No incidence of port-site recurrence after endosurgical procedure for pediatric malignancies
No incidence of port-site recurrence after endosurgical procedure for pediatric malignancies
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DOI：
10.1007/s00383-002-0918-9
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发表时间：
2003-05-01
影响因子：
1.8
通讯作者：
Miyano, T
中科院分区：
文献类型：
--
作者：
Iwanaka, T;Arai, M;Miyano, T
腹腔镜手术后端口部位复发（PSR）是成人癌症患者不可预测的并发症;然而，没有关于儿科领域这种现象的数据。本研究的目的是确定恶性肿瘤内镜手术后PSR是儿科人群中的典型并发症还是罕见事件。将81份问卷邮寄给日本儿科内镜外科医师协会的成员。他们被要求提供一份其机构的列表，这些机构在儿科恶性肿瘤的内镜手术后具有PSR经验。在29家机构中，共报告了129例儿科恶性肿瘤的内镜手术;其中包括85例腹腔镜手术和44例胸腔镜手术，对104例神经母细胞瘤、8例肝母细胞瘤、7例肾母细胞瘤和10例其他肿瘤进行了手术。在104例神经母细胞瘤中，83例是通过使用高水平的尿香草扁桃酸和高香草酸进行大规模筛查发现的。83例患者中有65例切除了肿瘤，18例通过内镜手术进行了肿瘤活检。此外，其中47例患者不需要任何术后化疗。在接受内镜手术的任何患者中均未报告PSR发生率。内镜手术后PSR在儿科人群中是一种罕见现象。腹腔镜和胸腔镜手术都是安全的，推荐用于治疗小儿恶性肿瘤，特别是大规模筛查的神经母细胞瘤。
Port-site recurrence (PSR) following laparoscopic procedures has been an unpredictable complication in adult cancer patients; however, no data exist about this phenomenon in the pediatric field. The aim of this study was to determine whether PSR, following endosurgical procedure for malignancies, is a typical complication or a rare event in the pediatric population. Eighty-one questionnaires were mailed to members of The Japanese Society of Pediatric Endosurgeons. They were asked to provide a list of their institutions that had experience with PSR after endosurgical procedures for pediatric malignancies. Among 29 institutions, a total of 129 endosurgical procedures for pediatric malignancies were reported; these included 85 laparoseopic and 44 thoracoscopic procedures, performed on 104 neuroblastomas, 8 hepatoblastomas, 7 nephroblastomas, and 10 other tumors. Of the 104 neuroblastomas, 83 were found by mass screening using high levels of urinary vanillylmandelic acid and homovanillic acid. Sixty-five of the 83 patients had their tumor excised, and 18 had their tumor biopsied by endosurgical procedures. Additionally, 47 of these patients did not require any postoperative chemotherapy. No incidence of PSR was reported in any of the patients that underwent endosurgical procedures. The PSR following endosurgical procedure is a rare phenomenon in the pediatric population. Both, laparoscopic and thoracoscopic procedures, are safe and recommended for treating pediatric malignancies, especially mass-screened neuroblastomas.