{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:19:03Z","timestamp":1788437943423,"version":"build-2803163510"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>\n                    Wilms tumor (WT) is the most prevalent pediatric renal malignancy, with surgical intervention being a cornerstone of multimodal management. This report evaluates the surgical feasibility, oncotechnical considerations, and short-term outcomes of laparoscopic WT nephrectomy (LWTN) in 17 children following neoadjuvant chemotherapy (NACT). LWTN was successfully completed in 47.1% (8\/17) of cases, with conversions primarily necessitated by intraoperative bleeding, efforts to prevent tumor rupture, and strict adherence to oncological principles. The primary advantages observed with LWTN versus laparoscopic converted to open surgery were reduced blood loss (median 20 ml vs. 40 ml,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.014), shorter hospitalization duration (3.13 vs. 4.11 days,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.023), and lower postoperative pain scores (3.50 vs. 5.56,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.001). Lymph node yields (mean: 9.75 vs. 15.44; adequate yield defined as &gt;7 nodes) and tumor rupture rates were similar between groups, supporting the oncological safety of LWTN. Overall, LWTN represents a technically demanding approach that provides perioperative benefits in selected patients without compromising short-term oncological outcomes.\n                  <\/jats:p>","DOI":"10.4103\/jiaps.jiaps_61_26","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T09:00:23Z","timestamp":1788426023000},"page":"844-848","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Laparoscopic Wilms Tumor Nephrectomy and Lymph Node Sampling: Oncotechnical Considerations"],"prefix":"10.4103","volume":"31","author":[{"given":"Nitin James","family":"Peters","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Sashikiran","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi Prakash","family":"Kanojia","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muneer Abas","family":"Malik","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Indu Mohini","family":"Sen","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Critical Care, Pediatric Anesthesia Unit, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shailesh","family":"Solanki","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Bawa","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jai Kumar","family":"Mahajan","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Pediatric Hematology Oncology Unit, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"R1-20260903","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1007\/s12098-017-2305-5","article-title":"Management of Wilms tumor: ICMR consensus document","volume":"84","author":"Prasad","year":"2017","journal-title":"Indian J Pediatr"},{"key":"R3-20260903","doi-asserted-by":"crossref","first-page":"670","DOI":"10.12688\/f1000research.10760.1","article-title":"Recent advances in the management of Wilms' tumor","volume":"6","author":"Lopes","year":"2017","journal-title":"F1000Res"},{"key":"R4-20260903","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1097\/SLA.0b013e31819ed92b","article-title":"Surgical aspects in the treatment of patients with unilateral Wilms tumor: A report from the SIOP 93-01\/German Society of Pediatric Oncology and Hematology","volume":"249","author":"Fuchs","year":"2009","journal-title":"Ann Surg"},{"key":"R5-20260903","doi-asserted-by":"crossref","first-page":"9248","DOI":"10.1245\/s10434-024-16057-3","article-title":"Laparoscopic treatment of Wilms' tumor: Criteria of SIOP-UMBRELLA protocol may be updated","volume":"31","author":"Pradier","year":"2024","journal-title":"Ann Surg Oncol"},{"key":"R6-20260903","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1038\/s41585-018-0100-3","article-title":"International Society of Paediatric Oncology\u2013Renal Tumour Study Group (SIOP\u2013RTSG). The UMBRELLA SIOP-RTSG 2016 Wilms tumour pathology and molecular biology protocol","volume":"15","author":"Vujani\u0107","year":"2018","journal-title":"Nat Rev Urol"},{"key":"R7-20260903","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1586\/era.09.44","article-title":"Laparoscopic nephrectomy for Wilms' tumor","volume":"9","author":"Duarte","year":"2009","journal-title":"Expert Rev Anticancer Ther"},{"key":"R8-20260903","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1038\/nrurol.2017.163","article-title":"Position paper: Rationale for the treatment of Wilms tumour in the UMBRELLA SIOP-RTSG 2016 protocol","volume":"14","author":"van den Heuvel-Eibrink","year":"2017","journal-title":"Nat Rev Urol"},{"key":"R9-20260903","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1016\/j.jpurol.2013.11.005","article-title":"Laparoscopic treatment of renal cancer in children: A multicentric study and review of oncologic and surgical complications","volume":"10","author":"Varlet","year":"2014","journal-title":"J Pediatr Urol"},{"key":"R10-20260903","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1016\/j.jpurol.2018.06.015","article-title":"Laparoscopic total nephrectomy for Wilms tumor: Towards new standards of care","volume":"14","author":"Flores","year":"2018","journal-title":"J Pediatr Urol"},{"key":"R11-20260903","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.jpedsurg.2012.10.015","article-title":"Primary nephrectomy and intraoperative tumor spill: Report from the Children's Oncology Group (COG) Renal Tumors Committee","volume":"48","author":"Gow","year":"2013","journal-title":"J Pediatr Surg"},{"key":"R12-20260903","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1097\/SLE.0b013e31819f204d","article-title":"Laparoscopic radical nephrectomy for unilateral renal cancer in children","volume":"19","author":"Varlet","year":"2009","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"R13-20260903","doi-asserted-by":"crossref","first-page":"1544","DOI":"10.1016\/j.jpedsurg.2014.06.005","article-title":"Minimally invasive nephrectomy for Wilms tumors in children \u2013 Data from SIOP 2001","volume":"49","author":"Warmann","year":"2014","journal-title":"J Pediatr Surg"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_61_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:04:03Z","timestamp":1788437043000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_61_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":12,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_61_26","relation":{},"ISSN":["0971-9261","1998-3891"],"issn-type":[{"value":"0971-9261","type":"print"},{"value":"1998-3891","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-02-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}