Author:
Cernaianu Grigore,Franke Greta,Kühne Nora Elena,Meurer Miriam,Trobs Ralf-Bodo,Eifinger Frank,Dübbers Martin,Scaal Martin,Vahdad Reza
Abstract
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.
Results
The 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.
Funder
Universitätsklinikum Köln
Publisher
Springer Science and Business Media LLC