儿童腹部神经母细胞瘤手术技术探讨

儿童神经母细胞瘤(neuroblastoma,NB)是一种发生于交感神经系统的异质性实体肿瘤,最常见于腹膜后。手术在NB多学科治疗中起着重要的作用,其主要目的是切除肿瘤病灶和尽可能保持周围组织结构的完整。关于NB的最佳手术方案目前尚未达成共识。手术入路很大程度上取决于肿块的解剖位置及对周围组织的侵犯程度。本文结合文献及作者多年临床实践,探讨儿童腹部NB的手术技术。

Surgical treatment of neuroblastoma-problems and challenges

Pediatric Neuroblastoma(NB)is a heterogeneous solid tumor of the sympathetic nervous system.It most commonly develops in the abdomen.Surgery plays an important role in multidisciplinary treatment with the principal goal of removing the tumor focus while minimizing damage to surrounding structures.There has not been a consensus on the best surgical technique,and the operative approach largely depends on the anatomical location and the extension of the mass.This review summarizes the surgical techniques of abdominal NB resection by combining the literature review and author's years of clinical practice.