Paediatric oncology surgeons play a crucial role in diagnosing, staging, and treating malignant solid tumors. In recent years, many solid tumour protocols have advocated for a more tailored surgical approach to both the primary tumour site and metastatic disease. The integration of Minimally Invasive Surgery (MIS) into paediatric oncology practice has gained popularity over the past few decades. While the benefits of MIS are well established in non-oncologic surgery, its role in paediatric solid tumours is still evolving and, in many cases, lacks high-quality evidence. These IPSO-MIS guidelines guidelines aim to provide practical surgical recommendations for diverse clinical scenarios, addressing the needs of both High-Income Countries (HICs) and Low- and Middle-Income Countries (LMICs). The contributing authors represent both settings, ensuring a comprehensive and inclusive perspective. We hope that these guidelines will contribute to improving outcomes for children with cancer worldwide.

Purpose: Despite extensive evidence supporting synoptic reporting in adult surgical oncology, the pediatric surgical oncology evidence base remains sparse, institution-dependent, and implementation-limited, resulting in a critical translational gap. This systematic review evaluates the implementation and effectiveness of synoptic operative reports (SR) in improving documentation completeness in pediatric oncology surgery compared with traditional narrative reports (NR). Methods: Prospective and retrospective studies evaluating operative report completeness in pediatric oncology surgery were identified through a comprehensive search of PubMed, Scopus, and Web of Science. Of 1926 screened records, 11 articles underwent full-text review, and 4 studies met inclusion criteria. Results: The four included studies analyzed 341 operative reports (217 NRs and 124 SRs). Documentation completeness was the primary outcome. Across all evaluated intraoperative elements, synoptic reports were associated with approximately tenfold higher odds of complete documentation compared with narrative reports (pooled OR for NR vs. SR, 0.10; 95% CI, 0.07–0.14; p < 0.001). Conclusions: Synoptic reporting consistently improves the completeness of pediatric oncologic operative documentation compared with narrative formats; however, adoption in pediatric surgical oncology remains limited. Multicenter and implementation-focused research is needed to assess scalability, integration within electronic medical record (EMR) systems, and the impact of synoptic reporting on communication and clinical decision-making.

New technologies in minimally invasive surgery in childhood cancer surgery Abdelhafeez H Abdelhafeez1, Sabine Sarnacki2 and Blanc Thomas2 1University of