TY - JOUR
T1 - Current thoracoscopic approach for mediastinal neuroblastoma in Japan–results from nationwide multicenter survey
AU - Kawano, Takafumi
AU - Souzaki, Ryota
AU - Sumida, Wataru
AU - Shimojima, Naoki
AU - Hishiki, Tomoro
AU - Kinoshita, Yoshiaki
AU - Uchida, Hiroo
AU - Tajiri, Tatsuro
AU - Yoneda, Akihiro
AU - Oue, Takaharu
AU - Kuroda, Tatsuo
AU - Hirobe, Seiichi
AU - Koshinaga, Tsugumichi
AU - Hiyama, Eiso
AU - Nio, Masaki
AU - Inomata, Yukihiro
AU - Taguchi, Tomoaki
AU - Ieiri, Satoshi
N1 - Funding Information:
This study was supported by Research Grant from the Foundation for Promotion of Cancer Research, a Research Grant from the Foundation for Shinnihon Zaidan, a Research Grant from the Foundation for Kawano Prize for Pediatrics, a Research grant from the Kawano Masanori Memorial Public Interest Incorporated Foundation for Promotion of Pediatrics, a Research Grant from Children’s Cancer Association of Japan, a Research Grant from Princess Takamatsu Research Foundation, a Research Grant form Gold Ribbon Network and Research grant from the President's Discretionary Expenses of Kagoshima University.
Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2021/12
Y1 - 2021/12
N2 - Background: Minimally invasive surgery (MIS) is appropriate for the treatment of some neuroblastomas (NBs); however, the indications and technical issues are unclear. This study aimed to clarify the current status of MIS for mediastinal NB in Japan. Methods: Preliminary questionnaires requesting the numbers of neuroblastoma cases in which MIS was performed from 2004 to 2016 were sent to 159 Japanese institutes of pediatric surgery. Secondary questionnaires were sent to institutions with MIS cases to collect detailed data. Results: One hundred thirty-four (84.2%) institutions returned the preliminary questionnaire and 83 institutions (52.2%) reported a total of 1496 operative cases. MIS was performed for 175 (11.6%) cases. Among the 175 cases, completed forms of 140 patients were returned and 40 (male, n = 28; female, n = 12) cases had mediastinal NB. Fourteen patients received thoracoscopic biopsy, none were converted to thoracotomy. Twenty-eight patients received MIS for radical resection, none were converted to thoracotomy. Perioperative complications (Horner’s syndrome) were recognized after radical resection in one (2.5%) case. Conclusions: MIS was performed in a limited number of mediastinal NB cases. A thoracoscopic approach would be feasible for mediastinal NB.
AB - Background: Minimally invasive surgery (MIS) is appropriate for the treatment of some neuroblastomas (NBs); however, the indications and technical issues are unclear. This study aimed to clarify the current status of MIS for mediastinal NB in Japan. Methods: Preliminary questionnaires requesting the numbers of neuroblastoma cases in which MIS was performed from 2004 to 2016 were sent to 159 Japanese institutes of pediatric surgery. Secondary questionnaires were sent to institutions with MIS cases to collect detailed data. Results: One hundred thirty-four (84.2%) institutions returned the preliminary questionnaire and 83 institutions (52.2%) reported a total of 1496 operative cases. MIS was performed for 175 (11.6%) cases. Among the 175 cases, completed forms of 140 patients were returned and 40 (male, n = 28; female, n = 12) cases had mediastinal NB. Fourteen patients received thoracoscopic biopsy, none were converted to thoracotomy. Twenty-eight patients received MIS for radical resection, none were converted to thoracotomy. Perioperative complications (Horner’s syndrome) were recognized after radical resection in one (2.5%) case. Conclusions: MIS was performed in a limited number of mediastinal NB cases. A thoracoscopic approach would be feasible for mediastinal NB.
KW - Complication
KW - Mediastinal neuroblastoma
KW - Minimally invasive surgery
KW - Multicenter retrospective survey
KW - Thoracoscopic approach
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U2 - 10.1007/s00383-021-04998-9
DO - 10.1007/s00383-021-04998-9
M3 - Article
C2 - 34448929
AN - SCOPUS:85113697376
SN - 0179-0358
VL - 37
SP - 1651
EP - 1658
JO - Pediatric surgery international
JF - Pediatric surgery international
IS - 12
ER -