The application of minimal access procedures in infants, children, and young adults with pediatric malignancies Journal Article
| Authors: | Saenz, N. C.; Conlon, K. C. P.; Aronson, D. C.; Laquaglia, M. P. |
| Article Title: | The application of minimal access procedures in infants, children, and young adults with pediatric malignancies |
| Abstract: | Objective: In this study, we sought analysis of minimal access procedures in pediatric and young adult oncology patients. Methods: Between 1990 and 1997, 84 patients underwent 93 minimal access procedures. Clinical, pathological, and operative details were analyzed. Results: There were 32 females and 52 males with a median age of 14 years (range 3 months to 31 years). The median body weight was 50 kg (range 6-94 kg). There were 47 thoracoscopic procedures and 46 laparoscopic procedures. Laparoscopic procedures included liver biopsy (21), diagnostic tumor biopsy (13), lymph node biopsy (4), cholecystectomy (4), oophoropexy (3), and kidney biopsy (1). Median hospital stay was 2 days (range 1-14 days). Six patients had their procedure converted to an open procedure (13%). Thoracoscopic procedures included diagnostic lung biopsy (22), mediastinal mass biopsy or resection (4), pleural biopsy (5), and pleurodesis (4). Eleven were converted to open thoracotomy (23%). Median hospital stay was 4 days (range 2-35 days). There were two complications after laparoscopy (4%) and three disease-related deaths. There were six complications after thoracoscopy (13%), and three disease-related deaths. Adequate tissue was obtained in all biopsy procedures. Conclusions: Children with cancer require operations for diagnosis and staging. Minimal access procedures are safe and effective and allow adjuvant therapy to begin earlier. |
| Keywords: | adolescent; adult; child; major clinical study; cancer patient; laparoscopic surgery; thoracotomy; tumor biopsy; childhood cancer; postoperative complication; ovary; hospitalization; infant; endoscopic surgery; surgical mortality; minimally invasive surgery; cholecystectomy; lung biopsy; liver biopsy; kidney biopsy; lymph node biopsy; thoracoscopy; mediastinum mass; pleurodesis; pleura biopsy; human; male; female; priority journal; article |
| Journal Title: | Journal of Laparoendoscopic and Advanced Surgical Techniques |
| Volume: | 7 |
| Issue: | 5 |
| ISSN: | 1092-6429 |
| Publisher: | Mary Ann Liebert, Inc |
| Date Published: | 1997-10-01 |
| Start Page: | 289 |
| End Page: | 294 |
| Language: | English |
| PUBMED: | 9453873 |
| PROVIDER: | scopus |
| DOI: | 10.1089/lap.1997.7.289 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 17 March 2017 -- Source: Scopus |
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