caa a22 4500 475780175 CHVBK 20180406123642.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s004640000033 doi (NATIONALLICENCE)springer-10.1007/s004640000033 Minimally invasive surgery and clinical decision-making for pediatric malignancy [Elektronische Daten] [J. H. T. Waldhausen, D. Tapper, R. S. Sawin] Background: Minimally invasive surgery (MIS) is an ideal way to obtain biopsy specimens in children with cancer. We examined the safety, reliability and outcome of decisions made based on tissue obtained using MIS. Methods: Fifty-nine oncology patients underwent 62 MIS procedures between January 1994 and July 1998. Complications, biopsy results, and outcomes were reviewed. Results: The study population comprised 32 boys and 27 girls, with an average age of 8.8 years. There were 47 thoracoscopic and 15 laparoscopic operations. Laparoscopic procedures included initial biopsy, determination of resectability, and second-look exam. Thoracoscopic procedures included 40 lung biopsies and seven biopsies/resections of mediastinal masses. Diagnostic accuracy was 100% in all cases. No patient was found retrospectively to have been inadequately treated based on decisions made from tissue obtained by MIS. Conclusion: MIS is a safe and accurate means of obtaining tissue in pediatric oncology patients. Treatment decisions can be made accurately and with confidence using these techniques. Springer-Verlag New York Inc., 2000 Key words: Cancer — Children — Laparoscopy — Thoracoscopy nationallicence Waldhausen J. H. T. Department of Surgery, Children's Hospital and Regional Medical Center University of Washington School of Medicine, 4800 Sand Point Way NE, Seattle, WA 98105, USA, USA aut Tapper D. Department of Surgery, Children's Hospital and Regional Medical Center University of Washington School of Medicine, 4800 Sand Point Way NE, Seattle, WA 98105, USA, USA aut Sawin R. S. Department of Surgery, Children's Hospital and Regional Medical Center University of Washington School of Medicine, 4800 Sand Point Way NE, Seattle, WA 98105, USA, USA aut Surgical Endoscopy Springer-Verlag 14/3(2000-03-01), 250-253 0930-2794 14:3<250 2000 14 464 https://doi.org/10.1007/s004640000033 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000033 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Waldhausen J. H. T. Department of Surgery, Children's Hospital and Regional Medical Center University of Washington School of Medicine, 4800 Sand Point Way NE, Seattle, WA 98105, USA, USA aut NATIONALLICENCE 700 1- Tapper D. Department of Surgery, Children's Hospital and Regional Medical Center University of Washington School of Medicine, 4800 Sand Point Way NE, Seattle, WA 98105, USA, USA aut NATIONALLICENCE 700 1- Sawin R. S. Department of Surgery, Children's Hospital and Regional Medical Center University of Washington School of Medicine, 4800 Sand Point Way NE, Seattle, WA 98105, USA, USA aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/3(2000-03-01), 250-253 0930-2794 14:3<250 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer