TY  - JOUR
A1  - Krebs, Thomas Franz
A1  - Schnorr, Isabel
A1  - Heye, Pascal
A1  - Häcker, Franz-Martin
T1  - Robotically assisted surgery in children - a perspective
T2  - Children
N2  - The introduction of robotically assisted surgery was a milestone for minimally invasive surgery in the 21st century. Currently, there are two CE-approved robotically assisted surgery systems for use and development in pediatrics. Specifically, tremor filtration and optimal visualization are approaches which can have enormous benefits for procedures in small bodies. Robotically assisted surgery in children might have advantages compared to laparoscopic or open approaches. This review focuses on the research literature regarding robotically assisted surgery that has been published within the past decade. A literature search was conducted to identify studies comparing robotically assisted surgery with laparoscopic and open approaches. While reported applications in urology were the most cited, three other fields (gynecology, general surgery, and “others”) were also identified. In total, 36 of the publications reviewed suggested that robotically assisted surgery was a good alternative for pediatric procedures. After several years of experience of this surgery, a strong learning curve was evident in the literature. However, some authors have highlighted limitations, such as high cost and a limited spectrum of small-sized instruments. The recent introduction of reusable 3 mm instruments to the market might help to overcome these limitations. In the future, it can be anticipated that there will be a broader range of applications for robotically assisted surgery in selected pediatric surgeries, especially as surgical skills continue to improve and further system innovations emerge.
KW  - robotically assisted surgery
KW  - pediatric robotic surgery
KW  - minimally invasive surgery
KW  - robotics
KW  - 3 mm instruments
KW  - microlaparoscopy
KW  - 3 mm RAS instruments
Y1  - 2022
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/71461
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-714619
SN  - 2227-9067
N1  - The following supporting information can be downloaded at https://www.mdpi.com/article/10.3390/children9060839/s1, Figure S1: PRISMA flow diagram.
VL  - 9
IS  - 6, art. 839
SP  - 1
EP  - 15
PB  - MDPI
CY  - Basel
ER  -