Evidence map›Paper›PMID 40569468›Full record

SynthesisPediatric surgery international2025

Systematic review of the training process of minimally invasive surgery in neonates and infants.

Petra Zahradníková, Jozef Babala, Martin Lindák, Rebeka Pechanová, Silvia Hnilicová, Marián Molnár, Barbora Nedomová, Lucie Poš, Vojtěch Dotlačil, Barbora Kučerová

Abstract readSystematic Review
In one paragraph

Synthesis in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Petra ZahradníkováDepartment of Pediatric Surgery, Faculty of Medicine, Comenius University and National Institute of Children's Diseases, Bratislava, Slovakia. petra.zahradnikova@fmed.uniba.sk.
Jozef BabalaDepartment of Pediatric Surgery, Faculty of Medicine, Comenius University and National Institute of Children's Diseases, Bratislava, Slovakia. jozef.babala@fmed.uniba.sk.
Martin LindákDepartment of Pediatric Surgery, Faculty of Medicine, Comenius University and National Institute of Children's Diseases, Bratislava, Slovakia.
Rebeka PechanováDepartment of Pediatric Surgery, Faculty of Medicine, Comenius University and National Institute of Children's Diseases, Bratislava, Slovakia.
Silvia HnilicováInstitute of Medical Education and Simulations, Faculty of Medicine, Comenius University, Bratislava, Slovakia.
Marián MolnárDepartment of Pediatric Surgery, Jessenius Faculty of Medicine, Comenius University, Martin, Slovakia.
Barbora NedomováDepartment of Pediatric Anesthesiology and Intensive Medicine, Faculty of Medicine, Comenius University and National Institute of Children's Diseases, Bratislava, Slovakia.
Lucie PošDepartment of Pediatric Surgery, Charles University and Motol University Hospital Prague, Prague, Czech Republic.
Vojtěch DotlačilDepartment of Pediatric Surgery, Charles University and Motol University Hospital Prague, Prague, Czech Republic.
Barbora KučerováDepartment of Pediatric Surgery, Charles University and Motol University Hospital Prague, Prague, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMinimally invasive surgery (MIS) in neonates and infants presents technical challenges and is still unfamiliar to many paediatrics surgeons. This study aims to identify currently available simulators for neonatal/infant MIS training, to assess their validity, level of evidence, and related recommendations.

methodsThe review followed PRISMA guidelines and was registered in PROSPERO (CRD420250581050). Electronic search limited to English articles was performed through PubMed/MEDLINE, SCOPUS, Web of Science and Cochrane Database from January 2010 to June 2024.

resultsOut of 1084 identified records, 72 studies met the inclusion criteria and were analysed across general, gastrointestinal, thoracic, and urological MIS specialties. Recent efforts have led to the development of 3D-printed, animal-based, and hybrid models several of which showed high fidelity, skill differentiation, and educational value. Despite promising results, no universal MIS training model exists for neonate/infant patients, highlighting the need for structured, proficiency-based curricula. Overall, studies demonstrated moderate levels of evidence and recommendation, supporting integration of cost-effective simulation into paediatrics MIS training

conclusionThis systematic review highlights the need for validated, standardized simulation models and proficiency-based curricula to optimize neonate and infant MIS training and guide future research toward improving model fidelity, accessibility, and long-term educational outcomes.

Indexed as

Minimally Invasive Surgical ProceduresPediatricsSimulation TrainingClinical CompetenceHumansInfantInfant, NewbornLaparoscopic surgeryMinimally invasive surgery(MIS) in neonates and infantsSimulation-based trainingSimulation modelsThoracoscopic surgery

Identifiers

PMID40569468
PMCPMC12202564

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.