The Amazing Future of Robotic Surgery at Nicklaus Children’s Hospital
By Juan Luis Calisto, Pediatric General and Thoracic Fellowship, Nicklaus Children’s Health System
At Nicklaus Children’s Hospital, we’re all about giving the best care to kids.
New Technology Meets Healthcare
Robotic Surgery is changing how doctors perform surgeries, especially for children. Dr. Juan Calisto, a renowned pediatric surgeon, uses advanced tools like the da Vinci Surgical System Robot, fluorescence guided surgery using Indocyanine Green (ICG). Being at the forefront of innovation in healthcare allows him to conduct surgeries with greater accuracy, speed, and safety, particularly in the delicate areas of pediatric pelvic and colorectal health.
Understanding Robotic Surgery

Robotic Surgery involves doctors using robots to do operations through tiny cuts. The da Vinci robot provides a high-definition, 3D view inside the body, allowing more precise movements than human hands can achieve. This means less pain for kids, quicker recovery times, and fewer complications after surgery.
This precision is crucial for children whose bodies are smaller and more delicate. The robot helps navigate the tiny spaces inside a child, performing surgeries that were once too challenging with traditional methods.
Dr. Juan Calisto’s Role
Dr. Calisto is a world leader in pediatric colorectal surgery and has been pioneering the use of robotic systems for kids. As a triple-boarded surgeon, certified in Pediatric Surgery, General Surgery, and Critical Care, his expertise is unmatched. At Nicklaus Children’s Hospital in Florida, he heads the Colorectal Center, the state’s first dedicated pediatric center for such conditions.
Dr. Calisto’s work at Nicklaus Children’s Hospital is setting new benchmarks in pediatric surgery. By integrating robotics with advanced imaging, he’s not only enhancing surgical outcomes but also redefining possibilities in child healthcare.
He uses the da Vinci system to tackle some of the toughest pelvic and colorectal surgeries in children – from inflammatory bowel disease to cancer. His work not only improves outcomes but also pushes the limits of what Robotic Surgery can do.
Advanced Imaging with ICG
ICG is a fluorescent dye that lights up under special lights, showing surgeons the blood vessels, lymphatics, and nerves during surgery. This real-time imaging is vital in pediatric surgery, where every millimeter counts. By seeing these structures clearly, Dr. Calisto can make precise cuts, protect nerves, and ensure proper blood flow, significantly reducing risks like leaks or nerve damage.

Benefits for Pediatric Patients
Minimally Invasive: Small incisions mean less scarring and faster healing for kids.
High Precision: With better visibility, surgeries are safer and more accurate.
Reduced Complications: Real-time imaging minimizes the chance of surgical errors.
Training the Next Generation: The da Vinci system is also a teaching tool that helps train new surgeons in complex procedures.
Looking Ahead
The future of surgery is bright, with AI and machine learning set to enhance decision-making in the operating room. This could lead to surgeries tailored specifically to each patient’s needs. Also, as Robotic Surgery becomes more common and less expensive, Dr. Calisto aims to expand its use globally, training doctors in developing countries to improve pediatric care worldwide.
In Conclusion
Dr. Calisto’s work at Nicklaus Children’s Hospital is setting new benchmarks in pediatric surgery. By integrating robotics with advanced imaging, he’s not only enhancing surgical outcomes but also redefining possibilities in child healthcare. The journey of Robotic Surgery is just beginning, promising a future where surgery is more precise, personalized, and accessible, giving hope to children everywhere.