title: Current surgical standards of care in Wilms tumor.
abstract: BACKGROUND
  Wilms tumor (WT) is the second most common abdominal tumor in children.
  
  
  METHODS
  This chapter discusses surgical considerations for the management of unilateral and bilateral WT.
  
  
  RESULTS
  Currently, survival exceeds 90%, owing to multicenter studies under the auspices of the Children's Oncology Group and Société Internationale d'Oncologie Pédiatrique. Surgical excision remains the mainstay of oncologic control and is also crucial for proper staging of disease in order to direct adjuvant therapy and limit treatment-related morbidity.
  
  
  CONCLUSIONS
  Careful attention must be paid to proper disease staging, upfront and adjuvant therapy, and surgical technique in order to optimize oncologic outcomes while minimizing short- and long-term morbidity.
authors.affiliation: Division of Urology, Seattle Children's Hospital, 4800 Sand Point Way NE, Seattle, WA 98109. Electronic address: kathleen.kieran@seattlechildrens.org.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Kieran
authors.affiliation: University of Michigan Health System, Ann Arbor, MI.
authors.forename: Peter F
authors.initials: PF
authors.lastname: Ehrlich
mesh_terms: D019468:Disease Management; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D059039:Standard of Care; D009396:Wilms Tumor / Q000601:surgery*
keywords: Pediatric; Surgery; Wilms tumor