title: Vascular skeletalization: a new concept to improve the resection rate in childhood neuroblastoma.
abstract: OBJECTIVE
  The surgical resection rate in childhood neuroblastoma (Stage III and IV) is relatively low and influences the prognosis greatly. This study analyzes the primary resection rate neuroblastoma in children.
  
  
  METHODS
  The tumors are shrunk with pre-operative chemotherapy and surgical resection beginning from the iliac vessels is performed to skeletalize the large retroperitoneal vascular. Using this method, 22 cases of childhood neuroblastoma received resections and the outcomes were analyzed.
  
  
  RESULTS
  The tumors were completely removed in 21 out of the 22 cases (95.45% in total). There were no serious complications and perioperative deaths.
  
  
  CONCLUSIONS
  Using proper surgical methods and skeletalizing the large retroperitoneal vessels significantly increases the resection rate.
authors.affiliation: Department of General Surgery General Hospital of People's Liberation Army Beijing, Republic of China - liu2036@163.com.
authors.forename: Z
authors.initials: Z
authors.lastname: Liu
authors.forename: Y
authors.initials: Y
authors.lastname: Xiao
authors.forename: D
authors.initials: D
authors.lastname: Chen
authors.forename: Z
authors.initials: Z
authors.lastname: Wang
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000098:blood supply / Q000188:drug therapy / Q000601:surgery; D002445:Celiac Artery / Q000601:surgery; D017024:Chemotherapy, Adjuvant / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005240:Feasibility Studies; D005260:Female; D005728:Ganglia, Sympathetic / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007223:Infant; D008297:Male; D009447:Neuroblastoma / Q000098:blood supply / Q000188:drug therapy / Q000601:surgery; D011300:Preoperative Care / Q000379:methods; D012187:Retroperitoneal Space / Q000098:blood supply; D016896:Treatment Outcome