Visual abstract
Keywords
How to Cite
Cited by
Abstract
Adrenal tumors in children are frequently neoplastic and malignant, and surgical resection is the first management option. Minimally invasive surgery (MIS) has proven to be a safe management alternative and is suggested as a preferred alternative approach.
Objective: To report the surgical outcomes of patients with adrenal tumors treated by MIS.
Patients and Method: Retrospective descriptive study of a cohort of pediatric patients with adrenal gland tumors undergoing MIS in the period 2012 - 2023.
Results: 15 MIS of the adrenal gland were performed in 14 patients, 60% were male, mean age 1.8 years (range: 5 days - 7 years). Histological diagnoses included neuroblastoma (n = 7), pheochromocytoma (n = 3), ganglioneuroma (n = 2), extrapulmonary sequestration (n = 1), mature teratoma (n = 1), and adrenal cortical neoplasm of uncertain malignant potential (n = 1). 14 adrenalectomies and one biopsy were performed, all via laparoscopic surgery, with no need for conversion to open surgery. No perioperative complications greater than Clavien-Dindo grade II were recorded; only 2 patients required red blood cell transfusions and there was no perioperative mortality. The mean tumor diameter was 3.7 cm. The median hospital stay was 1 day. The mean follow-up period was 29 months.
Conclusions: The laparoscopic technique has proven to be a safe approach in pediatric patients with adrenal tumors, offering advantages in terms of hospital stay and perioperative complications.
Los contenidos publicados en esta revista están protegidos bajo una Licencia Creative Commons Atribución 4.0 Internacional (CC BY 4.0). Esto significa que cualquier persona es libre de compartir, usar y construir a partir de este artículo, incluso con fines comerciales, siempre que se otorgue el crédito apropiado al autor original, se proporcione un enlace a la licencia, se indique el nombre y edición de la Revista.
Esta licencia no impone restricciones adicionales, lo que garantiza la libre circulación y reutilización del conocimiento con respeto y transparencia hacia los derechos de los autores. (Véase El efecto del acceso abierto).