Miscellaneous
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Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "Consecutive SIOP protocols and trials have consistently considered open radical nephroureterectomy as the gold standard approach for treating WT. According to surgical guidelines, the procedure should be performed through a long transverse abdominal or thoraco-abdominal incision, to allow careful inspection of the abdominal cavity and liver, retroperitoneal lymph node sampling, and radical nephroureterectomy outside of the Gerota’s fascia, including perirenal fat and sometimes the adrenal gland in monobloc resection." Quote from "ESPES M…
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A schematic illustration of the IDRF evaluation. Regarding the arteries, in cases where a vessel is completely surrounded by the tumor (total encasement), or more than half of the circumference of the vessel is surrounded by the tumor (contact ≧ 50 %), the vessel is considered to be “encased,” and the patient is considered to be IDRF positive. Vessel “contact” is defined by the surrounding of less than half of the artery circumference by the tumor; such cases are considered to be IDRF negative. In the case of veins, “encased” means the complete compression of the vessel with no visible lumen. “Contact” means that the lumen is visible and that case is IDRF negative
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Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay - "The main tumours for which minimally invasive resection are not debated are those that can be fragmented during open procedure: neuroectodermal tumours (neuroblastoma, ganglioneuroblastoma and ganglioneuroma), pheochromocytoma, paraganglioma and benign tumours. In contrast, MIS for tumours that cannot be fragmented such as Wilms tumours, adrenocortical tumours, malignant ovarian tumours and solid pseudopapillary tumour or Frantz tumour remain a matter of debate."
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video 1 video 2 video 3 video 4 video 5 video 6 video 7 video 8
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