ROBOTIC SURGERY FOR TUMORS IN CHILDREN

Abstract

Robotic surgery for tumors in children has emerged as a promising approach, combining the benefits of minimally invasive surgery with the precision and skill provided by robotic technology. This technique represents a significant advance in the treatment of pediatric neoplasms, offering minimal incisions, shorter recovery time and reducing the risk of postoperative complications. The ability to perform complex procedures in delicate areas, such as the brain and spinal cord, with millimeter precision makes it especially valuable in the pediatric context. Objective: This study aims to critically analyze scientific literature from the last 10 years on the effectiveness and safety of robotic surgery for tumors in children, identifying available evidence and highlighting gaps in knowledge. Methodology: A systematic review was conducted according to the PRISMA checklist. The PubMed, Scielo and Web of Science databases were searched using the descriptors "robotic surgery", "tumors", "children", "pediatric neoplasms" and "minimally invasive surgery". Three inclusion criteria were established: studies published in the last 10 years, involving pediatric patients undergoing robotic surgery for tumors, and available in English, Spanish or Portuguese. Three exclusion criteria were applied: studies in adults, studies focusing exclusively on open surgery, and studies that did not report specific surgical outcomes in children. Results: Analysis of the selected studies highlighted the benefits of robotic surgery in terms of lower morbidity, faster recovery and oncological results comparable to open surgery. Furthermore, promising trends have been identified regarding procedural accuracy and safety, especially in intracranial and abdominal tumors. Conclusion: Robotic surgery for tumors in children represents an innovative and safe approach, with the potential to improve clinical outcomes and quality of life for pediatric patients. However, more studies are needed to confirm its long-term effectiveness and establish clear guidelines for its clinical application.