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Minimally Invasive Uro-Oncology

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Pediatric Endourology Techniques

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Abstract

Despite advances in minimally invasive surgery and the increasing adoption of such techniques in pediatric urology, there remains a paucity of data or evidence-based recommendations for its use for pediatric or adolescent urologic oncology. However, there are a number of malignancies managed by urologic surgeons which have surgical indications that may be reasonably approached by minimally invasive surgery. There exist published reports of various adrenal (neuroblastoma), renal (Wilms tumor and renal cell carcinoma), testicular (germ cell tumor), and paratesticular (rhabdomyosarcoma) malignancies in children which have been managed with laparoscopy or robotic-assisted laparoscopy. Also, childhood prostate and bladder tumors, such as rhabdomyosarcoma, are routinely approached initially by endoscopy. The history of endoscopy and laparoscopy in pediatric urologic oncology provides a foundation for its current indications. In this chapter we will review the surgical techniques (including patient positioning, port placement, and selection of surgical instrumentation) and suggestions for approaching pediatric and adolescent urologic malignancies with minimally invasive surgery.

Additionally, we will review potential complications and critically discuss the controversy surrounding its use.

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Abbreviations

COG:

Children’s Oncology Group

IDRFs:

Image-Defined Risk Factors

IMT:

Inflammatory Myofibroblastic Tumors

IPEG:

International Pediatric Endosurgery Group

IV:

Intravenous

IVC:

Inferior Vena Cava

LN:

Lymph Node

MIS:

Minimally Invasive Surgery

NSS:

Nephron-Sparing Surgery

PT-RMS:

Paratesticular Rhabdomyosarcoma

RCC:

Renal Cell Carcinoma

RMS:

Rhabdomyosarcoma

RN:

Radical Nephrectomy

RPLND:

Retroperitoneal Lymph Node Dissection

SIOP:

International Society of Pediatric Oncology

T-GCT:

Testicular Germ Cell Tumors

TUR:

Transurethral Resection

WT:

Wilms Tumor

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Author information

Authors and Affiliations

  1. Division of Urology Pediatric Urology and Urologic Oncology, Department of Surgery, University of Colorado Anschutz Medical Campus, Children’s Hospital Colorado and University of Colorado Hospital, 13123 East, 16th Avenue, B 463, Aurora, Colorado, USA

    Nicholas G. Cost MD

  2. Minimally Invasive Surgery, Division of Pediatric Urology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

    Paul H. Noh MD

Authors
  1. Nicholas G. Cost MD
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  2. Paul H. Noh MD
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Corresponding author

Correspondence to Nicholas G. Cost MD .

Editor information

Editors and Affiliations

  1. Sheffield Children's NHS Foundation Trust, Sheffield, United Kingdom

    Prasad P. Godbole

  2. Hospital for Sick Children, Toronto, Ontario, Canada

    Martin A. Koyle

  3. The Children's Hospital, Aurora, Colorado, USA

    Duncan T. Wilcox

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© 2014 Springer-Verlag London

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Cost, N.G., Noh, P.H. (2014). Minimally Invasive Uro-Oncology. In: Godbole, P., Koyle, M., Wilcox, D. (eds) Pediatric Endourology Techniques. Springer, London. https://doi.org/10.1007/978-1-4471-5394-8_31

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  • DOI: https://doi.org/10.1007/978-1-4471-5394-8_31

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5393-1

  • Online ISBN: 978-1-4471-5394-8

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