Structured Reporting of Surgery for Neuroblastoma and Peripheral Neuroblastic Tumors is Essential & Easy : How to Use The “International Neuroblastoma Surgical Report Form” (I.N.S.R.F.)

Background and Aims: The role of surgery in neuroblastoma (NBL) and peripheral neuroblastic tumors (pNBT) such as ganglioneuroblastoma, is diagnostic (biopsy) or therapeutic (resection). Due to various tumor locations and frequent adherence or encasement of vascular or neural structures and vital organs, surgery inNBL&pNBT may be challenging, with important operative morbidity and mortality. The hazards of surgery and its complications in NBL & pNBT are not well described and its role in the treatment of high-risk disease remains debated. To optimize the recording of important perioperative data and intra- and postoperative outcomes, a standardized surgical case report form was created with international consensus. This presentation aims to make pediatric surgical oncologists acquainted with the standardized surgical report form and will demonstrate its correct use. It also aims to stimulate its use in routine clinical practice, to engage all colleagues for structured reporting of NBL & pNBT surgery. Methods: The “International Neuroblastoma Surgical Report Form” (I.N.S.R.F.) was published in 2020 as a joint initiative by the surgical committees of the pediatric oncological cooperative groups SIOPEN, COG and GPOH.We created a short instructive video to demonstrate its correct use in clinical practice, in a step-by-step approach. Results: The brief instructive video will demonstrate clearly the correct and straightforward use of the I.N.S.R.F. in clinical practice. The different parts of the I.N.S.R.F. offer structured and standardized recording of important perioperative data and of intra- and postoperative complications. Conclusions: The I.N.S.R.F. provides standardized recording of important perioperative data in NBL & pNBT surgery in a structured and straightforward manner. Its correct use is demonstrated in a short instructive video. Routine use of the I.N.S.R.F. in clinical practice, to document every surgical procedure for NBL or pNBT, is highly recommended, as it will ensure surgeon connectivity, facilitate surgical outcome analysis and improve clinical care.