title: Retroperitoneoscopic approach to the adrenal glands and retroperitoneal tumours in children: where do we stand?
abstract: Choosing the best way to approach adrenal gland and retroperitoneal tumours is still difficult. We reviewed our first 10 cases operated on by retroperitoneoscopy and compared this approach with other possible ways described in the literature. There were 2 intraoperative complications: 1 opening of the diaphragm and 1 bleeding. Tumour resection was always complete. There was no conversion. There were no postoperative complications. The retroperitoneoscopic approach for adrenalectomy and retroperitoneal tumour resection is increasingly being used. In children, operation is quite fast, without much blood loss and with spectacular postoperative recovery results. Even for the right side we advocate this approach, due to the particular anatomy (small tumour size, less fat, thinner muscle layers) in this age group. Trained surgeons are, of course, mandatory.
authors.affiliation: Department of Paediatric Surgery, Fondation Lenval pour Enfants, Nice, France. henri.steyaert@lenval.com
authors.forename: H
authors.initials: H
authors.lastname: Steyaert
authors.forename: M
authors.initials: M
authors.lastname: Juricic
authors.forename: C
authors.initials: C
authors.lastname: Hendrice
authors.forename: M A
authors.initials: MA
authors.lastname: Lembo
authors.forename: M
authors.initials: M
authors.lastname: Al Mohaidly
authors.forename: J
authors.initials: J
authors.lastname: Guitard
authors.forename: J S
authors.initials: JS
authors.lastname: Valla
mesh_terms: D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D002648:Child; D006801:Humans; D007223:Infant; D010535:Laparoscopy; D012186:Retroperitoneal Neoplasms / Q000601:surgery*