Amanda F. Saltzman , Patrick Hensley , Jonathan Ross , Lynn Woo , Deborah Billmire , Frederick Rescorla , Dhruv Puri , Sunil Patel , Phillip Pierorazio , Aditya Bagrodia , Clint Cary , Nicholas G. Cost
{"title":"Critical elements of pediatric testicular germ cell tumors surgery","authors":"Amanda F. Saltzman , Patrick Hensley , Jonathan Ross , Lynn Woo , Deborah Billmire , Frederick Rescorla , Dhruv Puri , Sunil Patel , Phillip Pierorazio , Aditya Bagrodia , Clint Cary , Nicholas G. Cost","doi":"10.1016/j.sempedsurg.2023.151343","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2023.151343","url":null,"abstract":"<div><p>Children, adolescents and young adults with testicular germ cell tumors<span> require appropriate surgical care to insure excellent outcomes. This article presents the most critical elements, and their basis in evidence, for surgery in this population. Specifically, the importance of inguinal radical orchiectomy<span> for malignant tumors, partial orchiectomy for prepubertal tumors and normal serum tumor markers, and the appropriate use of post-chemotherapy retroperitoneal lymph node dissection in those with residual retroperitoneal masses.</span></span></p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"32 5","pages":"Article 151343"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138435772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frederick Rescorla , Bryan Dicken , Deborah Billmire , Brent Weil , Rebecca Stark , Arin Madenci , Akila Ramaraj
{"title":"Critical elements of pediatrics sacrococcygeal germ cell tumor surgery","authors":"Frederick Rescorla , Bryan Dicken , Deborah Billmire , Brent Weil , Rebecca Stark , Arin Madenci , Akila Ramaraj","doi":"10.1016/j.sempedsurg.2023.151344","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2023.151344","url":null,"abstract":"<div><p><span><span>Sacrococcygeal teratoma is the most common extragonadal </span>germ cell tumor<span> in the pediatric<span> population, and accounts for approximately 70% of all teratomas in childhood.</span></span></span><span><sup>1</sup></span><sup>,</sup><span><sup>2</sup></span><span><span> They present in two distinct phases, with most cases seen in neonates with large predominately exophytic tumors, often detected in utero on prenatal sonography<span> or at birth. A smaller cohort presents in older infants and children with primarily hidden tumors in the pelvis which have a much higher rate of </span></span>malignancy. The primary surgical objective is complete tumor resection without compromise to critical structures or function. Herein we outline the critical elements of tumor resection and management of sacrococcygeal germ cell tumors with a focus on the technical aspects of this tumor across a range of presentations.</span></p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"32 5","pages":"Article 151344"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138466093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jennifer H. Aldrink , Rodrigo Romao , Peter F. Ehrlich , Elisabeth Tracy , Kathleen Kieran , Andrew Davidoff , Richard Glick , Marcus Malek , Justin Huntington , Amanda F. Saltzman , Nicholas G. Cost , Robert C. Shamberger
{"title":"Radical nephroureterectomy for pediatric unilateral renal tumor","authors":"Jennifer H. Aldrink , Rodrigo Romao , Peter F. Ehrlich , Elisabeth Tracy , Kathleen Kieran , Andrew Davidoff , Richard Glick , Marcus Malek , Justin Huntington , Amanda F. Saltzman , Nicholas G. Cost , Robert C. Shamberger","doi":"10.1016/j.sempedsurg.2023.151339","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2023.151339","url":null,"abstract":"<div><p>Children with renal masses require surgical management to provide accurate surgical staging and skilled resection of the tumor. This document includes evidence-based recommendations for pediatric surgeons regarding the resection, staging, and proper nodal basin evaluation.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"32 5","pages":"Article 151339"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138435765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stephanie F. Polites , Daniel S. Rhee , Jonathan C. Routh , Timothy B. Lautz , David A. Rodeberg , Roshni Dasgupta
{"title":"Critical elements of pediatric rhabdomyosarcoma surgery","authors":"Stephanie F. Polites , Daniel S. Rhee , Jonathan C. Routh , Timothy B. Lautz , David A. Rodeberg , Roshni Dasgupta","doi":"10.1016/j.sempedsurg.2023.151341","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2023.151341","url":null,"abstract":"<div><p>Rhabdomyosarcoma<span> (RMS), the most common soft tissue sarcoma<span><span> in children, requires multimodal therapy which is determined by risk group stratification. Local control may be achieved by surgical resection, radiation, or both. Resection may occur upfront or following induction chemotherapy as a delayed primary excision. An R1 resection may allow a reduction in radiation exposure; however, debulking is not indicated nor is excision of residual masses at the end of therapy. Regional lymph node assessment is an important component of surgical care, as positive nodal basins require radiation. Depending on the tumor site and biology, </span>sentinel lymph node biopsy<span><span> vs biopsy of clinically or radiographically concerning nodes is indicated. Therapeutic lymph node dissection is never indicated. Familiarity with site-specific oncologic principles for RMS and participation in a multidisciplinary team including Pediatric Oncology and </span>Radiation Oncology are necessary components of surgical care to ensure optimal outcomes.</span></span></span></p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"32 5","pages":"Article 151341"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138472350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"fm i -- Contents","authors":"","doi":"10.1053/S1055-8586(23)00114-2","DOIUrl":"https://doi.org/10.1053/S1055-8586(23)00114-2","url":null,"abstract":"","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"32 5","pages":"Article 151367"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138557861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shahab A. Shaffiey , Hau D. Le , Emily Christison-Lagay , Elizabeth A. Fialkowski , Jennifer H. Aldrink , Christa N. Grant , Joshua N. Honeyman , Kevin C. Janek , Mary Beth Madonna , Daniel S. Rhee , Jed G. Nuchtern , Erika A. Newman , Michael P. LaQuaglia , Andrew M. Davidoff , Robert C. Shamberger , Marcus M. Malek
