Pediatric Robotic Gynecologic Surgery: A Retrospective Institutional Experience and Systematic Review.

Area of Science:

• Pediatric Surgery
• Gynecologic Oncology
• Minimally Invasive Surgery

Background:

• Robotic-assisted surgery (RAS) is established for pediatric procedures but understudied in pediatric gynecology.
• This study assesses the feasibility, safety, and role of RAS in pediatric gynecologic surgery.

Purpose of the Study:

• To evaluate the safety and efficacy of robotic surgery for gynecologic conditions in pediatric patients.
• To contribute institutional data and literature review on this topic.

Main Methods:

• Retrospective analysis of 29 pediatric patients undergoing robotic gynecologic procedures over ten years.
• Assessment of operative time, length of hospital stay, complication rates, and conversion rates.

Main Results:

• Procedures included ovarian cystectomy, tubal cyst excision, salpingo-oophorectomy, gonadectomy, and Müllerian remnant removal.
• Median operative time was 103 minutes with no conversions and a median hospital stay of 2 days.
• One minor complication (3.4%) was recorded, with zero major complications.

Conclusions:

• Robotic surgery is a safe and efficient approach for pediatric pelvic and internal female genitalia procedures.
• Findings support the feasibility of RAS for complex pediatric gynecological conditions.
• Further randomized studies are needed to compare RAS with traditional laparoscopy.