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Minimally invasive surgery and clinical decision-making for pediatric malignancy.

机译:小儿恶性肿瘤的微创手术和临床决策。

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BACKGROUND: Minimally invasive surgery (MIS) is an ideal way to obtain biopsy specimens in children with cancer. We examined the safety, reliability and outcome of decisions made based on tissue obtained using MIS. METHODS: Fifty-nine oncology patients underwent 62 MIS procedures between January 1994 and July 1998. Complications, biopsy results, and outcomes were reviewed. RESULTS: The study population comprised 32 boys and 27 girls, with an average age of 8.8 years. There were 47 thoracoscopic and 15 laparoscopic operations. Laparoscopic procedures included initial biopsy, determination of resectability, and second-look exam. Thoracoscopic procedures included 40 lung biopsies and seven biopsies/resections of mediastinal masses. Diagnostic accuracy was 100% in all cases. No patient was found retrospectively to have been inadequately treated based on decisions made from tissue obtained by MIS. CONCLUSION: MIS is a safe and accurate means of obtaining tissue in pediatric oncology patients. Treatment decisions can be made accurately and with confidence using these techniques.
机译:背景:微创手术(MIS)是在癌症儿童中获取活检标本的理想方法。我们检查了基于使用MIS获得的组织做出的决策的安全性,可靠性和结果。方法:1994年1月至1998年7月,对59例肿瘤科患者进行了62例MIS手术。对并发症,活检结果和结局进行了回顾。结果:研究人群包括32名男孩和27名女孩,平均年龄为8.8岁。有47例胸腔镜手术和15例腹腔镜手术。腹腔镜检查程序包括初次活检,可切除性的确定和第二眼检查。胸腔镜检查包括40例肺活检和7例纵隔肿块活检/切除。在所有情况下,诊断准确性均为100%。根据由MIS获得的组织做出的决定,没有发现患者被回顾性地接受过适当的治疗。结论:MIS是一种安全,准确的获取小儿肿瘤患者组织的方法。使用这些技术可以准确,放心地做出治疗决定。

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