ArticleFrontiers in pediatrics2026
Robotic-assisted cholecystectomy in children is associated with faster gastrointestinal recovery: a comparative study.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The role of robotic-assisted cholecystectomy in paediatric patients remains incompletely defined, particularly regarding postoperative recovery and gastrointestinal function. This study aimed to compare perioperative outcomes and early recovery between robotic-assisted and conventional laparoscopic cholecystectomy in children. Methods: A single-centre retrospective comparative cohort study was conducted at a tertiary paediatric referral centre. Consecutive patients (≤18 years) undergoing cholecystectomy for benign gallbladder disease were included and divided into two groups based on surgical approach: pre-robotic (January 2023-December 2024) and robotic (January 2025-December 2025). Demographic, intraoperative, and postoperative outcomes were analysed. Continuous variables were compared using the Mann-Whitney U test and categorical variables using Fisher's exact test. Results: A total of 28 patients were included (13 pre-robotic, 15 robotic). Baseline characteristics were comparable between groups. Median operative time was significantly longer in the robotic group (2:22 h vs. 1:33 h; Conclusions: Robotic-assisted cholecystectomy is a safe and feasible approach in paediatric patients, with perioperative outcomes comparable to conventional laparoscopy. Despite longer operative times, the robotic approach was associated with shorter hospital stay and faster recovery of bowel function. These findings suggest a potential advantage of robotic surgery in promoting early postoperative recovery. Larger prospective studies are needed to confirm these results and define the role of robotics in paediatric cholecystectomy.
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