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• W2742251388 startingPage "e26755" @default.
• W2742251388 abstract "Minimally invasive surgery (MIS) has been widely adopted for common operations in pediatric surgery; however, its role in childhood tumors is limited by concerns about oncologic outcomes. We compared open and MIS approaches for pediatric neuroblastoma and Wilms tumor (WT) using a national database.The National Cancer Data Base from 2010 to 2012 was queried for cases of neuroblastoma and WT in children ≤21 years old. Children were classified as receiving open or MIS surgery for definitive resection, with clinical outcomes compared using a propensity matching methodology (two open:one MIS).For children with neuroblastoma, 17% (98 of 579) underwent MIS, while only 5% of children with WT (35 of 695) had an MIS approach for tumor resection. After propensity matching, there was no difference between open and MIS surgery for either tumor for 30-day mortality, readmissions, surgical margin status, and 1- and 3-year survival. However, in both tumors, open surgery more often evaluated lymph nodes and had larger lymph node harvest.Our retrospective review suggests that the use of MIS appears to be a safe method of oncologic resection for select children with neuroblastoma and WT. Further research should clarify which children are the optimal candidates for this approach." @default.
• W2742251388 created "2017-08-17" @default.
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• W2742251388 date "2017-08-09" @default.
• W2742251388 modified "2023-09-27" @default.
• W2742251388 title "Comparing oncologic outcomes after minimally invasive and open surgery for pediatric neuroblastoma and Wilms tumor" @default.
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• W2742251388 doi "https://doi.org/10.1002/pbc.26755" @default.
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• W2742251388 hasPublicationYear "2017" @default.
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