What Pediatric Robotic Surgery Since 2000 Suggests About Ethics, Limits, and Innovation

Bibliographic Data

ID15745289
AuthorsTenny R Zhang (0000-0001-9087-9431, NewYork–Presbyterian Hospital, corresponding author), Elijah Castle (0000-0003-0894-2214, NYU Langone Health), Lee C Zhao (0000-0002-4029-0669, NYU Langone Health)
Year2023
Volume25
Issue8
PagesE637-642
Publication date2023-08-01
Open AccessYes
TypeARTICLE
VenueThe AMA Journal of Ethic (JOURNAL)
Journal identifiersISSN: 2376-6980 • E-ISSN: 2376-6980
PublisherAmerican Medical Association (PUBLISHER • US)
DOI10.1001/amajethics.2023.637
PMID37535508
OpenAlexW4385525202
LanguageEN
Citations received1
References cited1

Since the US Food and Drug Administration first approved robotic surgery for clinical use in 2000, it has gained widespread adoption across multiple surgical domains. While pediatric surgery has had a relatively slower adoption rate, robotic surgery has nonetheless grown in this context. This work traces the historical and regulatory aspects of pediatric robotic surgery, showing how it incorporated an existing robotic surgical system developed for adults; situates the technology within ethical frameworks for analyzing surgical innovation; and advocates for combined surgeon self-regulation and institutional oversight. Finally, the argument is made that there are key unmet technological needs pertaining to instrument size and adaptability secondary to pediatric robotic surgery's smaller market share and that clinicians and producers of robotic surgical systems should work to address these needs

Adaptability · Argument (complex analysis · Context (archaeology · Economics · Engineering ethics · Food and drug administration · General surgery · Management · Risk analysis (engineering · Robotic surgery · Work (physics · Anatomy and Medical Technology · Engineering · Health and Medical Research Impacts · Medicine · Surgical Simulation and Training

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Open DOIOpen Access