Minimal Access Cancer Management in Children

  • Edward P. Tagge


Early in the 1970s, two pediatric surgeons assisted in the development of the first endoscopic instruments suitable for use in children.1–3 In his 1973 landmark paper, Dr. Stephen L. Gans reported on the use of a miniaturized telescope with a Hopkins rod lens optical system to perform peritoneoscopy in 16 children, including five cases of sexual identity problems, four cases of possible biliary atresia, four cases of hepatomegaly, one intraabdominal foreign body, one newborn with ascites, and one child with deep jaundice.1 In 1976 Dr. Bradley M. Rodgers reported on his use of thoracoscopic biopsy for nine children.4


Laparoscopic Cholecystectomy Biliary Atresia Minimally Invasive Surgery Laparoscopic Appendectomy Laparoscopic Splenectomy 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Gans SL, Berci G. Peritoneoscopy in infants and children. J Pediatr Surg 1973; 8: 399–405PubMedCrossRefGoogle Scholar
  2. 2.
    Gans SL, Berci G. Advances in endoscopy os infants and children. J Pediatr Surg 1971; 6: 199–233PubMedCrossRefGoogle Scholar
  3. 3.
    Rodgers BM, Talbert JL, Moazam F. Thoracic endoscopy in children. JFla Med Assoc 1979; 66: 1013–1015.Google Scholar
  4. 4.
    Rodgers BM, Talbert JL. Thoracoscopy for diagnosis of intrathoracic lesions in children. J Pediatr Surg 1976; 11: 703–708.PubMedCrossRefGoogle Scholar
  5. 5.
    Karamehmedovic O, Dangel P, Hirsig J, et al. Laparoscopy in childhood. J Pediatr Surg 1977; 12: 75–81.PubMedCrossRefGoogle Scholar
  6. 6.
    Rodgers BM, Ryckman FC, Moazam F, et al. Thoracoscopy for intrathoracic tumors. Ann Thorac Surg 1981; 31: 414–420.PubMedCrossRefGoogle Scholar
  7. 7.
    Ryckman FC, Rodgers BM. Thoracoscopy for intrathoracic neoplasia in children. J Pediatr Surg 1982; 17: 521–524.PubMedCrossRefGoogle Scholar
  8. 8.
    Semm K. Endoscopic appendectomy. Endoscopy 1983; 15: 59–64.PubMedCrossRefGoogle Scholar
  9. 9.
    Leape LL, Ramenofsky ML. Laparoscopy in children. Pediatrics 1980; 66: 215–220.PubMedGoogle Scholar
  10. 10.
    Leape LL, Ramenofsky ML. Laparoscopy for questionable appendicitis: can it reduce the negative appendectomy rate? Ann Surg 1980; 191: 410–413.PubMedCrossRefGoogle Scholar
  11. 11.
    Rodgers BM. Thoracoscopy in childhood malignancy. J Fla Med Assoc 1979; 66: 620–622.PubMedGoogle Scholar
  12. 12.
    Reddick EJ, Olsen DO. Laparoscopic laser cholecystectomy. A comparison with mini-lap cholecystectomy. Surg Endosc 1989; 3: 131–133.PubMedCrossRefGoogle Scholar
  13. 13.
    Dubois F, Icard P, Berthelot G, et al. Coelioscopic cholecystectomy. Preliminary report of 36 cases. Ann Surg 1990; 211: 60–62.PubMedCrossRefGoogle Scholar
  14. 14.
    Lobe TE. Evolving laparoscopic and thoracoscopic procedures in infants and children. In: Gadacz TR, Howell CG, eds. Laparoscopic Surgery. Ontario: Decker, 1993: 184–204.Google Scholar
  15. 15.
    Schier F. Laparoscopic appendectomy with 1.7-mm instruments. Pediatr Surg Int 1998; 14: 142–143.PubMedCrossRefGoogle Scholar
  16. 16.
    Hopkins HH. Optical principles of the endoscope. In: Berci G, ed. Endoscopy. New York: Appleton-Century-Crofts, 1976: 3–26.Google Scholar
  17. 17.
    Kavoussi LR, Kerbl K, Capelouto CC, et al. Laparoscopic nephrectomy for renal neoplasms. Urology 1993; 42: 603–609.PubMedCrossRefGoogle Scholar
  18. 18.
