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Narrative review: robotic pediatric surgery-current status and future perspectives
Amulya K Saxena1, Rachele Borgogni2, Maria Escolino2
1Department of Pediatric Surgery, Chelsea Children's Hospital, Chelsea and Westminster NHS Fdn Trust, Imperial College London, London, UK.
Insights
Robot-assisted surgery is feasible and effective in pediatric patients, offering comparable or superior outcomes to traditional methods. Further research is needed to fully establish its role in treating various pediatric conditions.
Area of Science:
- Minimally Invasive Surgery
- Pediatric Surgery
- Robotic Surgery
Background:
- Robot-assisted surgery (RAS) is increasingly utilized in adult and pediatric surgery.
- RAS offers advantages over traditional open and mini-invasive procedures.
Purpose of the Study:
- To review the latest evidence on robot-assisted pediatric surgery across all subspecialties.
- To summarize current findings on the application of RAS in pediatric patients.
Main Methods:
- Comprehensive literature search of PubMed, Embase, and Cochrane Library (2017-2022).
- Inclusion of 73 articles after screening 685 titles.
Main Results:
- Robot-assisted surgery is technically feasible for select pediatric cases.
- RAS achieves similar or improved surgical outcomes compared to standard procedures.
- Evidence suggests RAS is a viable option for various pediatric pathologies.
Conclusions:
- RAS demonstrates significant potential for treating pediatric conditions.
- Further case series and randomized trials are necessary.
- Advancements in robotic platforms will enhance future treatment options.
Background And Objective:
Robot-assisted surgery has been progressively involved in various fields of adult and pediatric surgery, demonstrating many advantages over either mini-invasive or open surgery. The aim of this review is to provide the most recent evidence on robot-assisted pediatric surgery, in all its subspecialties.
Methods:
A comprehensive electronic literature search of PubMed, Embase, and Cochrane Library was conducted using appropriate Medical Subject Headings (MeSH) terms and keywords. The interval time considered was a 5-year period [2017-2022], and no language restrictions were applied.
Key Content And Findings:
A total of 685 titles were identified. After applying exclusion criteria, 73 articles for robotic pediatric surgery have been published and were included in this review. We extrapolated and summarized the current evidence on robot-assisted surgery in pediatric age through all the fields of applicability.
Conclusions:
Robot-assisted surgery is technically feasible in case of a selected pediatric cohort, and it is going to achieve similar or better surgical results if related to the standard open or mini-invasive procedures. Copious case series and randomized trials are still required. Due to the great potential that this new technology is demonstrating, in the close future, the evolution of robotic platform will offer a valid and solid alternative in the treatment of various pediatric pathologies.
