Robotic approach with neoadjuvant chemotherapy in adult Wilms? tumor: A feasibility study report and a systematic review of the literature

Objective: The incidence of Wilms' tumor (WT) among adult individuals accounts for less than 1% of kidney cancer cases, with a prognosis usually less favorable when compared to younger individuals and an overall survival rate of 70% for the adult patients versus 90% for the pediatric cases. The diagnosis and treatment of WT are complex in the preoperative setting; neoadjuvant chemotherapy (NAC) or robotic surgery has rarely been described. This study aimed to review the literature of robotic surgery in WT and report the first adult WT man-agement using both NAC and robotic strategy.

Automated summary

This study reviewed the literature on robotic surgery in Wilms' tumor and reported the first case of adult WT management using both neoadjuvant chemotherapy and robotic strategy.