首页|Perioperative complication incidence and risk factors for retroperitoneal neuroblastoma in children:analysis of 571 patients
Perioperative complication incidence and risk factors for retroperitoneal neuroblastoma in children:analysis of 571 patients
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Background Surgery plays an important role in the treatment of neuroblastoma.Perioperative complications may impact the course of neuroblastoma treatment.To date,comprehensive analyses of complications and risk factors have been lacking.Methods Patients with retroperitoneal neuroblastoma undergoing tumor resection were retrospectively analyzed between 2014 and 2021.The data collected included clinical characteristics,operative details,operative complications and postopera-tive outcomes.Risk factors for perioperative complications of retroperitoneal neuroblastoma were analyzed.Results A total of 571 patients were enrolled in this study.Perioperative complications were observed in 255(44.7％)patients.Lymphatic leakage(28.4％),diarrhea(13.5％),and injury(vascular,nerve and organ;7.5％)were the most frequent compli-cations.There were three operation-related deaths(0.53％):massive hemorrhage(n=1),biliary tract perforation(n=1)and intestinal necrosis(n=1).The presence of image-defined risk factors(IDRFs)[odds ratio(OR)=2.09,P＜0.01],high stage of the International Neuroblastoma Risk Group staging system(INRGSS)(OR=0.454,P=0.04),retroperitoneal lymph node metastasis(OR=2.433,P=0.026),superior mesenteric artery encasement(OR=3.346,P=0.003),and inferior mesenteric artery encasement(OR=2.218,P=0.019)were identified as independent risk factors for perioperative complications.Conclusions Despite the high incidence of perioperative complications,the associated mortality rate was quite low.Perio-perative complications of retroperitoneal neuroblastoma were associated with IDRFs,INRGSS,retroperitoneal lymph node metastasis and vascular encasement.Patients with high-risk factors should receive more serious attention during surgery but should not discourage the determination to pursue total resection of neuroblastoma.
ComplicationNeuroblastomaRisk factorsSurgery
Min He、Jia-Bin Cai、Xuan Wu、Yin-Bing Tang、Jin-Yan Wang、Jun-Qin Mao、Ji-Jun Chen、Li-Feng Zhang、Zhong-Hai Guan、Jie-Ni Xiong、Wan-Xin Peng、Jin-Hu Wang、Ting Tao
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Pediatric Cancer Research Center,National Clinical Research Center for Child Health,Hangzhou,China
Department of Surgical Oncology,Children's Hospital,Zhejiang University School of Medicine,Hangzhou,China
Cancer Center,Zhejiang University,No.3333 Binsheng Rode,Hangzhou,China
国家自然科学基金面上项目Key Program of Natural Science Foundation of Zhejiang Province
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