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Russian Journal of Pediatric Hematology and Oncology

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Reconstructive vascular surgery in pediatric oncology: literature review

https://doi.org/10.21682/2311-1267-2022-9-4-53-63

Abstract

   Background. In some rare cases pediatric solid tumors may infiltrate or incase major vessels, which may require vascular plastics as part of radical tumor resection. As these situations are rare in pediatric surgeon practice, there is no common approach to this problem. In order to analyze the available experience we reviewed published cases concerning vascular plastics in pediatric oncosurgery.
   Materials and methods. The references from MEDLINE (PubMed), HighWire Press, and eLibrary electronic databases were analyzed for references describing practical vascular surgery experience with vascular implants published in 2002–2022.
   Results. There is few published data on major vessels reconstruction in patients with pediatric solid tumors. Most publications describe single cases or small case series. The vascular plastics in these children is difficult due to small vessel diameter, difficulties in choosing the right graft, risk of thrombosis, and the need to provide adequate circulation in a rapidly growing child. As there are no major studies of this subject we still have no consensus on optimal vascular reconstruction tactics in children with solid tumors. Therefore, new systematic studies are needed.
   Conclusion. We provide a brief review on currently used methods of vascular plastics and reconstruction available for use in children with solid tumors.

About the Authors

N. N. Gurgenidze
First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation

Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation and Surgery

197022

12 Rentgena St.

Saint Petersburg



G. I. Popov
First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation

Teaching Fellow, Surgeon Surgery

Emergency Medicine Research Institute

Faculty Surgery Chair with Laparoscopic Surgery and Cardiosurgery Courses

197022

12 Rentgena St.

Saint Petersburg



A. A. Kutenkov
First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation

Head of Department

Emergency Medicine Research Institute

Head of 7 Surgery Department

197022

12 Rentgena St.

Saint Petersburg



A. A. Trushin
First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation

Oncologist, Surgeon, Head of Department 

Emergency Medicine Research Institute

No. 1 Oncology Department

197022

12 Rentgena St.

Saint Petersburg



A. N. Zayceva
First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation

Pediatric Surgeon

Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation and Surgery

Surgical Department

197022

12 Rentgena St.

Saint Petersburg



A. N. Shvetsov
First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation

Head of Department

Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation and Surgery

Surgery Department

197022

12 Rentgena St.

Saint Petersburg



I. V. Kazantsev
First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation

Cand. of Sci. (Med.), Pediatric Oncologist

Raisa Gorbacheva Memorial Research Institute of Children Oncology, Hematology and Transplantation and Surgery

No. 2 Pediatric Transplant Department

197022

12 Rentgena St.

Saint Petersburg



A. A. Zakharenko
First Pavlov State Medical University of St. Petersburg, Ministry of Health of Russia
Russian Federation

Dr. of Sci. (Med.), Head of the Department

Emergency Medicine Research Institute

Department of Oncosurgery

197022

12 Rentgena St.

Saint Petersburg



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Review

For citations:


Gurgenidze N.N., Popov G.I., Kutenkov A.A., Trushin A.A., Zayceva A.N., Shvetsov A.N., Kazantsev I.V., Zakharenko A.A. Reconstructive vascular surgery in pediatric oncology: literature review. Russian Journal of Pediatric Hematology and Oncology. 2022;9(4):53-63. (In Russ.) https://doi.org/10.21682/2311-1267-2022-9-4-53-63

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ISSN 2311-1267 (Print)
ISSN 2413-5496 (Online)
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