    Kerbl K, Clayman RV, Petros JA, et al. Staging pelvic lymphadenectomy for prostate cancer: a comparison of laparoscopic and open techniques. J Urol 1993; 150: 396–399.PubMedGoogle Scholar
  19. 19.
    Bleday R, Babineau T, Forse RA. Laparoscopic surgery for colon and rectal cancer. Semin Surg Oncol 1993; 9: 59–64.PubMedCrossRefGoogle Scholar
  20. 20.
    Parker WH. The case for laparoscopic management of the adnexal mass. Clin Obstet Gynecol 1995; 38: 362–369.PubMedCrossRefGoogle Scholar
  21. 21.
    Naruke T, Asamura H, Kondo H, et al. Thoracoscopy for staging of lung cancer. Ann Thorac Surg 1993; 56: 661–663.PubMedCrossRefGoogle Scholar
  22. 22.
    Dowling RD, Ferson PF, Landreneau RJ. Thoracoscopic resection of pulmonary metastases. Chest 1992; 102: 1450–1454.PubMedCrossRefGoogle Scholar
  23. 23.
    Shennib HA, Landreneau R, Mulder DS, et al. Video-assisted thoracoscopic wedge resection of T1 lung cancer in high-risk patients. Ann Surg 1993; 218: 555–560.PubMedCrossRefGoogle Scholar
  24. 24.
    Holcomb GW 3rd, Tornita SS, Haase GM, et al. Minimally invasive surgery in children with cancer. Cancer 1995; 76: 121–128.PubMedCrossRefGoogle Scholar
  25. 25.
    Saleh JW. Peritoneoscopy: an alternative ap- 41. proach to unresolved intra-abdominal disease. Am J Gastroenterol 1978; 69: 641–645.PubMedGoogle Scholar
  26. 26.
    Kushch NL, Timchenko AD. [Laparoscopy in the diagnosis of abdominal and retroperitoneal 42. tumors in children]. Vopr Onkol 1970; 16: 24–28.PubMedGoogle Scholar
  27. 27.
    Rodgers BM. Pediatric thoracoscopy: where have we come and what have we learned? Ann Thorac Surg 1993; 56: 704–707. 43.Google Scholar
  28. 28.
    Matthay KK Neuroblastoma: biology and therapy. Oncology 1997;11:1857–1872.Google Scholar
  29. 29.
    Castleberry RP. Neuroblastoma. Eur J Cancer 1997; 33: 1430–1438.PubMedCrossRefGoogle Scholar
  30. 30.
    Castleberry RP. Biology and treatment of neuro- 44. blastoma. Pediatr Clin North Am 1997; 44: 919–937.PubMedCrossRefGoogle Scholar
  31. 31.
    Prior C, Kathrein H, Mikuz G, et al. Differential 45. diagnosis of malignant intrahepatic tumors by ultrasonically guided fine needle aspiration biopsy and by laparoscopic/intraoperative biopsy. 46. A comparative study. Acta Cytol 1988; 32: 892–895.PubMedGoogle Scholar
  32. 32.
    Cuschieri A. Laparoscopy for pancreatic cancer: 47. does it benefit the patient? Eur J Surg Oncol 1988; 14: 41–44.PubMedGoogle Scholar
  33. 33.
    Kate MS, Kamal MM, Bobhate SK, et al. Evalua- 48. tion of fine needle capillary sampling in superficial and deep-seated lesions. An analysis of 670 cases. Acta Cytol 1998; 42: 679–684.PubMedCrossRefGoogle Scholar
  34. 34.
    Sneige N. Should specimen adequacy be determined by the opinion of the aspirator or by the 50. cells on the slides? Cancer 1997; 81: 3–5.PubMedCrossRefGoogle Scholar
  35. 35.
    Yamamoto H, Yoshida M, Sera Y. Laparoscopic surgery for neuroblastoma identified by mass 51. screening. J Pediatr Surg 1996; 31: 385–388.PubMedCrossRefGoogle Scholar
  36. 36.
    Velanovich V. Staging laparoscopy in the management of infra-abdominal malignancies. Surgery 1998; 124: 773–781.PubMedCrossRefGoogle Scholar
  37. 37.
