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Osteosarcoma
Everything in the library about osteosarcoma — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
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Surgical Management
2 items
Update Course Rewind: Lipiodol for Lung Metastases 2024
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In this session from the 12th Annual Pediatric Surgery Update Course, Dr. Gloria Gonzalez discusses the innovative use of lipiodol to mark pulmonary nodules for minimally invasive resection in children. Adapted from adult procedures, lipiod
video · Dec 2024
LLL for metastatic Osteosacoma
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Surgical content by Dr. Steve Rothenberg — Thoracic Surgery
video6:17 · May 2026
Evidence & Research
2 items
Update Course Rewind: 2021 Top Ten Key Takeaways
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The 9th annual Pediatric Surgery Update Course was held as a webinar on August 27, 2021. We had a lot of lively discussion and engaging presentations on the latest updates in pediatric surgery. In this video we are reviewing the top ten key
video16:02 · Oct 2021
Bailey Roberts, MD - Best of the Best in Pediatric Surgery 2024
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Watch IPSO's Dr. Bailey Roberts's presentation on “Extracellular vesicles from metastatic osteosarcoma contribute to creation of a pre-metastatic nich” at the 2024 Best of the Best in Pediatric Surgery event!
Moderators: Todd Ponsky, Cec
video8:39 · Feb 2024
Case-Based Learning
2 items
Update Course Rewind: Thoracotomy vs VATS for Lung Metastases
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There are recent updates about the management of lung metastases in osteosarcoma and deciding thoracotomy vs VATS is our topic for today. At the recent 2021 Pediatric Surgery Update Course, Dr. Anusua "Roshni" Dasgupta reviewed the latest l
video9:40 · Aug 2022
Update Course Rewind: Chest Wall Reconstruction 2024
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In this session from the 12th Annual Update Course in Pediatric Surgery, Dr. Margaret Mutch from Australia walks through the complexities of chest wall reconstruction following thoracic osteosarcoma resection in a pediatric patient.Key High
video5:32 · Aug 2025
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Update Course Rewind: 2021 Top Ten Key Takeaways
In the Petcova et al. study published in Annals of Surgery 2020, children with uncomplicated appendicitis were randomized to medical management with antibiotics or surgery, with 5-year follow-up.
Host summaryEllen Encisco summarizing the discussion — not the host's own clinical position0:43 ↗
In the Petcova et al. appendicitis study, the surgery group had no complications, while 46% of patients in the non-surgical management group required appendectomy during follow-up.
Host summaryThe host summarizing the discussion — not the host's own clinical position1:11 ↗
Medical management of acute uncomplicated appendicitis may be safe but is associated with a high failure rate, with many children ultimately requiring laparoscopic appendectomy.
Host summaryEllen Encisco summarizing the discussion — not the host's own clinical position1:22 ↗
Metastectomy for osteosarcoma lung metastases improves survival and can make patients long-term survivors.
Host summaryThe host summarizing the discussion — not the host's own clinical position2:15 ↗
Approximately 10% of 1 millimeter lung nodules in osteosarcoma patients contain malignant disease.
Host summaryThe host summarizing the discussion — not the host's own clinical position2:24 ↗
The Children's Oncology Group is starting a study to determine whether thoracotomy or thoracoscopy is superior for resection of pulmonary metastases in osteosarcoma, with enrollment expected late 2021 or early 2022.
Host summaryThe host summarizing the discussion — not the host's own clinical position2:40 ↗
The Flourish device is a catheter-based device that places magnets in proximal and distal esophageal pouches to create a compression anastomosis by causing ischemia of tissue between the magnets, which then sloughs off.
Host summaryThe host summarizing the discussion — not the host's own clinical position3:16 ↗
Inclusion criteria for the Flourish device are: atretic gap less than 4 centimeters long, fistula repaired or absent, and G-tube able to accommodate an 18 French catheter.
Host summaryThe host summarizing the discussion — not the host's own clinical position3:39 ↗
The Flourish device is associated with a high stricture rate and known serious life-threatening complications, and should only be used by centers with capabilities to treat the many issues associated with esophageal atresia.
Host summaryThe host summarizing the discussion — not the host's own clinical position3:57 ↗
Indocyanine green (ICG) has become a topic of interest in the last few years for use in pediatric surgery, especially in minimally invasive procedures to improve visualization of structures.
