Surgery is a crucial part in the treatment of solid tumors in children. However, solid tumors in children are always huge, mostly originated from mesenchymal tissues and have complex local anatomical relationships. Thus, these surgeries are usually difficult and technically demanding due to the light weight, low blood volume, and immature physiological function of children. Moreover, in addition to ensuring the safety of surgery and the effectiveness of tumor treatment, we also need to weigh the long-term survival and the long-term quality of life of these children. So, it is especially important to preserve organs and their functions while completely removing the tumors during pediatric solid tumor operations.
Therefore, following the concepts of organ-sparing surgery and bloodless surgery, applying various new techniques are important to improve the surgical outcome of solid tumors in children and to improve the prognosis and quality of life during the long-term follow-up. In recent years, some organ-sparing techniques have been applied to treating pediatric solid tumors, such as duodenum-preserving pancreatic tumor resection, spleen-preserving pancreatic tumor resection, nephron sparing surgery, etc. Furthermore, some techniques have been also introduced to assist surgery, such as indocyanine green navigation, 3D printing, and VR technology. However, there is still great room for improvement in the application and promotion of organ-sparing techniques for treating pediatric solid tumors.
There are still several unresolved problems in the field of organ-sparing surgery and bloodless surgery for children with solid tumors:
1. The scope of application and technical key points of organ-sparing surgeries.
2. The balance between organ-sparing and the outcome of tumor resection.
3. Applying the novel techniques to facilitate organ-sparing surgery.
4. The balance between minimally invasive surgery and organ-sparing concepts.
5. The application and technical key points of bloodless surgery, free-tumor technique, and vascular skeletalization.
6. Short- and long-term prognosis and quality of life in children who received organ-sparing surgery.
The current Research Topic aims to address the themes mentioned above. In particular, we welcome submissions of original research papers, reviews, clinical trials, case reports and systematic reviews covering, but are not limited to, the following subtopics:
• Discussion of the technical points and application effects of organ-sparing surgeries (such as preservation of kidney, liver, pancreas, spleen, ovary, etc.) in children with solid tumors.
• The value of indocyanine green navigation, 3D printing, VR technology and other novel techniques to facilitate organ-sparing surgery in children with solid tumor.
• The application of bloodless surgery, free-tumor technique, and vascular skeletalization.
• Organ-sparing concept combined with minimally invasive techniques.
• Short- and long-term prognosis and quality of life in children who received organ-sparing surgery.
Surgery is a crucial part in the treatment of solid tumors in children. However, solid tumors in children are always huge, mostly originated from mesenchymal tissues and have complex local anatomical relationships. Thus, these surgeries are usually difficult and technically demanding due to the light weight, low blood volume, and immature physiological function of children. Moreover, in addition to ensuring the safety of surgery and the effectiveness of tumor treatment, we also need to weigh the long-term survival and the long-term quality of life of these children. So, it is especially important to preserve organs and their functions while completely removing the tumors during pediatric solid tumor operations.
Therefore, following the concepts of organ-sparing surgery and bloodless surgery, applying various new techniques are important to improve the surgical outcome of solid tumors in children and to improve the prognosis and quality of life during the long-term follow-up. In recent years, some organ-sparing techniques have been applied to treating pediatric solid tumors, such as duodenum-preserving pancreatic tumor resection, spleen-preserving pancreatic tumor resection, nephron sparing surgery, etc. Furthermore, some techniques have been also introduced to assist surgery, such as indocyanine green navigation, 3D printing, and VR technology. However, there is still great room for improvement in the application and promotion of organ-sparing techniques for treating pediatric solid tumors.
There are still several unresolved problems in the field of organ-sparing surgery and bloodless surgery for children with solid tumors:
1. The scope of application and technical key points of organ-sparing surgeries.
2. The balance between organ-sparing and the outcome of tumor resection.
3. Applying the novel techniques to facilitate organ-sparing surgery.
4. The balance between minimally invasive surgery and organ-sparing concepts.
5. The application and technical key points of bloodless surgery, free-tumor technique, and vascular skeletalization.
6. Short- and long-term prognosis and quality of life in children who received organ-sparing surgery.
The current Research Topic aims to address the themes mentioned above. In particular, we welcome submissions of original research papers, reviews, clinical trials, case reports and systematic reviews covering, but are not limited to, the following subtopics:
• Discussion of the technical points and application effects of organ-sparing surgeries (such as preservation of kidney, liver, pancreas, spleen, ovary, etc.) in children with solid tumors.
• The value of indocyanine green navigation, 3D printing, VR technology and other novel techniques to facilitate organ-sparing surgery in children with solid tumor.
• The application of bloodless surgery, free-tumor technique, and vascular skeletalization.
• Organ-sparing concept combined with minimally invasive techniques.
• Short- and long-term prognosis and quality of life in children who received organ-sparing surgery.
