Детская хирургия. Журнал им. Ю.Ф. Исакова. 2022; 26: 87-95
Лапароскопические резекции почек у детей с нефробластомой (обзор литературы)
https://doi.org/10.55308/1560-9510-2022-26-2-87-95Аннотация
Введение. Нефробластома – третья по распространённости солидная опухоль детского возраста, её доля составляет 7–8% от общего числа солидных опухолей у детей. В настоящее время не существует однозначной позиции онкохирургов относительно проведения лапароскопической резекции почки у пациентов с нефробластомами, описанные в мировой литературе случаи единичны.
Цель – подтвердить возможность выполнения лапароскопической резекции почек у пациентов с нефробластомой.
Материал и методы. В статье представлено описание двух клинических случаев выполнения лапароскопических резекций почки у пациентов с нефробластомами, в том числе описана одномоментная двухсторонняя лапароскопическая резекция почек при билатеральной нефробластоме.
Результаты. На момент написания статьи пациенты в клинико-инструментальной ремиссии в течение 6 и 11 мес соответственно.
Заключение. Показания для выполнения лапароскопических резекций почек при нефробластоме: I стадия, периферическое расположение опухолевого узла с преимущественно экстраренальным ростом, ответ на химиотерапию, отсутствие кистозного компонента опухоли.
Список литературы
1. Pastore G. et al. Malignant renal tumours incidence and survival in European children (1978–1997): report from the Automated Childhood Cancer Information System project. Eur. J. Cancer. 2006; 42: 2103–14 .
2. D’Angio G.J., Evans A.E., Breslow N., Beckwith B., Bishop H., Feigl P., et al. The treatment of Wilms’ tumor: results of the national Wilms’ tumor study. Cancer. 1976; 38: 633-46.
3. Weirich A., Ludwig R., Graf N., Abel U., Leuschner I., Vujanic G.M., et al. Survival in nephroblastoma treated according to the trial and study SIOP-9/GPOH with respect to relapse and morbidity. Ann Oncol. 2004; 15: 808-20.
4. Green D.M. The treatment of stages I-IV favorable histology Wilms’ tumor. J Clin Oncol. 2004; 22(8): 1366-72.
5. Godzinski J., Tournade M.F., deKraker J., Lemerle J., Voute P.A., Weirich A., et al. Rarity of surgical complications after postchemotherapy nephrectomy for nephroblastoma. Experience of the international society of paediatric oncology trial and study “SIOP-9”. International society of paediatric oncology nephroblastoma trial and study committee. Eur J Pediatr Surg. 1998; 8: 83-6.
6. Stehr M., Deilmann K., Haas R.J., Dietz H.-G. Surgical complications in the treatment of Wilms’ tumor. Eur J Pediatr Surg. 2005; 15: 414-9.
7. Fuchs J., Kienecker K., Furtwa¨ngler R., Warmann S.W., Bu¨rger D., Thu¨rhoff J.W., et al. Surgical aspects in the treatment of patients with unilateral Wilms tumor a report from the SIOP 93-01/German Society of Pediatric Oncology and Hematology. Ann Surg. 2009; 249: 666-71.
8. Duarte R.J., Denes F.T., Cristofani L.M., Giron A.M., Filho V.O., Arap S. Laparoscopic nephrectomy for Wilms tumor after chemotherapy; initial experience. J Urol. 2004 Oct; 172(4 Pt 1): 1438-40.
9. Duarte R.J., Cristofani L.M., Odone Filho V., Srougi M., De´nes F.T. Videolaparoscopic radical nephrectomy after chemotherapy in the treatment of Wilms’ tumor: long-term results of a pioneer group. J Pediatr Urol. 2017 Feb; 13(1): 50.e1-5.
10. Varlet F., Petit T., Leclair M.D., Lardy H., Geiss S., Becmeur F., et al. Laparoscopic treatment of renal cancer in children: a multicentric study and review of oncologic and surgical complications. J Pediatr Urol. 2014 Jun; 10(3): 500-5.
11. Romao R.L., Weber B., Gerstle J.T., Grant R., Pippi Salle J.L., Ba¨gli D.J., et al. Comparison between laparoscopic and open radical nephrectomy for the treatment of primary renal tumors in children: single-center experience over a 5-year period. J Pediatr Urol. 2014 Jun; 10(3): 488-94.
12. Warmann S.W., Godzinski J., van Tinteren H., Heij H., Powis M., Sandstedt B., et al. Minimally invasive nephrectomy for Wilms tumors in children e data from SIOP 2001. J Ped Surg. 2014; 49: 1544-8.
13. Burnand K., Roberts A., Bouty A., Nightingale M., Campbell M., Heloury Y. Laparoscopic nephrectomy for Wilms’ tumor: Can we expand on the current SIOP criteria? J Pediatr Urol. 2018; 14(3): 253.e1-253.e8
14. UMBRELLA PROTOCOL SIOP-RTSG. 2016; 1-336. https://www.siop-rtsg.eu
15. Wilms M. Die Mischgescwülste. Leipzig, Germany: 1899.
16. Blute M.L., Kelalis P.P., Offord K.P., et al. Bilateral Wilms tumor. J Urol. 1987; 138: 968.
17. Giel D.W., Williams M.A., Jones D.P., et al. Renal function outcomes in patients treated with nephron sparing surgery for bilateral Wilms tumor. J Urol. 2007; 178: 1786.