Host summaryEllen Encisco summarizing the discussion — not the host's own clinical position4:43 ↗
For laparoscopic cholecystectomy, ICG must be administered intravenously 12 to 18 hours prior to surgery to allow time for accumulation in the extrahepatic ducts, or can be injected directly into the gallbladder during surgery.
Host summaryEllen Encisco summarizing the discussion — not the host's own clinical position5:32 ↗
ICG applications in pediatric surgery include laparoscopic cholecystectomies, varicocele repairs, partial nephrectomies, and tumor excisions.
Host summaryEllen Encisco summarizing the discussion — not the host's own clinical position5:48 ↗
For anorectal malformations with rectal-perineal or rectal-vestibular fistula, outcomes including complications are similar whether the procedure is done before or after 14 days of life.
Host summaryThe host summarizing the discussion — not the host's own clinical position6:37 ↗
A PCPLC consortium study comparing endorectal pull-through for Hirschsprung disease at less than 31 days versus greater than 31 days found that preoperative enterocolitis, postoperative enterocolitis, constipation, and incontinence were the same between both groups.
Host summaryThe host summarizing the discussion — not the host's own clinical position6:54 ↗
Delayed pull-through with irrigations is a safe alternative to an operation in the neonatal period for Hirschsprung disease.
Host summaryThe host summarizing the discussion — not the host's own clinical position7:14 ↗
Cryoanalgesia is probably effective at improving post-operative pain and decreasing length of stay for pectus patients, with length of stay reduced from 4 days to 1 day.
Host summaryThe host summarizing the discussion — not the host's own clinical position8:11 ↗
There are no long-term studies on the effects of cryoanalgesia for pectus repair.
Host summaryThe host summarizing the discussion — not the host's own clinical position8:34 ↗
The double rim sign or halo sign on X-ray indicates a child has swallowed a button battery rather than a coin.
Host summaryEllen Encisco summarizing the discussion — not the host's own clinical position9:48 ↗
The main goal of button battery ingestion treatment is to remove the battery within 2 hours of ingestion.
Host summaryEllen Encisco summarizing the discussion — not the host's own clinical position10:13 ↗
Sucralfate or honey can help reduce damage from button batteries on the child's esophagus as temporizing measures.
Host summaryEllen Encisco summarizing the discussion — not the host's own clinical position10:20 ↗
Children less than 1 year old should not receive honey due to risk of botulism and should instead receive 10 mL of sucralfate every 10 minutes for up to 3 doses for button battery ingestion.
Host summaryEllen Encisco summarizing the discussion — not the host's own clinical position10:35 ↗
Children over age 1 with button battery ingestion should receive honey 10 mL every 10 minutes for up to 6 doses.
Host summaryEllen Encisco summarizing the discussion — not the host's own clinical position10:51 ↗
New ATLS recommendations for pediatric trauma patients in hemorrhagic shock call for earlier transfusion: after 1 bolus of 20 cc per kilogram of crystalloid fluid, blood should be given.
Host summaryThe host summarizing the discussion — not the host's own clinical position11:28 ↗
Balanced transfusion protocol for pediatric hemorrhagic shock typically includes 10 to 20 mLs per kilogram of packed red blood cells, plus inclusion of FFP and platelets.
Host summaryThe host summarizing the discussion — not the host's own clinical position11:38 ↗
Earlier transfusion in pediatric trauma was associated with shorter median time to transfusion and a decrease in total fluid volume administered.
Host summaryThe host summarizing the discussion — not the host's own clinical position11:46 ↗
Whole blood in trauma patients requires less volume compared to component therapy.
Host summaryThe host summarizing the discussion — not the host's own clinical position11:59 ↗
Research shows that observation of spontaneous pneumothorax in adults is non-inferior to immediate intervention with tube thoracostomy.
Host summaryThe host summarizing the discussion — not the host's own clinical position12:42 ↗
The Midwest Pediatric Surgery Consortium study on spontaneous pneumothorax management with simple aspiration showed 48% success rate, but 44% of patients in the simple aspiration group recurred.
Host summaryThe host summarizing the discussion — not the host's own clinical position12:53 ↗
83% of patients who failed simple aspiration for spontaneous pneumothorax ultimately ended up with VATS or blebectomy.
Host summaryThe host summarizing the discussion — not the host's own clinical position13:16 ↗
Greenwood et al. showed that mortality amongst black newborns is 3 times that of white newborns.
Host summaryEllen Encisco summarizing the discussion — not the host's own clinical position14:10 ↗
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