Innovation in Pediatric Surgery: From Robotic Procedures to Emerging Technologies

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Surgery".

Deadline for manuscript submissions: closed (10 November 2025) | Viewed by 756

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Division of Thoracic Surgery, ASST Valtellina e Alto Lario, "Eugenio Morelli" Hospital, 23035 Sondalo, Italy
Interests: lung cancer; pulmonary metastases; surgical oncology; VATS; minimally invasive thoracic surgery; innovative surgical techniques; artificial intelligence; development of medical apps; pleural mesothelioma; respiration physiology
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Special Issue Information

Dear Colleagues,

Recently, there has been a rapid evolution in the field of pediatric surgery, driven by technological innovation and the growing application of minimally invasive approaches. From robotic-assisted procedures to intraoperative navigation, artificial intelligence integration, and smart instrumentation, the modern pediatric operating room is undergoing a profound transformation.

This Special Issue aims to bring together original research articles, clinical studies, and reviews that highlight the latest innovations in pediatric surgical techniques, technologies, and care models. Contributions focusing on robotic systems, advanced imaging, intraoperative decision support, tele-surgery, and AI-driven diagnostics are especially welcome. The goal is to provide an up-to-date overview of how innovation is redefining safety, precision, and outcomes in pediatric surgery.

Dr. Paolo Scanagatta
Guest Editor

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Keywords

  • pediatric surgery
  • robotic-assisted surgery
  • minimally invasive surgery
  • surgical innovation
  • artificial intelligence
  • surgical technology
  • perioperative
  • outcomes
  • intraoperative imaging

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Published Papers (1 paper)

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Research

8 pages, 194 KB  
Article
Is There a Place for Versius (CMR) Robotic Platform in Children?
by Marcin Losin, Andrzej Golebiewski and Piotr Czauderna
Children 2026, 13(2), 290; https://doi.org/10.3390/children13020290 - 19 Feb 2026
Viewed by 397
Abstract
Introduction: Since its introduction in 1994, robot-assisted surgery has advanced significantly and has become a widely accepted tool in minimally invasive surgery. Over the past two decades, robotic technology has also been increasingly adopted in pediatric surgery. Currently, only two robotic systems are [...] Read more.
Introduction: Since its introduction in 1994, robot-assisted surgery has advanced significantly and has become a widely accepted tool in minimally invasive surgery. Over the past two decades, robotic technology has also been increasingly adopted in pediatric surgery. Currently, only two robotic systems are officially approved for pediatric use: the da Vinci surgical system and the Senhance system, both of which have certain limitations. To address these challenges, new robotic platforms such as the Versius system are being developed. Materials and Methods: Following approval from the institutional bioethics committee, a total of 14 pediatric patients underwent robotic-assisted surgery using the Versius robotic system between 10 June and 21 October 2024. Procedures included pyeloplasty, vascular hitch, and cholecystectomy. Results: Procedures with the Versius system were performed including children as young as six years of age and with body weight as low as 15 kg. All procedures were completed successfully without conversion to conventional laparoscopy or open surgery. No intraoperative complications were recorded. The overall postoperative complication rate was 21.4% (3/14 cases), including one anastomotic leak, one case of postoperative hematuria, and one case of postoperative ascites. Discussion: The Versius system represents a promising robotic platform for pediatric surgery, offering a different approach to robotic surgery through modularity, mobility, and compatibility with 5 mm instruments. However, several challenges remain, including prolonged setup and docking times, cable management issues, arm conflicts, and limited access to advanced instrumentation. Nevertheless, with ongoing technological development, robotic surgery is likely to play an increasingly important role in pediatric surgical care. Full article
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