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Abstract
Background: pediatric solid abdominal tumors include neuroblastoma, Wilms’ tumor, Hodgkin’s lymphoma, non-Hodgkin’s lymphoma (NHL), rhabdomyosarcoma, other soft tissue tumors, hepatic tumors, germ cell tumors, pancreatic tumors, gastrointestinal tumors, endocrinal tumors, and cancer of unknown primary site. Objective: it is critical to establish the correct stage of a tumor for optimal treatment of pediatric solid tumors. All protocols are based on stage of the tumor, which determines such factors in treatment as use and extent of radiotherapy and intensity of chemotherapy. In an era when cure can be achieved in the majority of patients, efforts to limit therapy to minimize the long-term sequela of treatment assume a prominent role. Correct staging is essential to minimize therapy and yet maximize cure. It has been demonstrated in several tumors that treatment of children based on inadequate or incorrect staging results in an increased incidence of relapse. Summary: minimally invasive surgery (MIS) has become increasingly useful in pediatric surgery for both diagnosis and therapeutic intervention. It’s useful method for obtaining diagnostic tissue from children with solid tumors. Conclusion: surgery remains a critical component in the multimodal therapy of childhood cancer. Accurate staging successful resection of tumors is of vital importance as we strive to minimize the morbidity of treatment as survival rates improve.