Universität zu Köln

Cernaianu, Grigore ORCID: 0000-0003-0616-6151, Franke, Greta, Kühne, Nora Elena, Meurer, Miriam, Trobs, Ralf-Bodo, Eifinger, Frank ORCID: 0000-0003-1758-6039, Dübbers, Martin and Scaal, Martin ORCID: 0000-0001-5654-6895 (2024). Cadaveric analysis of surgical techniques and working space for retroperitoneal tumors as model for improving resection of neuroblastoma. BMC Surgery, 24. pp. 1-13. Springer Nature. ISSN 1471-2482

PDF s12893-024-02508-x.pdf Bereitstellung unter der CC-Lizenz: Creative Commons Attribution. Download (8MB)

Abstract

[Artikel-Nr.: 220] Purpose: Neuroblastoma, the most common extracranial solid tumor in children under 5 years, often surrounds visceral arteries. This study aimed to analyze the working space provided by standardized surgical techniques at key arterial landmarks in adult cadavers. Methods: We assessed in eight adult cadavers the mobilization of the left colon, spleen and pancreas, right colon, duodenum and mesenteric root, access to the bursa omentalis. The average working space score (AWSS) was evaluated at the left and right renal artery, left and right side of the coeliac trunk, superior mesenteric and common hepatic artery. The score was defined as: (0) vessel not visible, (1) working space at the vessel ≤ 1x diameter of the aorta, (2) < 3x the diameter of the aorta, (3) ≥ 3x diameter of the aorta. Results: The maximum AWSS of 3 was achieved at key vascular landmarks through specific mobilization techniques. Conclusion: Additional mobilization of spleen, pancreas and mesenteric root and access to the bursa omentalis increase surgical working space at major visceral arteries. The results of our investigation provide surgeons with a useful guide to prepare for abdominal neuroblastoma resection.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Cernaianu, Grigore UNSPECIFIED https://orcid.org/0000-0003-0616-6151 UNSPECIFIED Franke, Greta gretafranke@web.de UNSPECIFIED UNSPECIFIED Kühne, Nora Elena UNSPECIFIED UNSPECIFIED UNSPECIFIED Meurer, Miriam UNSPECIFIED UNSPECIFIED UNSPECIFIED Trobs, Ralf-Bodo UNSPECIFIED UNSPECIFIED UNSPECIFIED Eifinger, Frank UNSPECIFIED https://orcid.org/0000-0003-1758-6039 UNSPECIFIED Dübbers, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Scaal, Martin UNSPECIFIED https://orcid.org/0000-0001-5654-6895 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-815929
Identification Number:	10.1186/s12893-024-02508-x
Journal or Publication Title:	BMC Surgery
Volume:	24
Page Range:	pp. 1-13
Date:	2024
Publisher:	Springer Nature
ISSN:	1471-2482
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Kinder- und Jugendmedizin > Klinik und Poliklinik für Kinder- und Jugendmedizin
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language Surgery ; Technique ; Cadaveric ; Neuroblastoma ; IDRF English
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/81592