{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T10:01:10Z","timestamp":1771581670988,"version":"3.50.1"},"reference-count":17,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Introduction: Since its introduction in 1994, robot-assisted surgery has advanced significantly and has become a widely accepted tool in minimally invasive surgery. Over the past two decades, robotic technology has also been increasingly adopted in pediatric surgery. Currently, only two robotic systems are officially approved for pediatric use: the da Vinci surgical system and the Senhance system, both of which have certain limitations. To address these challenges, new robotic platforms such as the Versius system are being developed. Materials and Methods: Following approval from the institutional bioethics committee, a total of 14 pediatric patients underwent robotic-assisted surgery using the Versius robotic system between 10 June and 21 October 2024. Procedures included pyeloplasty, vascular hitch, and cholecystectomy. Results: Procedures with the Versius system were performed including children as young as six years of age and with body weight as low as 15 kg. All procedures were completed successfully without conversion to conventional laparoscopy or open surgery. No intraoperative complications were recorded. The overall postoperative complication rate was 21.4% (3\/14 cases), including one anastomotic leak, one case of postoperative hematuria, and one case of postoperative ascites. Discussion: The Versius system represents a promising robotic platform for pediatric surgery, offering a different approach to robotic surgery through modularity, mobility, and compatibility with 5 mm instruments. However, several challenges remain, including prolonged setup and docking times, cable management issues, arm conflicts, and limited access to advanced instrumentation. Nevertheless, with ongoing technological development, robotic surgery is likely to play an increasingly important role in pediatric surgical care.<\/jats:p>","DOI":"10.3390\/children13020290","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T08:50:03Z","timestamp":1771577403000},"page":"290","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Is There a Place for Versius (CMR) Robotic Platform in Children?"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5539-4903","authenticated-orcid":false,"given":"Marcin","family":"Losin","sequence":"first","affiliation":[{"name":"Department of Surgery and Urology for Children and Adolescents, Medical University of Gdansk, D\u0119binki 7, 80-211 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7361-1572","authenticated-orcid":false,"given":"Andrzej","family":"Golebiewski","sequence":"additional","affiliation":[{"name":"Department of Surgery and Urology for Children and Adolescents, Medical University of Gdansk, D\u0119binki 7, 80-211 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5266-8665","authenticated-orcid":false,"given":"Piotr","family":"Czauderna","sequence":"additional","affiliation":[{"name":"Department of Surgery and Urology for Children and Adolescents, Medical University of Gdansk, D\u0119binki 7, 80-211 Gda\u0144sk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Navarrete-Arellano, M. (2021). Robotic-assisted minimally invasive surgery in children. Latest Developments in Medical Robotics Systems, IntechOpen.","DOI":"10.5772\/intechopen.96684"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1016\/j.jpedsurg.2013.12.014","article-title":"Meta analysis of robot-assisted versus conventional laparoscopic fundoplication in children","volume":"49","author":"Cundy","year":"2014","journal-title":"J. Pediatr Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/s11701-019-00961-y","article-title":"Evaluation of a new robot-assisted laparoscopic surgical system for procedures in small cavities","volume":"14","author":"Bergholz","year":"2020","journal-title":"J. Robot. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2169","DOI":"10.1007\/s00464-020-07622-4","article-title":"Preclinical evaluation of the Versius surgical system, a new robot-assisted surgical device for use in minimal access general and colorectal procedures","volume":"35","author":"Morton","year":"2021","journal-title":"Surg. Endosc."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"32","DOI":"10.4103\/jmas.JMAS_174_19","article-title":"Robotic surgery in paediatric patients: Our initial experience and roadmap for successful implementation of robotic surgery programme","volume":"17","author":"Sinha","year":"2021","journal-title":"J. Minim. Access Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"e000028","DOI":"10.1136\/bmjsit-2019-000028","article-title":"Usability assessment of Versius, a new robot-assisted surgical device for use in minimal access surgery","volume":"2","author":"Haig","year":"2020","journal-title":"BMJ Surg. Interv. Health Technol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1876","DOI":"10.1016\/j.jpedsurg.2020.11.013","article-title":"Comparative analysis of robotic-assisted versus laparoscopic cholecystectomy in pediatric patients","volume":"56","author":"Kulaylat","year":"2021","journal-title":"J. Pediatr. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"14","DOI":"10.4111\/icu.20200387","article-title":"Robotic surgical systems in urology: What is currently available?","volume":"62","author":"Koukourikis","year":"2021","journal-title":"Investig. Clin. Urol."},{"key":"ref_9","unstructured":"(2026, January 08). CMR Surgical launches world-first pediatric clinical trial with Versius, SRT Surgical Robotics Technology, Available online: https:\/\/www.surgicalroboticstechnology.com\/news\/cmr-surgical-launches-world-first-pediatric-clinical-trial-with-versius\/."},{"key":"ref_10","unstructured":"King, C. (2026, January 08). FDA approves the Versius surgical system, Pharma News, Available online: https:\/\/medicalupdateonline.com\/2024\/10\/fda-approves-the-versius-surgical-system\/."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Brownlee, E.M., and Slack, M. (2022). The role of the Versius surgical robotic system in the paediatric population. Children, 9.","DOI":"10.3390\/children9060805"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Krebs, T.F., Kayser, T., Lorenzen, U., Gr\u00fcnewald, M., Kayser, M., Saltner, A., Durmaz, L.O., Reese, L.J., Brownlee, E., and Reischig, K. (2023). Evaluation of the Versius robotic system for infant surgery\u2014A study in piglets of less than 10 kg body weight. Children, 10.","DOI":"10.21203\/rs.3.rs-2252676\/v2"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Kayser, M., Krebs, T.F., Alkatout, I., Kayser, T., Reischig, K., Baastrup, J., Meinzer, A., Ulrich, K., Osmonov, D., and Bergholz, R. (2022). 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Focus"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1007\/s00464-022-09526-x","article-title":"Clinical implementation of the Versius robotic surgical system in visceral surgery\u2014A single-centre experience and review of the first 175 patients","volume":"37","author":"Wehrmann","year":"2023","journal-title":"Surg. Endosc."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"276","DOI":"10.4103\/jmas.JMAS_327_20","article-title":"Considerations for robotic-assisted laparoscopic surgery in children","volume":"17","author":"Johnson","year":"2021","journal-title":"J. Minim. Access Surg."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/13\/2\/290\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T09:02:09Z","timestamp":1771578129000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/13\/2\/290"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,19]]},"references-count":17,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2]]}},"alternative-id":["children13020290"],"URL":"https:\/\/doi.org\/10.3390\/children13020290","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,19]]}}}