Cadaveric analysis of surgical techniques and working space for retroperitoneal tumors as model for improving resection of neuroblastoma

Cernaianu, Grigore and Franke, Greta and Kuehne, Nora Elena and Meurer, Miriam and Trobs, Ralf-Bodo and Eifinger, Frank and Duebbers, Martin and Scaal, Martin and Vahdad, Reza (2024) Cadaveric analysis of surgical techniques and working space for retroperitoneal tumors as model for improving resection of neuroblastoma. BMC SURGERY, 24 (1): 220. ISSN 1471-2482

Full text not available from this repository. (Request a copy)

Abstract

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. Result sThe 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
Uncontrolled Keywords: DEFINED RISK-FACTORS; RENAL-CELL CARCINOMA; TRANSPLANTATION TECHNIQUES; CLASSIFICATION-SYSTEM; MANAGEMENT; THROMBUS; EXCISION; PROGRAM; ANATOMY; Surgery; Technique; Cadaveric; Neuroblastoma; IDRF
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Kinder- und Jugendmedizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 13 Jan 2026 09:42
Last Modified: 13 Jan 2026 09:42
URI: https://pred.uni-regensburg.de/id/eprint/65447

Actions (login required)

View Item View Item