    Rescorla FJ, Breitfeld PP, West KW, et al. A case controlled comparison of open and laparoscopic splenectomy in children. Surgery 1998; 124: 670–676.PubMedCrossRefGoogle Scholar
  38. 38.
    Farah RA, Rogers ZR, Thompson WR, et al. 53. Comparison of laparoscopic and open splenectomy in children with hematologic disorders. J Pediatr 1997; 131: 41–46.PubMedCrossRefGoogle Scholar
  39. 39.
    Hebra A, Walker JD, Tagge EP, et al. A new technique for laparoscopic splenectomy with massively enlarged spleens. Am Surg 1998; 64: 1161–1164.PubMedGoogle Scholar
  40. 40.
    Wicky S, Mayor B, Cuttat JE. CT-guided localizations of pulmonary nodules with methylene blue injections for thoracoscopic resections. Chest 1994; 106: 1326–1328.PubMedCrossRefGoogle Scholar
  41. 41.
    Waldhausen JHT, Shaw DWW, Hall DG, et al. Needle localization for thoracoscopic resection of small pulmonary nodules in children. J Pediatr Surg 1997; 32: 1624–1625.PubMedCrossRefGoogle Scholar
  42. 42.
    Santambrogio R, Montorsi M, Bianchi P, et al. Intraoperative ultrasound during thoracoscopic procedures for solitary pulmonary nodules. Ann Thorac Surg 1999; 68: 218–222.PubMedCrossRefGoogle Scholar
  43. 43.
    Bonfante V, Santoro A, Viviani S, et al. Early stage Hodgkin’s disease: ten-year results of a non-randomized study with radiotherapy alone or combined with MOPP. Eur J Cancer 1992; 29A: 24–29.CrossRefGoogle Scholar
  44. 44.
    Sweet DL Jr, Kinnealey A, Ultmann JE. Hodgkin’s disease: problems of staging. Cancer 1978; 42: 957–970.PubMedCrossRefGoogle Scholar
  45. 45.
    Bass EB, Pitt HA, Lillemoe KD. Cost-effectiveness of laparoscopic cholecystectomy versus open cholecystectomy. Am J Surg 1993; 165: 466–471.PubMedCrossRefGoogle Scholar
  46. 46.
    Ancona E, Zaninotto G, Rossi M, et al. The safety and feasibility of laparoscopic cholecystectomy. Ital J Gastroenterol 1992; 24: 320–323.PubMedGoogle Scholar
  47. 47.
    Fritts LL, Orlando RD. Laparoscopic appendectomy. A safety and cost analysis. Arch Surg 1993;128:521–524; discussion 524–525.Google Scholar
  48. 48.
    Gilchrist BF, Lobe TE, Schropp KP, et al. Is there a role for laparoscopic appendectomy in pediatric surgery? J Pediatr Surg 1992; 27: 209–214.PubMedCrossRefGoogle Scholar
  49. 49.
    Moir CR. Laparoscopy and thoracoscopy in children. Curr Opin Pediatr 1993; 5: 333–340.PubMedGoogle Scholar
  50. 50.
    Toy FK, Smoot RT Jr. Preliminary experience with thoracoscopic surgery. J Laparoendosc Surg 1992; 2: 303–309.PubMedCrossRefGoogle Scholar
  51. 51.
    Georgeson KE, Cohen RD, Hebra A, et al. Primary laparoscopic-assisted endorectal colon pull-through for Hirschsprung’s disease: a new gold standard. Ann Surg 1999; 229: 678–683.PubMedCrossRefGoogle Scholar
  52. 52.
    Tagge EP, Othersen HB Jr., Jackson SM, et al. Impact of laparoscopic cholecystectomy on the management of cholelithiasis in children with sickle cell disease. J Pediatr Surg 1994; 29: 209–213.PubMedCrossRefGoogle Scholar
  53. 53.
    Tagge EP, Tarnasky PR, Chandler J, et al. Multi- disciplinary approach to the treatment of pediatric pancreaticobiliary disorders. J Pediatr Surg 1997; 32: 158–165.PubMedCrossRefGoogle Scholar
  54. 54.
    Lobe TE. Laparoscopic surgery in children. Curr Probl Surg 1998; 35: 859–948.PubMedCrossRefGoogle Scholar
  55. 55.
