A technique for excision of abdominal and pelvic neuroblastomas

Ann R Coll Surg Engl. 2007 May;89(4):342-8. doi: 10.1308/003588407X179071.


Introduction: As neuroblastomas usually envelope major vessels, excision poses a significant technical problem.

Patients and methods: Over a 22-year period, 234 infants and children have undergone attempted surgical excision of abdominal or pelvic neuroblastomas using a consistent surgical approach. This entails a systematic dissection of the involved vessels prior to removal of the tumour.

Results: Macroscopically complete or near complete tumour clearance was achieved in 89% of cases. Three aortic injuries occurred which required repair.

Conclusions: The described technique is safe and reproducible and allows tumour clearance in the majority of affected children.

MeSH terms

  • Abdominal Neoplasms / diagnostic imaging
  • Abdominal Neoplasms / surgery*
  • Child
  • Female
  • Humans
  • Intraoperative Complications / etiology
  • Male
  • Neuroblastoma / diagnostic imaging
  • Neuroblastoma / surgery*
  • Pelvic Neoplasms / diagnostic imaging
  • Pelvic Neoplasms / surgery*
  • Tomography, X-Ray Computed