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Original Article · 2023

What Pediatric Robotic Surgery Since 2000 Suggests About Ethics, Limits, and Innovation

Zhang TR, Castle E, Zhao LC

AMA journal of ethics · 2023

PubMed DOI PMID 37535508

Citation

Zhang TR, Castle E, Zhao, LC. What Pediatric Robotic Surgery Since 2000 Suggests About Ethics, Limits, and Innovation. AMA journal of ethics. 2023 25(8):E637-642 (# 5546812)

Abstract

Since the US Food and Drug Administration first approved robotic surgery for clinical use in 2000, it has gained widespread adoption across multiple surgical domains. While pediatric surgery has had a relatively slower adoption rate, robotic surgery has nonetheless grown in this context. This work traces the historical and regulatory aspects of pediatric robotic surgery, showing how it incorporated an existing robotic surgical system developed for adults; situates the technology within ethical frameworks for analyzing surgical innovation; and advocates for combined surgeon self-regulation and institutional oversight. Finally, the argument is made that there are key unmet technological needs pertaining to instrument size and adaptability secondary to pediatric robotic surgery's smaller market share and that clinicians and producers of robotic surgical systems should work to address these needs.

Key Points

  • Published in AMA journal of ethics in 2023.
  • Indexed in PubMed as PMID 37535508.
  • Mapped to Robotic & Single-Port.
  • Abstract available from PubMed and rendered as static text on this page.

Clinical Relevance

This publication is part of the robotic surgery and single-port bibliography, connecting technique development with reconstructive indications and outcome reporting.

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