Abstract

Abstract Background Recently, reports of endoscopic approaches for neuroblastoma, ganglioneuroblastoma, and ganglioneuroma (peripheral neuroblastic tumor; PNTs) have been increasing. This study aimed to clarify the indications for endoscopic surgery for PNTs. Methods Pediatric patients who underwent endoscopic surgery for PNTs at our institution were included in this study. Image‐defined risk factors (IDRFs) were analyzed using preoperative computed tomography (CT). Results Twenty‐four patients underwent endoscopic surgery for PNTs. The diagnoses included neuroblastoma ( n = 11), ganglioneuroma ( n = 10), and ganglioneuroblastoma ( n = 3). Regarding the tumor site, there were 18 cases of adrenal tumors, five cases of mediastinal tumors, and one case of retroperitoneal tumors. Image‐defined risk factors were positive in eight cases (contacted with a renal vessel, n = 6; compression of principal bronchi, n = 2). Complete resection was accomplished in 21 cases (14 of 16 IDRF‐negative cases and seven of eight IDRF‐positive cases). All patients survived without recurrence during the follow‐up period. Conclusions The CT findings of contact with renal vessels and compression of principal bronchi do not seem to be indicators of incomplete resection. An endoscopic approach to PNTs in pediatric patients is feasible with a good prognosis if patients are selected strictly.