18. Cozzi F., Schiavetti A., Morini F., et al. Renal function adaptation in children with unilateral renal tumors treated with nephron sparing surgery or nephrectomy. J Urol. 2005; 174: 1404.
19. Haecker F.M., von Schweinitz D., Harms D., et al. Partial nephrectomy for unilateral Wilms tumor: results of study SIOP 9301/GPOH. J Urol. 2003; 170: 939.
20. SIOP WT. 2001; 1-171. https://www.siop-rtsg.eu
21. Rand N. Wilcox Vanden Berg, Emily N. Bierman, Megan Van Noord, Henry E. Rice, Jonathan C. Routh Nephron-sparing surgery for Wilms tumor: A systematic review. J uroloncol. 2016; 34 (1): 24-32.
22. Piché N., Barrieras D. Minimally invasive nephron-sparing surgery for unilateral Wilms tumor. J Ped Surg. 2012; 47: E1–4.
23. Lopez L., Copete M., Villamizar P. Cirugнa ahorradora de nefronas laparoscуpica para tumor de Wilms. Cir Pediatr. 2016; 29: 31-4.
24. Hong Mei, Liduan Zheng, Chengkai Zhou, Qiangsong Tong. Metanephric Adenoma in a 2-year-old Child: Case Report and Immunohistochemical Observations. J Pediatr Hematol Oncol. 2010; 32: 489–93.
25. Rauth T.P., Slone J., Crane G., Correa H., Friedman D.L., Lovvorn H. N. III. Laparoscopic nephron-sparing resection of synchronous Wilms tumors in a case of hyperplastic perilobar nephroblastomatosis. Journal of Pediatric Surgery. 2011; 46: 983–8.
26. Lopes R.I., Ming J., Koyle M.A., Grant R., Fonseca A., Lorenzo A.J. “Zero-ischemia” laparoscopic-assisted partial nephrectomy for the management of selected children with Wilms’ tumors following neoadjuvant chemotherapy. Accepted Manuscript. Toronto: 2016; 1-28.
27. Chan-Hon Chui, Anselm Chi-Wai Lee. Peritoneal metastases after laparoscopic nephron-sparing surgery for localized Wilms tumor. Journal of Pediatric Surgery. 2011; 46: 19–21.
Russian Journal of Pediatric Surgery. 2022; 26: 87-95
Laparoscopic kidney resections in children with nephroblastoma (а literature review)
https://doi.org/10.55308/1560-9510-2022-26-2-87-95Abstract
Introduction. Nephroblastoma is the third most common solid tumor in childhood, accounting for 7–8% of the total number of solid tumors in children. Currently, there is no unequivocal position of oncosurgeons regarding laparoscopic nephrectomy in patients with nephroblastomas; the cases described in the world literature are rare.
Purpose. To find out the effectiveness of laparoscopic kidney resection in children with nephroblastoma.
Materials and methods. The authors describe two clinical cases of laparoscopic nephrectomy in patients with nephroblastoma, including one-stage bilateral laparoscopic nephrectomy for bilateral nephroblastoma.
Results. At the time of article writing, the two patients were in clinical and instrumental remission for 6 and 11 months, respectively.
Conclusion. Indications for laparoscopic kidney resections in nephroblastoma: stage I, peripheral location of the tumor node with predominant extrarenal growth, response to chemotherapy, absence of the cystic component of the tumor.
References
1. Pastore G. et al. Malignant renal tumours incidence and survival in European children (1978–1997): report from the Automated Childhood Cancer Information System project. Eur. J. Cancer. 2006; 42: 2103–14 .
2. D’Angio G.J., Evans A.E., Breslow N., Beckwith B., Bishop H., Feigl P., et al. The treatment of Wilms’ tumor: results of the national Wilms’ tumor study. Cancer. 1976; 38: 633-46.
3. Weirich A., Ludwig R., Graf N., Abel U., Leuschner I., Vujanic G.M., et al. Survival in nephroblastoma treated according to the trial and study SIOP-9/GPOH with respect to relapse and morbidity. Ann Oncol. 2004; 15: 808-20.
4. Green D.M. The treatment of stages I-IV favorable histology Wilms’ tumor. J Clin Oncol. 2004; 22(8): 1366-72.
5. Godzinski J., Tournade M.F., deKraker J., Lemerle J., Voute P.A., Weirich A., et al. Rarity of surgical complications after postchemotherapy nephrectomy for nephroblastoma. Experience of the international society of paediatric oncology trial and study “SIOP-9”. International society of paediatric oncology nephroblastoma trial and study committee. Eur J Pediatr Surg. 1998; 8: 83-6.
