Open AccessNephrectomy in children with wilms' tumor: 15 years of experience with “Tumor Delivery Technique”
Author(s) -
Yoram Mor,
Dorit E. Zilberman,
Roy Morag,
Jacob Ramon,
Chaim Churi,
Itamar Avigad
Publication year - 2018
Publication title -
african journal of paediatric surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.163
H-Index - 17
eISSN - 0189-6725
pISSN - 0974-5998
DOI - 10.4103/ajps.ajps_113_16
Subject(s) - medicine , wilms' tumor , nephrectomy , interquartile range , surgery , abdominal mass , kidney
The contemporary surgical approach to Wilms' tumors follows that used in adults with renal cell carcinomas, namely, early occlusion of the renal vessels and then removal of the kidney as an intact mass. For years, the surgical approach at our institution has been different, starting with blunt separation of the kidney from the surrounding tissues, followed by its delivery outside the abdominal cavity while it is only attached to the major blood vessels which are subsequently ligated. We aimed to present this "tumor delivery technique" and evaluate its outcomes.