Vascular reconstruction in children in the oncology center: A case reports

Nina Gurgenidze; Гургенидзе Нина Нодариевна; Gurii Popov; Попов Гурий Иванович; Aleksey Ananyev; Ананьев Алексей Николаевич; Aleksey Kutenkov; Кутенков Алексей Анатольевич; Anton Trushin; Трушин Антон Александрович; Maksim Kondrashov; Кондрашов Максим Андреевич; Evgeny Kulikov; Куликов Евгений Александрович; Aleksander Shvetsov; Швецов Александр Николаевич; Alena Zaiceva; Зайцева Алена Николаевна; Ilya Paltishev; Палтышев Илья Александрович; Ilya Kazantsev; Казанцев Илья Викторович; Alexander Zaharenko; Захаренко Александр Анатольевич

doi:10.17816/psaic1854

Vascular reconstruction in children in the oncology center: A case reports

作者: Gurgenidze N.¹, Popov G.², Ananyev A.², Kutenkov A.², Trushin A.², Kondrashov M.², Kulikov E.², Shvetsov A.², Zaiceva A.², Paltishev I.², Kazantsev I.², Zaharenko A.²
隶属关系:
1. Raisa Gorbacheva Memorial Research Institute o f Children Oncology, Hematology and Transplantation at First Pavlov State Medical University
2. Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
栏目: Case reports
##submission.dateSubmitted##: 31.10.2024
##submission.dateAccepted##: 22.11.2024
##submission.datePublished##: 22.11.2024
URL: https://rps-journal.ru/jour/article/view/1854
DOI: https://doi.org/10.17816/psaic1854
ID: 1854

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详细

In pediatric oncology, tumors with intimate attachment and involvement of major vessels are common and require surgical treatment. However, most surgical procedures do not require resection and vascular reconstruction. In some cases, radical tumor removal is a significant prognostic factor. In such cases, it becomes necessary to reconstruct the affected vessels which
cannot be preserved. This creates a complex task for a surgeon, as there is no one-size-fits-all solution and no extensive clinical experience in pediatric oncology. In our clinic, 3 patients requiring inferior vena cava and renal vein reconstruction were treated between 2020 and 2024: a 9-year-old boy (nephroblastoma), a 4-year-old boy (neuroblastoma), and a 10-year-old boy
(paraganglioma). Xenopericardium was used as the graft material in the first two cases and allograft was used in the third case. A child with nephroblastoma was followed for 4 years. Blood flow in the inferior vena cava was satisfactory. A boy with neuroblastoma developed thrombosis in the early postoperative period. A patient with a paraganglioma with satisfactory blood flow and a functioning reimplanted kidney was followed for 2 years. This review of clinical cases demonstrates the potential of using various methods of vascular reconstruction and pediatric plastic surgery in the surgical treatment of tumors.

关键词

vessel reconstruction, xenopericardium, allograft, renal autotransplantation, nephroblastoma, neuroblastoma, paraganglioma, children

作者简介

Nina Gurgenidze

Raisa Gorbacheva Memorial Research Institute o f Children Oncology, Hematology and Transplantation at First Pavlov State Medical University

编辑信件的主要联系方式.
Email: nina.n.gurgenidze@gmail.com
ORCID iD: 0000-0003-0516-9668

Pediatric Surgeon Surgical Department

俄罗斯联邦, Санкт-Петербург

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