This report evaluates the feasibility of bimanual use of articulating laparoscopic instruments in pediatric minimally invasive surgery, suggesting a viable alternative to robotic assistance.
INTRODUCTION: Articulating laparoscopic instruments such as ArtiSential have been developed to overcome the limited range of motion associated with conventional straight instruments, particularly in narrow operative fields. While robot-assisted surgery provides highly precise manipulation, its introduction in pediatric surgery remains limited due to high cost and restricted insurance coverage. We introduced bimanual use of ArtiSential in pediatric minimally invasive surgery as a potential alternative to robotic assistance and evaluated its feasibility and technical advantages.
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Kaisyakuji et al. (2026) studied this question.
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