title: [Laparoscopy in oncological pediatrics].
abstract: Laparoscopy permits direct inspection of the peritoneal cavity. Its role is very important in oncology both in the adult and in the pediatric patient. From 1973 to 1985, 147 laparoscopies were performed on 137 patients, aged 2-16; indications were: definition of the nature of neoplastic disease in 8 cases, staging of known neoplasia in 132, restaging in 7. On Hodgkin's disease, splenic involvement in 8/113 cases was revealed by laparoscopy with biopsy. Histological examination was positive in 4 out of 22 cases of ovarian tumors. Morbidity was 1.2%. Although a laparotomy performed after laparoscopy has shown some false negatives, in most cases the clinical and instrumental follow-up has proved reliability of laparoscopic examination.
authors.affiliation: Divisione di Endoscopia, Istituto Nazionale per lo Studio e la Cura dei Tumori, Milano, Italia.
authors.forename: P
authors.initials: P
authors.lastname: Spinelli
authors.forename: P
authors.initials: P
authors.lastname: Pizzetti
authors.forename: C
authors.initials: C
authors.lastname: Lo Gullo
authors.forename: P
authors.initials: P
authors.lastname: Politi
authors.forename: F
authors.initials: F
authors.lastname: Morandi
mesh_terms: D000293:Adolescent; D001706:Biopsy; D002648:Child; D002675:Child, Preschool; D005069:Evaluation Studies as Topic; D005260:Female; D006689:Hodgkin Disease / Q000473:pathology; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000473:pathology; D010534:Peritoneal Neoplasms / Q000473:pathology; D013160:Splenic Neoplasms / Q000473:pathology
vernacular_title: La laparoscopia in pediatria oncologica.