Department of Surgery, Princess Maxima Center, Heidelberglaan 25, 3584 CS Utrecht, Netherlands.
Department of Surgery, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Memphis, TN 38105, USA.
Surg Oncol Clin N Am. 2021 Apr;30(2):417-430. doi: 10.1016/j.soc.2020.11.008. Epub 2021 Feb 10.
Minimally invasive approaches to pediatric cancer surgery are increasingly used, not only for the benefits of smaller incisions, but also for better field visualization and precise dissection. Advances in technology and surgeon experience have facilitated this trend. However, the appropriate indications for its use remain to be determined, and oncologic principles should not be compromised. We discuss the current and potential future uses, and new technologies that are being developed and introduced to assist with and enhance the role of minimally invasive surgery in the management of children with cancer.
微创方法越来越多地用于儿科癌症手术,不仅因为切口更小的好处,还因为更好的视野和精确的解剖。技术和外科医生经验的进步促进了这一趋势。然而,其使用的适当指征仍有待确定,并且不应损害肿瘤学原则。我们讨论了当前和潜在的未来用途,以及正在开发和引入的新技术,以协助和增强微创外科在儿童癌症治疗中的作用。