{"title":"Critical elements of pediatric neuroblastoma surgery","authors":"Shahab A. Shaffiey , Hau D. Le , Emily Christison-Lagay , Elizabeth A. Fialkowski , Jennifer H. Aldrink , Christa N. Grant , Joshua N. Honeyman , Kevin C. Janek , Mary Beth Madonna , Daniel S. Rhee , Jed G. Nuchtern , Erika A. Newman , Michael P. LaQuaglia , Andrew M. Davidoff , Robert C. Shamberger , Marcus M. Malek","doi":"10.1016/j.sempedsurg.2023.151338","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2023.151338","url":null,"abstract":"<div><p><span>Neuroblastoma (NB) is the most common solid extracranial </span>malignancy<span><span> of childhood with an incidence of 1 per 100,000 in the United States compromising approximately 10 % of childhood cancer. Unfortunately, patients with high-risk NG continue to have long-term survival less than 50 %. Both Children's Oncology<span> Group and the International Society of Paediatric Oncology have demonstrated the important role of surgery in the treatment<span> of high-risk NB. Herein, we compose the results of an extensive literature review as well as expert opinion from leaders in pediatric </span></span></span>surgical oncology, to present the critical elements of effective surgery for high-risk neuroblastoma.</span></p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"32 5","pages":"Article 151338"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138472348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brent R. Weil , Barrie S. Rich , Arin L. Madenci , Kathryn C. Stambough , Nicholas Schmoke , Alyssa Peace , Jennifer L. Bruny , Frederick J. Rescorla , Bryan J. Dicken , Jennifer E. Dietrich , Deborah F. Billmire
{"title":"Critical elements in the operative management of pediatric malignant ovarian germ cell tumors","authors":"Brent R. Weil , Barrie S. Rich , Arin L. Madenci , Kathryn C. Stambough , Nicholas Schmoke , Alyssa Peace , Jennifer L. Bruny , Frederick J. Rescorla , Bryan J. Dicken , Jennifer E. Dietrich , Deborah F. Billmire","doi":"10.1016/j.sempedsurg.2023.151342","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2023.151342","url":null,"abstract":"<div><p>Performance of the appropriate operation is highly important to ensure that any patient with a suspected ovarian germ cell tumor<span><span> receives optimal therapy that prioritizes cure while simultaneoulsy minimizing risk of short and long-term toxicities of treatment<span>. The following critical elements of any operative procedure performed for a suspected pediatric or adolescent ovarian germ cell tumor are reviewed: 1. Complete resection of the tumor via ipsilateral </span></span>oophorectomy while avoiding tumor rupture and spillage, and 2. Performance of complete intraperitoneal staging at the time of initial tumor resection.</span></p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"32 5","pages":"Article 151342"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138466092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Operative standards for pediatric cancer surgery","authors":"Roshni Dasgupta , John Doski , Kenneth W Gow","doi":"10.1016/j.sempedsurg.2023.151345","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2023.151345","url":null,"abstract":"","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"32 5","pages":"Article 151345"},"PeriodicalIF":1.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138472349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"fm i -- Contents","authors":"","doi":"10.1053/S1055-8586(23)00107-5","DOIUrl":"https://doi.org/10.1053/S1055-8586(23)00107-5","url":null,"abstract":"","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"32 4","pages":"Article 151360"},"PeriodicalIF":1.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138448955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tiffany Zens, Brielle Ochoa, R Scott Eldredge, Mark Molitor
{"title":"Pediatric venoarterial and venovenous ECMO","authors":"Tiffany Zens, Brielle Ochoa, R Scott Eldredge, Mark Molitor","doi":"10.1016/j.sempedsurg.2023.151327","DOIUrl":"https://doi.org/10.1016/j.sempedsurg.2023.151327","url":null,"abstract":"<div><p>Extracorporeal membrane oxygenation (ECMO) is an invaluable resource in the treatment of critically ill children with cardiopulmonary failure. To date, over 36,000 children have been placed on ECMO and the utilization of this life saving treatment continues to expand with advances in ECMO technology. This article offers a review of pediatric ECMO including modes and sites of ECMO cannulation, indications and contraindications, and cannulation techniques. Furthermore, it summarizes the basic principles of pediatric ECMO including circuit maintenance, nutritional support, and clinical decision making regarding weaning pediatric ECMO and decannulation. Finally, it gives an overview of common pediatric ECMO complications including overall mortality and long-term outcomes of ECMO survivors. The goal of this article is to provide a comprehensive review for healthcare professionals providing care for pediatric ECMO patients.</p></div>","PeriodicalId":49543,"journal":{"name":"Seminars in Pediatric Surgery","volume":"32 4","pages":"Article 151327"},"PeriodicalIF":1.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91964069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}