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Abstract

Pediatric Robotic Oncology Surgery: Is there a Reduction in Post-Surgical Complications?

  • Open or CloseBrooke Pantaleo, James Kean and Leonard B Goldstein*

    Assistant Vice President for Clinical Education Development, ATSU Academic Affairs, A T Still University, USA

    *Corresponding author:Leonard B Goldstein, Assistant Vice President for Clinical Education Development, ATSU Academic Affairs, A T Still University 5850 E Still Circle, Mesa, AZ 85206, USA

Submission: September 4, 2025;Published: September 17, 2025

DOI: 10.31031/DAPM.2025.03.000552

ISSN 2640-9399
Volume3 Issue1

Abstract

Robotic-assisted surgery has become an established tool in adult oncology, offering enhanced visualization, dexterity and surgeon ergonomics. However, its application in pediatric oncology remains limited, largely due to the rarity of childhood cancers, unique physiological constraints and the distinct biology of embryonal tumors. The review synthesizes current evidence on the safety, complication rates and broader implications of robotic utilization in pediatric oncologic surgery. Data from pediatric urology and other surgical subspecialities demonstrate potential advantages-including shorter hospitalization and comparable success rates to open or laparoscopic approaches-yet complication rates in select series appear higher with robotic platforms, particularly in smaller cohorts or among less experienced operators. Importantly, robot-specific malfunctions are exceedingly rare (<0.5%) and many observed complications stem from modifiable factors such as case selection, patient positioning and training. Beyond outcomes, this review highlights critical considerations in pediatric robotics; challenges in surgical education due to low oncologic case volumes, disproportionate financial burden in comparison to adults, ethical complexities in parental informed consent and physiologic vulnerabilities inherent to pediatric patients. Future directions include refinements of pediatric-specific instrumentation, multicenter prospective trials to ensure oncologic safety and optimize long term outcomes.

Keywords:Pediatric oncology; Robotic assisted surgery; Minimally invasive surgery; Surgical outcomes; Embryonal tumors; Surgical education; Postoperative complications; Cost-effectiveness

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