Challenges of laparoscopic resection of abdominal neuroblastoma with lymphadenectomy - A preliminary report

Background: The laparoscopic procedure involving total resection of abdomin al neuroblastoma combined with lymph adenectomy has not been reviewed in En glish literature. The aim of this study was to evaluate the significance an d accuracy of laparoscopic resection of abdominal neuroblastoma. Methods: Since July 1997, five patients with abdominal neuroblastoma underw ent laparoscopic resection combined with lymphadenectomy or sampling of the lymph nodes. The length of operation, intraoperative blood loss, resect ab ility, and complications were retrospectively reviewed and evaluated. Results: Four cases were managed laparoscopically, but one case was convert ed to open procedure because of poor visualization around large vessels. Th e mean operation dime was 135 min and the intraoperative blood loss 52 ml. Conclusions: Good visualization of the primary tumor and large vessels is, arguably, the most important factor for successful completion of this proce dure laparoscopically. Precise indicators for laparoscopic resection of abd ominal neuroblastoma provide a better prognosis and a good quality of life for children with neuroblastoma.