent approach in diagnostic interventions and tumor biopsies, whereas efficacy is limited in tumor resections. Further factors (tumor recurrence, trocar site recurrence, tumor growth, and dissemination after CO(2) insufflation) have to be evaluated. Our data encourage the continuation of the study.
机译：背景：胸腔镜和腹腔镜技术在儿科手术中起着重要作用。但是，微创手术（MIS）尚未在儿科手术肿瘤学中确立地位。作者提出了一项前瞻性研究，以调查MIS在癌症儿童中的作用。程序：所有需要手术的腹部或胸腔肿瘤患儿均在2000年9月至2002年2月之间进行了注册。跨学科团队对常规或微创方法和方法做出了决定。前瞻性地记录了有关诊断，手术程序，并发症和转化率的数据。结果：74例患者接受了78例手术，其中78例中有21例（26.9％）为微创手术。使用MIS进行了16例肿瘤活检中的7例（43.8％）和57例肿瘤切除中的9例（15.8％），MIS也专门用于诊断干预。转换为标准技术仅在9个肿瘤切除物中有5个发生。 MIS组未遇到重大并发症。结论：到目前为止，根据我们的经验，MIS在每四位患者中都是可行的。它被证明是诊断干预和肿瘤活检的一种极好的方法，而在肿瘤切除术中疗效有限。必须评估其他因素（肿瘤复发，套管针部位复发，肿瘤生长和CO（2）吹入后的扩散）。我们的数据鼓励继续进行研究。

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