J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2005KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 92(9): 1159-1162, 1991

Report on the annual meeting

EVALUATION OF RATIONAL LYMPH NODE DISSECTION FOR ABDOMINAL NEUROBLASTOMA

1) Division of Surgery, Children's Research Hospital, Kyoto, Japan
2) First Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan

Kazuaki Tokiwa1), Naomi Iwai1), Shuhei Ogita1), Akeo Hagiwara2), Kiyoshi Sawai2), Toshio Takahashi2)

Complete tumor resection has a significant role in the treatment of localized neuroblastoma. Recently we have applied activated carbon particles to lymph node dissection in the surgery of retroperitoneal neuroblastoma with nodal involvement for the complete resection of this tumor.
In this study, we have reviewed 22 consecutive patients with retroperitoneal neuroblastoma who received rational lymph node dissection using activated carbon particles from 1985 through 1990, including 16 patients detected through mass screening. Fourteen patients with stages I, II, and IV-S of neuroblastoma have survived for a median duration of 37.6 months, and all patients detected through mass screening survived for a median duration of 36.7 months, with no evidence of disease after operation. Two of the 8 patients with advanced disease (stages III and IV) died of tumor progession. No local recurrence was observed in all patients, and early or late complications were minimal.
In conclusion, rational lymph node dissection considering the lymphatics is recommended for the surgery of patients with retroperitoneal neuroblastoma, including the patients detected through mass screening.

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