Laparoscopic kidney resections in children with nephroblastoma (а literature review)

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Abstract

Introduction. Nephroblastoma is the third most common solid tumor in childhood, accounting for 7–8% of the total number of solid tumors in children. Currently, there is no unequivocal position of oncosurgeons regarding laparoscopic nephrectomy in patients with nephroblastomas; the cases described in the world literature are rare.

Purpose. To find out the effectiveness of laparoscopic kidney resection in  children  with nephroblastoma.

Materials and methods. The authors describe  two clinical cases of  laparoscopic nephrectomy in patients with nephroblastoma, including one-stage bilateral laparoscopic nephrectomy for bilateral nephroblastoma.

Results. At the time of  article writing, the two patients were in clinical and instrumental remission for 6 and 11 months, respectively.

Conclusion. Indications for laparoscopic kidney resections in nephroblastoma: stage I, peripheral location of the tumor node with predominant extrarenal growth, response to chemotherapy, absence of  the  cystic component of the tumor.

About the authors

A. V. Khizhnikov

Federal Scientific Clinical Center for Children and Adolescents

Email: fake@neicon.ru

Moscow, 115409

Russian Federation

A. B. Ryabov

Morozov Children’s City Clinical Hospital; National Medical Research Center for Radiology

Email: fake@neicon.ru

Moscow, 119049

Moscow, 125284

Russian Federation

I. V. Poddubny

Morozov Children’s City Clinical Hospital; A.I. Evdokimov Russian State University of Medicine and Dentistry

Email: fake@neicon.ru

Moscow, 119049

Moscow, 127473

Russian Federation

O. S. Shmyrov

Morozov Children’s City Clinical Hospital

Email: fake@neicon.ru

Moscow, 119049

Russian Federation

V. O. Trunov

Federal Scientific Clinical Center for Children and Adolescents; Morozov Children’s City Clinical Hospital; N.I. Pirogov Russian National Research Medical University

Email: fake@neicon.ru

Moscow, 115409

Moscow, 119049

Moscow, 117321

Russian Federation

R. I. Pimenov

Morozov Children’s City Clinical Hospital

Email: fake@neicon.ru

Moscow, 119049

Russian Federation

A. V. Bogucharsky

Morozov Children’s City Clinical Hospital

Email: fake@neicon.ru

Moscow, 119049

Russian Federation

A. A. Volkova

Morozov Children’s City Clinical Hospital

Email: fake@neicon.ru

Moscow, 119049

Russian Federation

M. Yu. Rykov

Tver State Medical University; Medical clinic “NAKFF”

Author for correspondence.
Email: wordex2006@rambler.ru

Tver, 170100

Moscow, 109548

 