6. Stehr M., Deilmann K., Haas R.J., Dietz H.-G. Surgical complications in the treatment of Wilms’ tumor. Eur J Pediatr Surg. 2005; 15: 414-9.
7. Fuchs J., Kienecker K., Furtwa¨ngler R., Warmann S.W., Bu¨rger D., Thu¨rhoff J.W., et al. Surgical aspects in the treatment of patients with unilateral Wilms tumor a report from the SIOP 93-01/German Society of Pediatric Oncology and Hematology. Ann Surg. 2009; 249: 666-71.
8. Duarte R.J., Denes F.T., Cristofani L.M., Giron A.M., Filho V.O., Arap S. Laparoscopic nephrectomy for Wilms tumor after chemotherapy; initial experience. J Urol. 2004 Oct; 172(4 Pt 1): 1438-40.
9. Duarte R.J., Cristofani L.M., Odone Filho V., Srougi M., De´nes F.T. Videolaparoscopic radical nephrectomy after chemotherapy in the treatment of Wilms’ tumor: long-term results of a pioneer group. J Pediatr Urol. 2017 Feb; 13(1): 50.e1-5.
10. Varlet F., Petit T., Leclair M.D., Lardy H., Geiss S., Becmeur F., et al. Laparoscopic treatment of renal cancer in children: a multicentric study and review of oncologic and surgical complications. J Pediatr Urol. 2014 Jun; 10(3): 500-5.
11. Romao R.L., Weber B., Gerstle J.T., Grant R., Pippi Salle J.L., Ba¨gli D.J., et al. Comparison between laparoscopic and open radical nephrectomy for the treatment of primary renal tumors in children: single-center experience over a 5-year period. J Pediatr Urol. 2014 Jun; 10(3): 488-94.
12. Warmann S.W., Godzinski J., van Tinteren H., Heij H., Powis M., Sandstedt B., et al. Minimally invasive nephrectomy for Wilms tumors in children e data from SIOP 2001. J Ped Surg. 2014; 49: 1544-8.
13. Burnand K., Roberts A., Bouty A., Nightingale M., Campbell M., Heloury Y. Laparoscopic nephrectomy for Wilms’ tumor: Can we expand on the current SIOP criteria? J Pediatr Urol. 2018; 14(3): 253.e1-253.e8
14. UMBRELLA PROTOCOL SIOP-RTSG. 2016; 1-336. https://www.siop-rtsg.eu
15. Wilms M. Die Mischgescwülste. Leipzig, Germany: 1899.
16. Blute M.L., Kelalis P.P., Offord K.P., et al. Bilateral Wilms tumor. J Urol. 1987; 138: 968.
17. Giel D.W., Williams M.A., Jones D.P., et al. Renal function outcomes in patients treated with nephron sparing surgery for bilateral Wilms tumor. J Urol. 2007; 178: 1786.
18. Cozzi F., Schiavetti A., Morini F., et al. Renal function adaptation in children with unilateral renal tumors treated with nephron sparing surgery or nephrectomy. J Urol. 2005; 174: 1404.
19. Haecker F.M., von Schweinitz D., Harms D., et al. Partial nephrectomy for unilateral Wilms tumor: results of study SIOP 9301/GPOH. J Urol. 2003; 170: 939.
20. SIOP WT. 2001; 1-171. https://www.siop-rtsg.eu
21. Rand N. Wilcox Vanden Berg, Emily N. Bierman, Megan Van Noord, Henry E. Rice, Jonathan C. Routh Nephron-sparing surgery for Wilms tumor: A systematic review. J uroloncol. 2016; 34 (1): 24-32.
22. Piché N., Barrieras D. Minimally invasive nephron-sparing surgery for unilateral Wilms tumor. J Ped Surg. 2012; 47: E1–4.
23. Lopez L., Copete M., Villamizar P. Cirugna ahorradora de nefronas laparoscupica para tumor de Wilms. Cir Pediatr. 2016; 29: 31-4.
24. Hong Mei, Liduan Zheng, Chengkai Zhou, Qiangsong Tong. Metanephric Adenoma in a 2-year-old Child: Case Report and Immunohistochemical Observations. J Pediatr Hematol Oncol. 2010; 32: 489–93.
25. Rauth T.P., Slone J., Crane G., Correa H., Friedman D.L., Lovvorn H. N. III. Laparoscopic nephron-sparing resection of synchronous Wilms tumors in a case of hyperplastic perilobar nephroblastomatosis. Journal of Pediatric Surgery. 2011; 46: 983–8.
26. Lopes R.I., Ming J., Koyle M.A., Grant R., Fonseca A., Lorenzo A.J. “Zero-ischemia” laparoscopic-assisted partial nephrectomy for the management of selected children with Wilms’ tumors following neoadjuvant chemotherapy. Accepted Manuscript. Toronto: 2016; 1-28.
27. Chan-Hon Chui, Anselm Chi-Wai Lee. Peritoneal metastases after laparoscopic nephron-sparing surgery for localized Wilms tumor. Journal of Pediatric Surgery. 2011; 46: 19–21.
