ORIGINAL ARTICLES   

Minerva Pediatrica 2016 June;68(3):162-6

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Surgical treatment of pediatric retroperitoneal tumors with invasion of major blood vessels: a single-center experience

Zhoulu LIU, Yuanhong XIAO, Dixiang CHEN, Zheng WANG ✉

Department of General Surgery, General Hospital of People’s Liberation Army, Beijing, China

BACKGROUND: This study assessed operative experiences with common pediatric retroperitoneal tumors invading major blood vessels.
METHODS: Forty-seven pediatric patients with retroperitoneal tumors were enrolled. They included 22 neuroblastomas, 6 gangliocytomas and 19 Wilms’ tumors, and underwent primary surgical resection after vascular skeletonization and manipulations of involved vessels.
RESULTS: In the above tumors, the one-stage gross total resection rates of, respectively, 95.45%, 100% and 100% were obtained. There was only one complication, namely post-operational early acute renal failure that recovered with dialysis. There were no deaths.
CONCLUSIONS: Vascular skeletonization and other vessel manipulations prior to surgery improve the gross total resection rates of pediatric retroperitoneal tumors.