Invited Commentary on McRae, et al: Outcomes Following Adoption and Integration of Robotic-Assisted Cholecystectomy for Pediatric Biliary Tract Disease: An Eight-Year, Single Center Experience. From Adoption to Integration: The Maturation of Pediatric Rob

jpedsurg.org

Robotic surgery has become an increasingly important part of pediatric surgical practice over the last two decades. Early reports demonstrated that procedures such as fundoplication, cholecystectomy, and splenectomy could be performed safely using the robotic platform, and since then the technology has expanded into more complex abdominal and thoracic operations.[1,2] While adoption in pediatrics has been slower than in adult surgery, use continues to grow as surgeons recognize the advantages of improved visualization, instrument articulation, and surgeon ergonomics, particularly in technically demanding cases.

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Article · Mar 2026 · 1 min read

In brief

This commentary examines the evolution of robotic-assisted cholecystectomy in pediatric biliary surgery, analyzing an eight-year single-center experience. It discusses the maturation process from initial adoption to full integration of robotic platforms in pediatric surgical practice, highlighting advantages in visualization and ergonomics for complex cases.

Robotic surgery has expanded from basic procedures (fundoplication, cholecystectomy, splenectomy) to complex abdominal and thoracic operations in pediatrics.
Pediatric adoption of robotic platforms has been slower than in adult surgery but continues to grow.
Key advantages include improved visualization, instrument articulation, and surgeon ergonomics in technically demanding cases.
Robotic technology has become increasingly important in pediatric surgical practice over the past two decades.

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