4.4 Article

Technical advances in the surgical management of Wilms tumors in children

Journal

PEDIATRIC BLOOD & CANCER
Volume 70, Issue -, Pages -

Publisher

WILEY
DOI: 10.1002/pbc.30267

Keywords

fluorescence guided; image guided; lymph node sampling; minimally invasive; nephroblastoma; surgery; Wilms tumor

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Surgery is essential for Wilms tumor treatment, and this article highlights the advancements in pediatric cancer surgery. Minimally invasive surgery (laparoscopic and robotic), image-guided surgery, fluorescence-guided surgery, intraoperative ultrasonography, and new techniques for lymph node sampling are discussed. The article also touches upon current approaches, challenges, opportunities, and future directions in this field.
Surgery is one of the cornerstones of Wilms tumor treatment. In this article, we present technical advancements that are finding their way into the armamentarium of pediatric cancer surgeons. We discuss the current approaches, challenges, opportunities, and future directions of minimally invasive surgery (laparoscopic and robotics), image-guided surgery, and fluorescence-guided surgery. Furthermore, we discuss the use of intraoperative ultrasonography, as well as the use of new techniques to improve the quality of lymph node sampling.

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