    Lobe TE. Pediatric thoracoscopy. Semin Thorac Cardiovasc Surg 1993; 5: 298–302.PubMedGoogle Scholar
  56. 56.
    Rogers DA, Philippe PG, Lobe TE, et al. Thoracoscopy in children: an initial experience with an evolving technique. J Laparoendosc Surg 1992; 2: 7–14.PubMedCrossRefGoogle Scholar
  57. 57.
    Forse RA, Babineau T, Bleday R, et al. Laparoscopy/thoracoscopy for staging: I. Staging endoscopy in surgical oncology. Semin Surg Oncol 1993; 9: 51–55.PubMedCrossRefGoogle Scholar
  58. 58.
    De Kerviler E, Gossot D, Frija J. Localization techniques for the thoracoscopic resection of pulmonary nodules. Int Surg 1996; 81: 241–244.PubMedGoogle Scholar
  59. 59.
    Chen MK, Schropp KP, Lobe TE. Complications of minimal-access surgery in children. J Pediatr Surg 1996; 31: 1161–1165.PubMedCrossRefGoogle Scholar
  60. 60.
    Oshinsky GS, Smith AD. Laparoscopic needles and trocars: an overview of designs and complications. J Laparoendosc Surg 1992; 2: 117–125.PubMedCrossRefGoogle Scholar
  61. 61.
    Newton M. Complications of abdominal operations. In: Newton M, Newton ER, eds. Complications of Gynecologic and Obstetric Management. Philadelphia: WB Saunders, 1988: 143–177.Google Scholar
  62. 62.
    de Waal EE. The hemodynamic effects of pneumoperitoneum during laparoscopie surgery in healthy infants: assessment by continuous esophageal aortic blood flow echo Doppler. Anesth Analg 1999; 88: 468–469.PubMedGoogle Scholar
  63. 63.
    Laffon M, Gouchet A, Sitbon P, et al. Difference between arterial and end-tidal carbon dioxide pressures during laparoscopy in paediatric patients. Can J Anesth 1998; 45: 561–563.PubMedCrossRefGoogle Scholar
  64. 64.
    Dixit AS, Martin CJ, Flynn P. Port-site recurrence after thoracoscopic resection of oesophageal cancer. Aust NZ J Surg 1997; 67: 148–149.CrossRefGoogle Scholar
  65. 65.
    Lavie O, Cross PA, Beller U, et al. Laparoscopic port-site metastasis of an early stage adenocarcinoma of the cervix with negative lymph nodes. Gynecol Oncol 1999; 75: 155–157.PubMedCrossRefGoogle Scholar
  66. 66.
    Sartorelli KH, Partrick D, Meagher DP. Port-site recurrence after thoracoscopic resection of pulmonary metastasis owing to osteogenic sarcoma. J Pediatr Surg 1996; 31 (10): 1443–1444.PubMedCrossRefGoogle Scholar
  67. 67.
    van Dam PA, DeCloedt J, Tjalma WAA, et al. Trocar implantation metastasis after laparoscopy in patients with advanced ovarian cancer: Can the risk be reduced? Am J Obstet Gynecol 1999; 181: 536–541.PubMedCrossRefGoogle Scholar
  68. 68.
    Wang PH, Yen MS, Yuan CC, et al. Port site metastasis after laparoscopic-assisted vaginal hysterectomy for endometrial cancer-possible mechanisms and prevention. Gynecol Oncol 1997; 66: 151–155.PubMedCrossRefGoogle Scholar
  69. 69.
    Zgraggen K, Birrer S, Maurer CA, et al. Incidence of port site recurrence after laparoscopic cholecystectomy for preoperatively unsuspected gallbladder carcinoma. Surgery 1998; 124: 831–838.CrossRefGoogle Scholar
  70. 70.
    Volz J, Koster S, Spacek Z, et al. The influence of pneumoperitoneum used in laparoscopic surgery on an intraabdominal tumor growth. Cancer 1999; 86: 770–774.PubMedCrossRefGoogle Scholar
  71. 71.
    Vim AP, Liu HP. Complications and failures of video-assisted thoracic surgery: experience from two centers in Asia. Ann Thorac Surg 1996; 61: 538–541.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Edward P. Tagge

There are no affiliations available

Personalised recommendations