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About

Piero Romano is a pioneering pediatric surgeon whose work has centered on advancing robotic-assisted surgery for the smallest and most vulnerable patients. His research focuses on the feasibility, safety, and technical refinement of minimally invasive robotic procedures in children, particularly those weighing under 10 kilograms. Romano’s major contributions include demonstrating that robotic pyeloplasty can be performed safely in neonates and infants with severe congenital kidney obstructions, a population previously considered too fragile for such technology. He has also critically evaluated the use of 5-millimeter instruments in pediatric robotic surgery, highlighting both their advantages in narrow spaces and their limitations. Beyond technical innovation, his case reports have improved diagnostic accuracy, as seen in his work on biliary rhabdomyosarcoma misdiagnosed as a choledochal cyst. With key papers accumulating over 100 citations, Romano’s impact is evident in the growing adoption of robotic techniques in pediatric urology and gynecology. His 2013 study on robotic-assisted surgery in pediatric gynecology remains a foundational reference, while his 2015 work on excising an enlarged prostatic utricle showcases the precision of robotic dissection for rare malformations. Romano’s career exemplifies how careful, patient-focused innovation can expand the boundaries of what is surgically possible in children.