Technical advances in the surgical management of Wilms tumors in children.
Rodrigo L P RomaoAlida F W van der SteegMarcus M MalekSabine IrtanKenneth GowKhalil GhandourDavid BiasoniAndrew DavidoffMax PachlPublished in: Pediatric blood & cancer (2023)
Surgery is one of the cornerstones of Wilms tumor treatment. In this article, we present technical advancements that are finding their way into the armamentarium of pediatric cancer surgeons. We discuss the current approaches, challenges, opportunities, and future directions of minimally invasive surgery (laparoscopic and robotics), image-guided surgery, and fluorescence-guided surgery. Furthermore, we discuss the use of intraoperative ultrasonography, as well as the use of new techniques to improve the quality of lymph node sampling.
Keyphrases
- minimally invasive
- coronary artery bypass
- lymph node
- surgical site infection
- magnetic resonance imaging
- robot assisted
- young adults
- quality improvement
- papillary thyroid
- magnetic resonance
- computed tomography
- percutaneous coronary intervention
- neoadjuvant chemotherapy
- acute coronary syndrome
- replacement therapy
- childhood cancer
- rectal cancer
- locally advanced
- lymph node metastasis