Frontiers in Surgery (Jan 2024)

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

  • Federica Perelli,
  • Giulia Fusi,
  • Luca Lonati,
  • Tommaso Gargano,
  • Michela Maffi,
  • Stefano Avanzini,
  • Federico Palo,
  • Maria Dolores Blanco Verdú,
  • Agustín Del Cañizo López,
  • Carmen Garrido Colino,
  • Giulia Perucca,
  • Girolamo Mattioli,
  • Fabrizio Gennari,
  • Mario Lima,
  • Riccardo Guanà

DOI
https://doi.org/10.3389/fsurg.2024.1352698
Journal volume & issue
Vol. 11

Abstract

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IntroductionLong 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 methodsThe 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.ResultsOnly two major complications were reported according to the Clavien Dindo classification (0.6%).DiscussionLOTC can be considered a safe procedure.

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