Laparoscopic kidney resection in a child with unilateral Wilms tumor

A K Nosov,E A Mikhailova,V V Gridasov,R I Khabarova,K M Borokshinova,E M Senchurov,S V Ivanova,S A Kuleva,N A Shchekuteev,A V Khokhlova

doi:10.21682/2311-1267-2021-8-2-96-102

Abstract

The modern Wilms tumor treatment protocols used all over the world can cure up to 90 % of children. Such successes make it possible to actively introduce risk-adapted therapy methods aimed at de-escalating the chemotherapy regimen and radiation therapy impact to the tumor. The most conservative was the stage of surgical treatment, implying the organ-depleting nature of the surgery. Nevertheless, over the past decade, a lot of experience has been accumulated with both nephron-sparing and minimally invasive interventions in patients with both bilateral and unilateral Wilms tumor.We presented the experience of laparoscopic kidney resection with intraoperative ultrasound control in a child with unilateral Wilms tumor, receiving treatment at the N.N. Petrov National Medical Research Center of Oncology.

Highlights

The modern Wilms tumor treatment protocols used all over the world can cure up to 90 % of children. Such successes make it possible to actively introduce risk-adapted therapy methods aimed at de-escalating the chemotherapy regimen and radiation therapy impact to the tumor
We presented the experience of laparoscopic kidney resection with intraoperative ultrasound control in a child with unilateral Wilms tumor, receiving treatment at the N.N
Заключение Метод лапароскопической резекции почки возможен у пациентов с односторонней опухолью Вильмса (ОВ) только после неоадъювантной ПХТ и при соблюдении условий, оговоренных протоколом UMBRELLA SIOP-RTSG 2016 [26] (объем первичной опухоли менее 300 мл, периферическая локализация и унифокальность, отсутствие инвазии в лоханку по данным предоперационной визуализации, отсутствие опухолевых тромбов и инвазии в соседние органы и ткани, отсутствие признаков разрыва капсулы, возможность радикального удаления опухоли при сохранении более 66 % здоровой почечной ткани)

Summary

Introduction

Мы представляем опыт лапароскопической резекции почки с интраоперационным ультразвуковым контролем у ребенка с односторонней ОВ, получавшего лечение в НМИЦ онкологии им. We presented the experience of laparoscopic kidney resection with intraoperative ultrasound control in a child with unilateral Wilms tumor, receiving treatment at the N.N. Petrov National Medical Research Center of Oncology.

Results

Conclusion