Laparoscopic ovarian tissue collection for fertility preservation in children with malignancies: a multicentric experience

被引:4
|
作者
Perelli, Federica [1 ]
Fusi, Giulia [2 ]
Lonati, Luca [3 ]
Gargano, Tommaso [4 ]
Maffi, Michela [4 ]
Avanzini, Stefano [5 ]
Palo, Federico [5 ]
Verdu, Maria Dolores Blanco [6 ]
Lopez, Agustin Del Canizo [6 ]
Colino, Carmen Garrido [6 ]
Perucca, Giulia [7 ]
Mattioli, Girolamo [5 ]
Gennari, Fabrizio [3 ]
Lima, Mario [4 ]
Guana, Riccardo [3 ]
机构
[1] Azienda USL Toscana Ctr, Dept Gynecol & Pediat, Florence, Italy
[2] IRCCS Meyer Childrens Hosp, Dept Pediat Surg, Florence, Italy
[3] Regina Margher Childrens Hosp, Pediat Surg Unit, Turin, Italy
[4] Sant Orsola Childrens Hosp, Pediat Surg Unit, Bologna, Italy
[5] Pediat Surg Dept, IRCCS G Gaslini, Genoa, Italy
[6] Gregorio Maranon Childrens Hosp, Pediat Surg Unit, Madrid, Spain
[7] Great Hormond St Hosp, Pediat Radiol Unit, London, England
来源
FRONTIERS IN SURGERY | 2024年 / 11卷
关键词
fertility-sparing; cryopreservation; cancer survivors; pediatric cancer; ovarian tissue collection; minimally invasive surgery; CRYOPRESERVATION; TRANSPLANTATION; COMPLICATIONS; PREGNANCY; AUTOGRAFT; PUBERTY;
D O I
10.3389/fsurg.2024.1352698
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction Long survivors after childhood cancer are increasing thanks to oncological improvements. Their quality of life and fertility-sparing should be considered in the early phases of each oncological pathway. Cryopreservation of ovarian tissue removed before starting gonadotoxic therapies is the only fertility sparing procedure available for prepubertal children affected by cancer and it does not affect the timing of the start of the treatment.Materials and methods The present study shows the surgical and clinical outcomes following laparoscopic ovarian tissue collection (LOTC) for a total of 311 patients aged between 0 and 17 years old from four different European Centers.Results Only two major complications were reported according to the Clavien Dindo classification (0.6%).Discussion LOTC can be considered a safe procedure.
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页数:8
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