**11. Conclusions**

In this chapter, in relation to robot-assisted surgery, its definition, characteristics, advantages, benefits, limitations and applications in children are addressed. As well as, the surgical areas of its application in the pediatric population, which include urological, general, thoracic, oncological and otorhinolaryngological surgery.

To date, there are multiple publications that demonstrate that robotic surgery in children is safe and effective, and it is important to offer children its benefits. However, a frequent conclusion of published studies on robotic surgery in children is the impossibility of carrying out comparative studies with all the scientific rigor, which makes it impossible to reach solid conclusions about the advantages and benefits in the pediatric population.

Robotic surgery preferably applied to difficult and complex cases adds value to patient care, and is an important balancing factor against the apparently higher cost (main drawback), compared to open and laparo-thoracoscopic surgery.

The author included his results in pediatric robotic surgery, which compared to other series of similar published cases; the experience is favorable and encouraging.

Globally, to date, few pediatric surgeons have adopted the robot-assisted surgery, as opposed to more pediatric urologists who have benefited more children. To date, in malignant tumors in children, robotic surgery has been applied less.

Recommendations for the implementation of a pediatric robotic surgery program are included. With robotic assistance, it is important to mention that the learning curve is shorter than with laparo-thoracoscopic surgery. It is necessary for

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**Author details**

Mario Navarrete-Arellano

provided the original work is properly cited.

Hospital Central Militar and Hospital Angeles Lomas, Mexico City, Mexico

© 2021 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/3.0), which permits unrestricted use, distribution, and reproduction in any medium,

\*Address all correspondence to: drcirugiaroboticamx@gmail.com

*Robotic-Assisted Minimally Invasive Surgery in Children DOI: http://dx.doi.org/10.5772/intechopen.96684*

of the robotic surgeon. A proposal is included.

**Acknowledgements**

**Conflict of interest**

systems, the use of artificial intelligence, and digital surgery.

of Mexico City, who participated in the surgical teams as trainees.

the execution of this manuscript, no economic financing was received.

each institution to establish the curriculum for the accreditation and credentialing

The future will be fascinating with upcoming advancements in robotic surgical

I thank the Pediatricians, Pediatric Surgery Residents and Pediatric Surgeons of the Department of Pediatrics of the Hospital Militar de Especialidades de la Mujer y Neonatología, for their collaboration in the referral of patients for treatment with robotic surgery, and your participation in the surgical teams or as trainees. As well as, the Pediatric Surgeons of the Hospital Angeles Lomas and the Hospital Español

The author declares to be Proctor of the da Vinci Surgical System and sometimes receives salary for advice to Surgeons in their first robotic procedures. In relation to

each institution to establish the curriculum for the accreditation and credentialing of the robotic surgeon. A proposal is included.

The future will be fascinating with upcoming advancements in robotic surgical systems, the use of artificial intelligence, and digital surgery.