Russian Federation

References

  1. Pastore G. et al. Malignant renal tumours incidence and survival in European children (1978–1997): report from the Automated Childhood Cancer Information System project. Eur. J. Cancer. 2006; 42: 2103–14 .
  2. D’Angio G.J., Evans A.E., Breslow N., Beckwith B., Bishop H., Feigl P., et al. The treatment of Wilms’ tumor: results of the national Wilms’ tumor study. Cancer. 1976; 38: 633-46.
  3. Weirich A., Ludwig R., Graf N., Abel U., Leuschner I., Vujanic G.M., et al. Survival in nephroblastoma treated according to the trial and study SIOP-9/GPOH with respect to relapse and morbidity. Ann Oncol. 2004; 15: 808-20.
  4. Green D.M. The treatment of stages I-IV favorable histology Wilms’ tumor. J Clin Oncol. 2004; 22(8): 1366-72.
  5. Godzinski J., Tournade M.F., deKraker J., Lemerle J., Voute P.A., Weirich A., et al. Rarity of surgical complications after postchemotherapy nephrectomy for nephroblastoma. Experience of the international society of paediatric oncology trial and study “SIOP-9”. International society of paediatric oncology nephroblastoma trial and study committee. Eur J Pediatr Surg. 1998; 8: 83-6.
  6. Stehr M., Deilmann K., Haas R.J., Dietz H.-G. Surgical complications in the treatment of Wilms’ tumor. Eur J Pediatr Surg. 2005; 15: 414-9.
  7. Fuchs J., Kienecker K., Furtwa¨ngler R., Warmann S.W., Bu¨rger D., Thu¨rhoff J.W., et al. Surgical aspects in the treatment of patients with unilateral Wilms tumor a report from the SIOP 93-01/German Society of Pediatric Oncology and Hematology. Ann Surg. 2009; 249: 666-71.
  8. Duarte R.J., Denes F.T., Cristofani L.M., Giron A.M., Filho V.O., Arap S. Laparoscopic nephrectomy for Wilms tumor after chemotherapy; initial experience. J Urol. 2004 Oct; 172(4 Pt 1): 1438-40.
  9. Duarte R.J., Cristofani L.M., Odone Filho V., Srougi M., De´nes F.T. Videolaparoscopic radical nephrectomy after chemotherapy in the treatment of Wilms’ tumor: long-term results of a pioneer group. J Pediatr Urol. 2017 Feb; 13(1): 50.e1-5.
  10. Varlet F., Petit T., Leclair M.D., Lardy H., Geiss S., Becmeur F., et al. Laparoscopic treatment of renal cancer in children: a multicentric study and review of oncologic and surgical complications. J Pediatr Urol. 2014 Jun; 10(3): 500-5.
  11. Romao R.L., Weber B., Gerstle J.T., Grant R., Pippi Salle J.L., Ba¨gli D.J., et al. Comparison between laparoscopic and open radical nephrectomy for the treatment of primary renal tumors in children: single-center experience over a 5-year period. J Pediatr Urol. 2014 Jun; 10(3): 488-94.
  12. Warmann S.W., Godzinski J., van Tinteren H., Heij H., Powis M., Sandstedt B., et al. Minimally invasive nephrectomy for Wilms tumors in children e data from SIOP 2001. J Ped Surg. 2014; 49: 1544-8.
  13. Burnand K., Roberts A., Bouty A., Nightingale M., Campbell M., Heloury Y. Laparoscopic nephrectomy for Wilms’ tumor: Can we expand on the current SIOP criteria? J Pediatr Urol. 2018; 14(3): 253.e1-253.e8
  14. UMBRELLA PROTOCOL SIOP-RTSG. 2016; 1-336. https://www.siop-rtsg.eu
  15. Wilms M. Die Mischgescwülste. Leipzig, Germany: 1899.
  16. Blute M.L., Kelalis P.P., Offord K.P., et al. Bilateral Wilms tumor. J Urol. 1987; 138: 968.
  17. Giel D.W., Williams M.A., Jones D.P., et al. Renal function outcomes in patients treated with nephron sparing surgery for bilateral Wilms tumor. J Urol. 2007; 178: 1786.
  18. Cozzi F., Schiavetti A., Morini F., et al. Renal function adaptation in children with unilateral renal tumors treated with nephron sparing surgery or nephrectomy. J Urol. 2005; 174: 1404.
  19. Haecker F.M., von Schweinitz D., Harms D., et al. Partial nephrectomy for unilateral Wilms tumor: results of study SIOP 9301/GPOH. J Urol. 2003; 170: 939.
  20. SIOP WT. 2001; 1-171. https://www.siop-rtsg.eu
  21. Rand N. Wilcox Vanden Berg, Emily N. Bierman, Megan Van Noord, Henry E. Rice, Jonathan C. Routh Nephron-sparing surgery for Wilms tumor: A systematic review. J uroloncol. 2016; 34 (1): 24-32.
  22. Piché N., Barrieras D. Minimally invasive nephron-sparing surgery for unilateral Wilms tumor. J Ped Surg. 2012; 47: E1–4.
  23. Lopez L., Copete M., Villamizar P. Cirugнa ahorradora de nefronas laparoscуpica para tumor de Wilms. Cir Pediatr. 2016; 29: 31-4.
  24. Hong Mei, Liduan Zheng, Chengkai Zhou, Qiangsong Tong. Metanephric Adenoma in a 2-year-old Child: Case Report and Immunohistochemical Observations. J Pediatr Hematol Oncol. 2010; 32: 489–93.
  25. Rauth T.P., Slone J., Crane G., Correa H., Friedman D.L., Lovvorn H. N. III. Laparoscopic nephron-sparing resection of synchronous Wilms tumors in a case of hyperplastic perilobar nephroblastomatosis. Journal of Pediatric Surgery. 2011; 46: 983–8.
  26. Lopes R.I., Ming J., Koyle M.A., Grant R., Fonseca A., Lorenzo A.J. “Zero-ischemia” laparoscopic-assisted partial nephrectomy for the management of selected children with Wilms’ tumors following neoadjuvant chemotherapy. Accepted Manuscript. Toronto: 2016; 1-28.
  27. Chan-Hon Chui, Anselm Chi-Wai Lee. Peritoneal metastases after laparoscopic nephron-sparing surgery for localized Wilms tumor. Journal of Pediatric Surgery. 2011; 46: 19–21.

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