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Ryabov A.B.

Hertsen Moscow Oncology Research Institute

Poddubny I.V.

Morozovskaya Children’s City Clinical Hospital;
Evdokimov Moscow State University of Medicine and Dentistry

Trunov V.O.

Morozovskaya Children’s City Clinical Hospital;
Pirogov Russian National Research Medical University

Kubirov M.S.

Morozovskaya Children’s City Clinical Hospital

Khizhnikov A.V.

Morozovskaya Children’s City Clinical Hospital

Milashchenko T.A.

Morozovskaya Children’s City Clinical Hospital

Manzhos P.I.

Russian Peoples’ Friendship University

Imanalieva A.A.

Russian Peoples’ Friendship University

Surgical treatment of retroperitoneal neurogenic tumors in children

Authors:

Ryabov A.B., Poddubny I.V., Trunov V.O., Kubirov M.S., Khizhnikov A.V., Milashchenko T.A., Manzhos P.I., Imanalieva A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(10): 59‑67

DOI: 10.17116/hirurgia202110159

Read: 4606 times

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Table of contents

SURGICAL TREATMENT OF RETROPERITONEAL NEUROGENIC TUMORS IN CHILDREN
SURGICAL TREATMENT OF RETROPERITONEAL NEUROGENIC TUMORS IN CHILDREN

To cite this article:

Ryabov AB, Poddubny IV, Trunov VO, et al. Surgical treatment of retroperitoneal neurogenic tumors in children. Pirogov Russian Journal of Surgery. 2021;(10):59‑67. (In Russ.)
https://doi.org/10.17116/hirurgia202110159

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate feasibility and advantages of laparoscopic access in children with retroperitoneal neurogenic tumors.

MATERIAL AND METHODS

A comparative analysis of postoperative results was performed in 2 groups of patients with retroperitoneal neurogenic tumors without IDRF risk factors. Different surgical approaches were applied. The main group (laparoscopic access) consisted of 18 patients. The control group included 22 patients after laparotomy. We compared the following variables: surgery time, blood loss, postoperative need for analgesics, intraoperative and postoperative complications, timing of postoperative enteral feeding, postoperative hospital-stay and regional recurrence rate.

RESULTS

Duration of laparoscopic and open surgery was similar (80.5 vs. 86.5 min, p>0.05). Intraoperative blood loss was significantly lower in the laparoscopy group (10 vs. 17 ml/kg, p<0.05). Two patients required conversion of laparoscopic approach. In laparotomy group, massive intraoperative bleeding occurred in 1 patient. Early postoperative period was more favorable in the main group compared to the control group. There were no local and metastatic recurrences in delayed postoperative period after laparoscopic surgery. One (4.5%) patient had metastatic recurrence after laparotomy. There were no regional recurrences in this group.

CONCLUSION

Laparoscopic resection of neurogenic retroperitoneal tumors in children is feasible if great vessels are not involved in neoplastic process. Open surgery is preferable in patients with invasion of great vessels.

Keywords:

neurogenic tumor
neuroblastoma
laparoscopy
children

Authors:

Ryabov A.B.

Hertsen Moscow Oncology Research Institute

Poddubny I.V.

Morozovskaya Children’s City Clinical Hospital;
Evdokimov Moscow State University of Medicine and Dentistry

Trunov V.O.

Morozovskaya Children’s City Clinical Hospital;
Pirogov Russian National Research Medical University

Kubirov M.S.

Morozovskaya Children’s City Clinical Hospital

Khizhnikov A.V.

Morozovskaya Children’s City Clinical Hospital

Milashchenko T.A.

Morozovskaya Children’s City Clinical Hospital

Manzhos P.I.

Russian Peoples’ Friendship University

Imanalieva A.A.

Russian Peoples’ Friendship University

Received:

01.03.2021

Accepted:

27.05.2021

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