Artículo de revisión sistemática1-8Introduction: Robotic assisted surgery (RAS) is one of the most recent surgical
approaches that has quickly been adopted by the pediatric urology community. Over the
last decade, a vast amount of manuscripts has been published, supporting the safety
and applicability of RAS in the pediatric population. The quality of published literature
about this innovative technology remains supported by case-reports and retrospective
case-series. Historical behavior of literature productivity and implementation of
laparoscopy followed a similar trend. We present the historical publication uptake of RAS
in pediatric urology and other surgical disciplines using a bibliometric comparison of the
most cited manuscripts.
Materials and Methods: A systematic search and review of the literature was
undertaken by the authors. Literature search was performed in OVID, PubMed, EMBASE,
Scopus, Web of Science, and Google Scholar. The search period included all publications
between 1985 and June 2018. All languages were included. Data analysis for graphical
representation was performed using VOSviewer® version 1.6.8 and Impact Index
Analysis was used to adjust the citations by the time since publication.
Results: A total of 1,014 titles were identified. After applying exclusion criteria, 200
papers were included for the RAS arm and 402 for the laparoscopic one. Case-series was
the most common type of publication. Average citations for laparoscopic manuscripts
was 23 (SD ± 31) and for RAS was 20 (SD ± 31.5). The impact index analysis showed
an average of 95 (SD ± 167) for laparoscopic manuscripts vs. 66 (SD ± 101) for RAS.
The laparoscopic manuscript with the highest citation count had 199 citations with an
impact index of 12.1. And the RAS manuscript with the highest citation count had 280
citations and an impact index of 4.3.
Conclusion: Literature productivity in pediatric laparoscopic and RAS has quickly
grown. Pediatric Urologists play a key role in the introduction of this innovative tool.
Literature supporting its implementation and future consolidation requires to focus on
increasing the level of evidence
