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Utilization of robotics in pediatric surgical oncology
Jillian C Jacobson1, Marinda G Scrushy1, Lauren A Gillory1
1Division of Pediatric Surgery, Children's Medical Center & Department of Surgery, University of Texas Southwestern Medical Center, 1935 Medical District Drive, Suite D2000, Dallas, TX, 75235, USA.
Abstract:
Despite increasing implementation of robotic surgery and minimally invasive techniques within adult surgical oncology and pediatric general surgery, the utilization of robotic-assisted resections for pediatric tumors has been met with controversy. The robotic platform affords numerous advantages over conventional surgical techniques. However, limited data and guidelines regarding patient selection, indications for the robotic approach, and long-term oncologic outcomes have delayed the widespread adoption of robotic-assisted resection of pediatric tumors. This paper reviews the benefits, limitations, and existing guidelines and data regarding the utilization of robotics in pediatric surgical oncology.
Insights
Robotic-assisted tumor resection in children is controversial despite potential benefits. More data on patient selection and outcomes are needed for wider adoption of this minimally invasive approach.
Area of Science:
- Surgical Oncology
- Pediatric Surgery
- Robotic Surgery
Background:
- Robotic surgery is increasingly used in adult and pediatric general surgery.
- Its application in pediatric tumor resection remains controversial.
- Limited data exists on patient selection, indications, and oncologic outcomes.
Approach:
- This paper reviews the current literature on robotic-assisted resections in pediatric surgical oncology.
- It examines the advantages and disadvantages of the robotic platform compared to conventional techniques.
- The review synthesizes existing guidelines and data concerning robotic utilization.
Key Points:
- Robotic platforms offer potential advantages in pediatric surgery.
- Concerns exist regarding patient selection and oncologic outcomes.
- Lack of comprehensive guidelines impacts adoption rates.
Conclusions:
- Robotic-assisted resection in pediatric oncology has potential benefits.
- Further research is crucial to establish clear guidelines and demonstrate long-term oncologic safety and efficacy.
- Addressing current limitations will facilitate wider acceptance of robotic surgery for pediatric tumors.
