Learning curve and outcomes in pediatric robotic-assisted surgery: a seven-year single-center experience
Keywords:
pediatric, robotic-assisted, minimally invasive, learning curve, complications, hospitalization, docking timeAbstract
Robotic-assisted surgery is increasingly used in pediatric practice, but real-world learning curves and outcomes remain incompletely characterized. This single-center retrospective study analyzes seven years of pediatric robotic-assisted surgery, focusing on efficiency, safety, and program maturation. We reviewed 105 procedures performed between 2017 and 2024, extracting docking time, operative time, conversion rate, complications, and length of stay. Median docking time decreased from 45 to 15 minutes, and operative time also significantly shortened over time, illustrating a robust learning curve. The conversion rate was 0.9%, postoperative complications 1.8% (Clavien 3b), and median hospitalization two days. Compared with historical pediatric laparoscopic cohorts from the literature, robotic-assisted surgery demonstrated comparable or lower complication rates with progressive gains in efficiency. Our findings support robotic-assisted surgery as a safe and effective option in specialized pediatric centers, provided structured training and volume consolidation are achieved.
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