Abstract
Minimally-invasive liver resection for liver tumors in children: a snapshot of the current landscape
Highlights
Minimally-invasive liver resection (MILR) has been successfully integrated as a valuable surgical tool in adult patients both for cancer resections as well as donor hepatectomies for liver transplantation[1,2,3]
Minimally-invasive surgical techniques are an essential component in the treatment of pediatric patients with hepatobiliary disease, literature on MILR hepatic tumors in children is scarce
We focus on reviewing the existing literature on MILR in children and try to give an outlook of the possibilities and limitations of applying MILR in children with cancer and how it could fit into current, standardized treatment strategies
Summary
Minimally-invasive liver resection (MILR) has been successfully integrated as a valuable surgical tool in adult patients both for cancer resections as well as donor hepatectomies for liver transplantation[1,2,3]. Their review does not include comparisons to contemporaneous open controls, this comprehensive report for the first time shows that with appropriate patient selection and the necessary expertise, MILR can safely be carried out in children with both benign and malignant liver disease with excellent outcomes and minimal morbidity It clarifies that patients bearing malignant tumors with PRETEXT III or above (three sections are involved, and no two adjoining sections are free), with macrovascular invasion that require reconstruction of the vena cava or the portal vein, or with doubts of resectability in whom liver transplantation is the treatment option, may be poor candidates for MILR. It would be of immense value if more literature were to become available on the subject, whether small prospective studies or comprehensive retrospective reviews
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