Pediatric Tumor Surgery


Complications, risks, and consequences

Estimated frequency

Most significant/serious complications

Mortalitya

1–5 %

Failure to remove tumora

1–5 %

Infectionb
 
 Subcutaneous

1–5 %

 Wound

1–5 %

 Intra-abdominal

1–5 %

 Late postsplenectomy pneumonia/sepsis (with vaccination)

0.1–1 %

 Chest infection

1–5 %

Bleeding/laceration to aorta, inferior vena cava, mesenteric vessels, and renal vesselsb

1–5 %

Pancreatic injury/pancreatitis/pancreatic cyst/leakage/pancreatic fistulaa

1–5 %

Bowel injury (stomach, duodenum, small bowel, colon)a

1–5 %

Radiation-induced enteritisb

5–20 %

Renal/adrenal injury (incl. contralateral)b

1–10 %

Seroma, lymphocele formation/lymph ascites/fistulaa
 
 Immediate

20–50 %

 Prolonged

1–5 %

Small bowel obstruction (early or late)b

1–5 %

Potency, ejaculation problems in malesa

5–20 %

Splenic injuryb

1–5 %

Splenic conservation after injuryc
 
 Prolonged convalescence period

50–80 %

 Limitation to activity

50–80 %

 Late rupture

0.1–1 %

Postoperative diarrheab

5–20 %

Neurological complications (with pelvic tumors)a (sciatic nerve palsy, neuropathic bladder, leg weakness)

5–20 %

Rare significant/serious problems

Hematoma formationa

0.1–1 %

Bladder injurya

0.1–1 %

Diaphragmatic injurya

0.1–1 %

Subphrenic abscessa

0.1–1 %

Stoma formationa

0.1–1 %

Nerve injury (lumbar plexus or branches, sympathetic chain)b

0.1–1 %

Less serious complications

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Feb 14, 2017 | Posted by in PEDIATRICS | Comments Off on Pediatric Tumor Surgery

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