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From the beginning, collaboration with anesthesia is critical for a safe, efficient case including placement of an endotracheal tube rather than a laryngeal mask (LMA) and placement of a nasogastric tube and\/or rectal tube to relieve distended stomach or bowel, respectively. Furthermore, end\u2010tidal CO<jats:sub>2<\/jats:sub> (EtCO<jats:sub>2<\/jats:sub>) is important for monitoring and predicting the effects of pneumoperitoneum on caridiovascular physiology, incranial pressure, and risk of acidosis and hypercarbia. Positioning can further exacerbate these effects and affect intra\u2010abdominal working space. For infant robotic pyeloplasty and heminephrectomy, a \u201cbeanbag\u201d is commonly used for stabilization in the lateral decubitus position. We advise against the use of a \u201cbaby bump\u201d because it brings the bowels and vasculature more anterior than expected. Pnuemoperitoneum pressure of 8\u201310\u2009mmHg during port placement maximizes safety, but thereafter, the pneumoperitoneum pressure can be minimized to 6\u20138\u2009mmHg during the procedure without compromising the visual field. Port sites should be marked after insufflation, followed by the open Hasson technique for peritoneal access and port placement under direct vision with intussusception of the trocars to avoid vascular or bowel injury. Additional tips can be obtained through this manuscript, immersive fellowships, and mini\u2010fellowships. Ulitmately, infant robotic surgery has the potential to benefit many children but is presently limited by the lack of pediatric\u2010specific robotic technology and its associated costs.<\/jats:p>","DOI":"10.1111\/iju.15105","type":"journal-article","created":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T18:58:27Z","timestamp":1671130707000},"page":"250-257","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Review of robot\u2010assisted laparoscopic surgery in management of infant congenital urology: Advances and limitations in utilization and learning"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9108-1800","authenticated-orcid":false,"given":"Alyssa M.","family":"Lombardo","sequence":"first","affiliation":[{"name":"The University of Chicago Pritzker School of Medicine  Chicago Illinois 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