Nephron-sparing surgery for Wilms tumor

The algorithm that has been used successfully in the surgical management of unilateral Wilms tumor, radical nephroureterectomy, cannot be used in children who present with synchronous bilateral renal masses. Instead, a surgical approach that removes all tumor masses while preserving as much normal r...

Full description

Saved in:
Bibliographic Details
Published inFrontiers in pediatrics Vol. 11; p. 1122390
Main Authors Murphy, Andrew J, Davidoff, Andrew M
Format Journal Article
LanguageEnglish
Published Switzerland Frontiers Media S.A 20.01.2023
Subjects
bilateral
kidney
nephron-sparing surgery
partial nephrectomy
pediatric
Pediatrics
Wilms tumor
kidney
nephron-sparing surgery
partial nephrectomy
Wilms tumor
bilateral
pediatric
Online AccessGet full text

Cover

More Information
Summary:The algorithm that has been used successfully in the surgical management of unilateral Wilms tumor, radical nephroureterectomy, cannot be used in children who present with synchronous bilateral renal masses. Instead, a surgical approach that removes all tumor masses while preserving as much normal renal parenchyma as possible is encouraged to avoid acute and long-term renal insufficiency. We will review technical aspects of the conduct of nephron-sparing surgery for synchronous bilateral Wilms tumor, including the more recent advances in the use of imaging adjuncts such as pre-operative 3D imaging and fluorescence-guided surgery. The potential role of nephron-sparing surgery for unilateral Wilms tumor will also be discussed.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
Reviewed by: Gianantonio Manzoni, IRCCS Ca 'Granda Foundation Maggiore Policlinico Hospital, Italy Gilvydas Verkauskas, Vilnius University, Lithuania
Specialty Section: This article was submitted to Pediatric Oncology, a section of the journal Frontiers in Pediatrics
Edited by: Huanmin Wang, Capital Medical University, China
ISSN:2296-2360
2296-2360
DOI:10.3389/fped.2023.1122390