| Autor: |
Mayer BFB; Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital Tübingen, Hoppe-Seyler Straße 3, 72076 Tübingen, Germany., Schunn MC; Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital Tübingen, Hoppe-Seyler Straße 3, 72076 Tübingen, Germany., Urla C; Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital Tübingen, Hoppe-Seyler Straße 3, 72076 Tübingen, Germany., Schäfer JF; Division of Pediatric Radiology, Department of Diagnostic Radiology, University Hospital Tübingen, Hoppe-Seyler Straße 1, 72076 Tübingen, Germany., Fideler F; Department of Anesthesiology and Intensive Care Medicine, University Hospital Tübingen, Hoppe-Seyler Straße 1, 72076 Tübingen, Germany., Neunhoeffer F; Department of Pediatric Cardiology, Pulmonology and Intensive Care Medicine, University Children's Hospital Tübingen, Hoppe-Seyler Straße 3, 72076 Tübingen, Germany., Schuhmann MU; Division of Pediatric Neurosurgery, Department of Neurosurgery, University Hospital Tübingen, Hoppe-Seyler Straße 1, 72076 Tübingen, Germany., Warmann SW; Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital Tübingen, Hoppe-Seyler Straße 3, 72076 Tübingen, Germany., Fuchs J; Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital Tübingen, Hoppe-Seyler Straße 3, 72076 Tübingen, Germany. |
| Abstrakt: |
Solid tumors of the cervicothoracic junction, the posterior mediastinum, or bilateral dorsal thoracic tumors represent a challenge in pediatric surgical oncology. The aim of this study was to evaluate trap-door thoracotomy and clamshell thoracotomy as surgical approaches. A single-center retrospective study of children with solid tumors in these specific localizations was performed. From 2015 to 2023, 26 children (17 girls; 9 boys) were treated at a median age of 54 months (range 8-229). Tumor resection was performed for neuroblastoma ( n = 11); metastatic disease ( n = 7); malignant rhabdoid tumor ( n = 4); Ewing sarcoma ( n = 1); inflammatory myofibroblastic tumor ( n = 1); rhabdomyosarcoma ( n = 1); and neurofibroma ( n = 1). The surgical goal of macroscopic complete excision was achieved in all of the 14 children who underwent trap-door thoracotomy and in 11 of the 12 children who underwent clamshell thoracotomy. There were no major complications. At a median follow-up of 8 months (range 0-60), the disease was under local control or in complete remission in 66.7% of the children. In conclusion, surgical resection of solid tumors of the cervicothoracic junction in children can be performed safely and successfully with trap-door thoracotomy and with clamshell thoracotomy for posterior mediastinal or bilateral dorsal thoracic tumors. |
