Surgical management strategy for liver tumors in children
DOI:
https://doi.org/10.15574/PS.2025.4(89).5964Keywords:
liver tumors, children, surgery, indocyanine green (ICG)Abstract
In childhood, liver tumors are quite rare. Liver tumors account for slightly more than 1% of all malignant neoplasms in children. They account for about 5-6% of abdominal tumors. Among abdominal tumors, liver tumors rank third in frequency after neuroblastoma and Wilms' tumor. A third of liver tumors are benign tumors, the other two thirds are malignant.
Aim - to analyze the surgical tactics used for liver tumors in children.
Materials and methods. A retrospective study of 25 children with liver tumors who were treated in 2023-2025 was conducted. Observation of operated children is carried out in dynamics.
Results. Benign tumors accounted for 84%, malignant - 16%. Surgical interventions were performed in 84% of patients using laparoscopic (56%), open (12%) and robotic (16%) techniques. In 44% of cases, ICG navigation (indocyanine fluorescence, ICG - Indocyanine Green) was used. No relapses were detected, liver function was preserved.
Conclusions. Benign neoplasms prevail in the structure of liver tumors in children. Minimally invasive surgical treatment methods, in particular robotic surgery, demonstrate better perioperative results compared to open interventions in children with liver tumors. The use of ICG navigation increases the accuracy of surgical interventions.
The study was performed in accordance with the principles of the Declaration of Helsinki. Informed consent of the parents was obtained.
The authors declare no conflict of interest.
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