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Updated: Sep 6, 2025

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Robotically Assisted Surgery in Children-A Perspective.

Thomas Franz Krebs1,2, Isabel Schnorr3, Pascal Heye2

  • 1Department of General-, Visceral-, Thoracic-, Transplant- and Pediatric Surgery, UKSH University Hospital of Schleswig-Holstein Kiel Campus, Arnold-Heller-Strasse 3, 24105 Kiel, Germany.

Children (Basel, Switzerland)
|June 24, 2022
PubMed
Summary

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Robotically assisted surgery offers benefits for pediatric procedures, with urology showing the most applications. Despite a learning curve and cost limitations, advancements like reusable instruments suggest wider future use in children.

Area of Science:

  • Minimally Invasive Surgery
  • Pediatric Surgery
  • Surgical Robotics

Background:

  • Robotically assisted surgery (RAS) represents a significant advancement in minimally invasive surgery.
  • Two CE-approved RAS systems are available for pediatric applications.
  • RAS offers potential advantages in pediatric procedures due to tremor filtration and enhanced visualization.

Purpose of the Study:

  • To review the research literature on robotically assisted surgery in pediatrics published in the last decade.
  • To compare RAS with traditional laparoscopic and open surgical approaches in children.
  • To identify current applications, benefits, limitations, and future prospects of RAS in pediatric surgery.

Main Methods:

  • A comprehensive literature search was conducted.
Keywords:
3 mm RAS instruments3 mm instrumentsmicrolaparoscopyminimally invasive surgerypediatric robotic surgeryrobotically assisted surgeryrobotics

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  • Studies comparing robotically assisted surgery with laparoscopic and open approaches were identified.
  • Publications from the past 10 years were prioritized.

    • Main Results:

    • Urology reported the most applications, with gynecology, general surgery, and other fields also identified.
    • 36 reviewed publications indicated RAS as a viable alternative for pediatric procedures.
    • A notable learning curve and limitations such as high cost and instrument size were identified.

    Conclusions:

    • Robotically assisted surgery is a promising alternative for specific pediatric surgical procedures.
    • Ongoing improvements in surgical skills and system innovations, including new instruments, are expected to expand its applications.
    • Further research and development are needed to overcome current limitations and maximize the benefits of RAS in pediatric surgery.