Evidence map›Paper›PMID 41887639›Full record

ArticleBMJ open2026

Robotic-assisted endoscopic procedures in paediatric urology, gynaecology and general surgery: protocol for a multicenter observational registry study (MiniTrust study).

Rianne E M Killaars, Ruben G J Visschers, Hamit Cakir, D J A Dinjens, Daniel L Widmann, Holger Friedrich, Oliver Muensterer, Wim G van Gemert, Jan Goedeke, MiniTrust Collaborative Study Group

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07081828 (The Asensus Paediatric Registry of Robotic-Assisted Endoscopic Procedures in Urology, Gynaecology, and General Surgery), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT07081828 terminatednot on this map

The Asensus Paediatric Registry of Robotic-Assisted Endoscopic Procedures in Urology, Gynaecology, and General Surgery

Typeobservational_patient_registrySponsorAsensus SurgicalRan2025 to 2026Enrolled37ConditionsSurgery, Surgery in Early ChildhoodArmsSurgery
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Rianne E M KillaarsDepartment of Paediatric Surgery, Maastricht University Medical Center+, Maastricht, The Netherlands rianne.killaars@mumc.nl.ORCID http://orcid.org/0009-0001-0258-7517
Ruben G J VisschersEuropean Consortium of Pediatric Surgery (Maastricht UMC+, Uniklinik Aachen, Clinique CHC MontLégia Liège), Maastricht, The Netherlands.
Hamit CakirEuropean Consortium of Pediatric Surgery (Maastricht UMC+, Uniklinik Aachen, Clinique CHC MontLégia Liège), Maastricht, The Netherlands.
D J A DinjensEuropean Consortium of Pediatric Surgery (Maastricht UMC+, Uniklinik Aachen, Clinique CHC MontLégia Liège), Maastricht, The Netherlands.
Daniel L WidmannDepartment of Paediatric Surgery, Dr. von Hauner Children's Hospital, LMU University Hospital, Munich, Germany.
Holger FriedrichClinical Registry Coordinator Asensus, Meerbusch, Germany.
Oliver MuenstererDepartment of Paediatric Surgery, Dr. von Hauner Children's Hospital, LMU University Hospital, Munich, Germany.
Wim G van GemertEuropean Consortium of Pediatric Surgery (Maastricht UMC+, Uniklinik Aachen, Clinique CHC MontLégia Liège), Maastricht, The Netherlands.
Jan GoedekeDepartment of Paediatric Surgery, Dr. von Hauner Children's Hospital, LMU University Hospital, Munich, Germany.
MiniTrust Collaborative Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMinimally invasive surgery (MIS) has improved patient outcomes by reducing surgical trauma and recovery times. Robotic-assisted surgery (RAS) advances MIS with superior precision, visualisation and ergonomics. These advantages are especially critical in paediatric procedures. The Senhance Surgical System (SSS) is a CE-marked robotic platform that enables RAS in children using 3 mm and 5 mm instruments. While RAS is routinely established in many adult procedures, its adoption and documentation in paediatric surgery are lagging. To address this disparity, the MiniTrust registry will generate real-world evidence on the safety and performance of the SSS in paediatric procedures. METHODS AND ANALYSIS: This multicentre, observational post-market clinical follow-up (PMCF) registry study includes both prospective and retrospective cases of paediatric patients undergoing RAS in urology, gynaecology or general surgery. If the underlying diagnosis is suitable for treatment with RAS, patients under 18 years of age and weighing ≥10 kg are eligible. Primary outcomes include procedure-related adverse events (AEs) classified as Clavien-Dindo >grade III within 30 days, and serious AEs within 3 months. Secondary endpoints include length of hospital stay, unplanned conversion rates and patient-reported pain outcomes. Data are collected via standardised case report forms and analysed descriptively, with results benchmarked against conventional paediatric laparoscopy literature. ETHICS AND DISSEMINATION: This study was approved in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Maastricht (2024-0425) and by the Ethics Committee of Munich (2024-0589). Results will be disseminated through peer-reviewed publications, scientific conferences and regulatory reports. This registry will contribute essential evidence to support the broader integration of RAS into paediatric surgical care. TRIAL REGISTRATION NUMBER: NCT07081828.

Indexed as

Gynecologic Surgical ProceduresRobotic Surgical ProceduresUrologic Surgical ProceduresAdolescentChildChild, PreschoolFemaleHumansInfantLength of StayMaleMinimally Invasive Surgical ProceduresMulticenter Studies as TopicObservational Studies as TopicProspective StudiesRegistriesChildMinimally invasive surgeryPAEDIATRIC SURGERYSURGERY

Identifiers

PMID41887639
PMCPMC13034209

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Registered trials

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.