EN
TÜRKÇE
Poster - 279
Laparoscopy in selected abdominal tumors in children
Magdalena Lewandowska, Paweł Polityło
Department of Paediatric Surgery and Oncology, Central University Hospital, Medical University of Lodz, Poland
Purpose
In our study we reviewed our experience in laparoscopy for abdominal tumors in children to evaluate feasibility and safety of this approach.
Method
We conducted an analysis of the period from September 2017 to January 2024. Laparoscopy was employed for the diagnosis of solid tumors and nodal masses, with subsequent treatment provided in selected cases. For diagnostic purposes laparoscopically assisted surgical and core needle biopsies were employed. For treatment laparoscopic surgery was performed on adrenal and retroperitoneal tumors, renal tumors, ovarian tumors, and lesions in other anatomical regions.
Results
17 patients underwent laparoscopic surgery for adrenal tumors and three patients for retroperitoneal tumors. The youngest patient was 3 months old, the oldest 11 years old. Based on preoperative imaging and laboratory tests, all patients were qualified for the primary tumor resection. 8 patients with renal tumors underwent laparoscopic surgery following preoperative chemotherapy. Nephrectomy was performed in 7 cases, while one child was qualified for a nephron-sparing procedure. 35 girls with ovarian tumors underwent laparoscopic surgery. Among lesions in other anatomical regions, one tumor of the mesocolon and one tumor of the falciform ligament were excised. All surgeries were performed via a peritoneal approach and no intraoperative complications occurred. Complete tumor resection was achieved in all cases. The postoperative course was uneventful for all patients, and they were discharged home in a good general condition between the first and fourth postoperative day.
Conclusion
In the cases described, laparoscopy proved to be a feasible, reliable and safe surgical method. It provided detailed visualisation of the surgical field, enabled precise biopsies, and facilitated the complete removal of lesions without causing damage. As a minimally invasive technique, it also allowed for a rapid return to normal activity and shortened the length of hospital stays.