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首页> 外文期刊>Surgical Endoscopy >Use of laparoscopic surgical resection for pediatric malignant solid tumors: a case series.
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Use of laparoscopic surgical resection for pediatric malignant solid tumors: a case series.

机译：腹腔镜手术切除在小儿恶性实体瘤中的应用：一个病例系列。

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BACKGROUND: Minimally invasive surgery for malignant pediatric tumors remains controversial, and few cases have been published. The present study reports on our initial experiences of laparoscopic surgical resection for selected pediatric malignant solid tumors. METHODS: We retrospectively analyzed data from ten pediatric patients who underwent laparoscopic surgical resection for malignant solid tumors at our institute between April 2005 and January 2010. RESULTS: There were four boys and six girls, including one neonate and four infants. The mean age at surgery was 23.3 months (range, 13 days-69 months). Six patients underwent laparoscopic adrenalectomy for neuroblastoma (n=5) or adrenocortical carcinoma (n=1). Two patients underwent laparoscopic partial hepatectomy for hepatoblastoma, one patient underwent a laparoscopic salpingo-oophorectomy for yolk sac tumor, and one a laparoscopic tumor excision for rhabdomyosarcoma in the pelvis. Complete tumor resection was performed in all cases. Tumors ranged from 2.5 to 5.3 cm maximum diameter. Tumors were placed inside endobags and removed safely without spillage. The mean operation time was 132 (range, 65-250) min. There were no open conversions and no postoperative complications. The mean postoperative hospital stay was 4.9 (range, 2-7) days, and all surgical wounds showed good cosmetic results. There were no local tumor recurrences during the 17.3-month median follow-up period. CONCLUSIONS: Laparoscopic surgical resection for selected pediatric malignant solid tumors was found to be feasible and safe. Long-term follow-up data are essential to confirm oncologic safety.
机译：背景：针对小儿恶性肿瘤的微创手术仍存在争议，很少有病例发表。本研究报告了我们针对选定的小儿恶性实体瘤进行腹腔镜手术切除的初步经验。方法：我们回顾性分析了2005年4月至2010年1月间在我院接受腹腔镜手术切除的恶性实体瘤的10例儿科患者的数据。结果：有4名男孩和6名女孩，包括1名新生儿和4名婴儿。手术的平均年龄为23.3个月（范围13天至69个月）。 6例因神经母细胞瘤（n = 5）或肾上腺皮质癌（n = 1）接受了腹腔镜肾上腺切除术。 2例因成肝细胞瘤接受腹腔镜部分肝切除术，1例因卵黄囊肿瘤进行腹腔镜输卵管卵巢切除术，1例因骨盆横纹肌肉瘤行腹腔镜肿瘤切除术。在所有情况下均进行了完整的肿瘤切除。肿瘤的最大直径为2.5至5.3 cm。将肿瘤放入内袋中，并安全地取出而不会溢出。平均手术时间为132（65-250）分钟。没有开放的转换，也没有术后并发症。术后平均住院时间为4.9天（2-7天），所有手术伤口均显示良好的美容效果。在17.3个月的中位随访期内没有局部肿瘤复发。结论：发现腹腔镜手术切除小儿恶性实体瘤是可行且安全的。长期随访数据对于确认肿瘤学安全性至关重要。

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