title: Technological update of the video-endoscopic approach of the diagnosis and staging of tumors in children.
abstract: The pediatric patient is often difficult to diagnose, especially since the surgical pathology is tumoral. Establishing the histopathological diagnosis of a tumor, staging of a disease and certifying the existence of rare pediatric affections are three of the motives for which the specialists frequently appeal to an exploratory laparoscopy, accompanied by biopsy procedures. The paper presents the laparoscopic biopsy experience of the team from the Department of Pediatric Surgery, "Maria Skłodowska Curie" Emergency Clinical Hospital for Children, Bucharest, Romania. From 2000 to 2013, 95 such procedures were performed (7.76% of a total of 1224 laparoscopic interventions). In many cases, the laparoscopy had an exclusive diagnostic purpose, of whose success has been primarily responsible the targeted biopsy. Current issues are discussed, centered on the most advanced technologies used in minimally invasive approach of pediatric malignancies, referring to the effect of minimizing the possible complications that can arise from this type of intervention. The authors concluded that laparoscopic technique is the method of choice in comparison to other ways of biopsy (classical surgery, ultrasound guidance, tomography, etc.), and it is characterized by a high diagnostic value.
authors.affiliation: Department of Pediatric Surgery, "Maria Sklodowska Curie" Emergency Hospital for Children, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania; isabelamagdalena@yahoo.com.
authors.forename: Isabela Magdalena
authors.initials: IM
authors.lastname: Drăghici
authors.forename: Dragoş-Constantin
authors.initials: DC
authors.lastname: Luca
authors.forename: Maria-Delia
authors.initials: MD
authors.lastname: Popescu
authors.forename: Liviu
authors.initials: L
authors.lastname: Drăghici
mesh_terms: D001706:Biopsy; D053704:Capsule Endoscopy / Q000379:methods*; D002648:Child; D006801:Humans; D010535:Laparoscopy; D008099:Liver / Q000473:pathology; D008198:Lymph Nodes / Q000473:pathology; D009367:Neoplasm Staging; D009369:Neoplasms / Q000175:diagnosis* / Q000473:pathology*; D009928:Organ Specificity