Error traps and culture of safety in Pediatric Surgical Oncology

Abstract

Publication date: Available online 26 April 2019

Source: Seminars in Pediatric Surgery

Author(s): Pablo Lezama-Del Valle, Lucas Krauel, Michael P. LaQuaglia

Abstract

This article reviews technical issues to improve surgical safety and avoid surgical errors in pediatric surgical oncology, particularly in the three most common extracranial solid tumors: neuroblastoma, hepatoblastoma and Wilms tumor. The use of adjuvant chemotherapy -when indicated-, the use of tumor specific classifications, adequate surgical planning, that may include the use of 3D printable models, improved surgical instruments and technology, and following surgical guidelines, would result in avoiding error, increased safety, and therefore in improved surgical outcomes.

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