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New Approaches in Open and Minimally Invasive Surgery for Abdominal Oncologic Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: closed (25 November 2025) | Viewed by 676

Special Issue Editors


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Guest Editor
Department of Surgery, Sapienza University of Rome, Rome, Italy
Interests: surgical oncology; HPB surgery; pancreas surgery; pancreas disease; liver surgery; liver disease; minimally invasive surgery; gastrointestinal cancer
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Guest Editor
Department of Emergency, AOU Policlinico Umberto 1, Rome, Italy
Interests: surgical oncology; emergency surgery; adrenal; pancreatic surgery; minimally invasive surgery; gastrointestinal cancer

Special Issue Information

Dear Colleagues,

Advances in surgical techniques have significantly improved outcomes in abdominal oncologic surgery, with a growing emphasis on minimally invasive approaches. Traditional open surgery remains essential for complex and extensive tumor resections, particularly in cases requiring multivisceral involvement. However, laparoscopic and robotic-assisted surgery have gained prominence due to their potential for reducing perioperative morbidity, shortening hospital stays, and enhancing postoperative recovery.

Robotic-assisted surgery, with its enhanced precision and improved dexterity, allows for complex dissections and reconstructions, particularly in hepatobiliary and pancreatic cancers. It provides better visualization and ergonomics, which can improve surgical outcomes. Similarly, laparoscopic techniques continue to evolve, offering oncologic safety comparable to open surgery in selected cases, particularly for colorectal and gastric malignancies.

In addition to surgical advancements, integrated treatments such as Hyperthermic Intraperitoneal Chemotherapy (HIPEC) and Pressurized Intraperitoneal Aerosol Chemotherapy (PIPAC) have revolutionized the management of peritoneal carcinomatosis.

Combining these innovative surgical and integrative treatments is shaping the future of abdominal oncologic surgery, aiming to maximize tumor resection while minimizing patient morbidity and improving long-term survival.

Our Special Issue aims to support healthcare professionals in implementing state-of-the-art diagnostic and therapeutic strategies, ultimately improving patient prognoses and quality of life.

Dr. Alessandro Coppola
Dr. Immacolata Iannone
Guest Editors

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Keywords

  • surgical oncology
  • early diagnosis
  • minimally invasive surgery
  • personalized medicine
  • combined therapy
  • gastrointestinal cancer
  • oligometastatic cancer
  • peritoneal disease

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Published Papers (1 paper)

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8 pages, 672 KB  
Brief Report
Single-Stapled Double Purse-String Anastomotic (SIA) Technique in Robotic Malignant Sigmoid Resections—A Danish Single-Center Study
by Helene Juul Würtz and Flemming Hansen Dall
J. Clin. Med. 2026, 15(3), 1100; https://doi.org/10.3390/jcm15031100 - 30 Jan 2026
Viewed by 423
Abstract
Background: Stapled end-to-end anastomosis has a leakage rate close to 10%. Studies indicate that most leaks occur where stapler lines overlap. The single-stapled double purse-string suture technique (SIA) eliminates stapler line overlaps in low anterior resection (LAR) and may thereby decrease leakage rates. [...] Read more.
Background: Stapled end-to-end anastomosis has a leakage rate close to 10%. Studies indicate that most leaks occur where stapler lines overlap. The single-stapled double purse-string suture technique (SIA) eliminates stapler line overlaps in low anterior resection (LAR) and may thereby decrease leakage rates. Methods: This single-arm, single-center study prospectively and consecutively registered all patients with sigmoid colonic cancer planned for robotic sigmoid resection with primary anastomosis over a two-year period. The primary outcome was time to perform SIA and secondary outcomes were total operative time and short-term complications. Results: The study group consisted of twenty-one patients. The median time to perform SIA was 11.5 min. Two patients (9.5%) experienced 30-day postoperative complications. One patient had ischemic bowels and pneumonia postoperatively and another had an anastomotic leakage grade C. Conclusions: This study has several limitations, including a small sample size, lack of comparator group, and short follow-up period. However, these preliminary results may indicate the SIA technique to be feasible without prolonging the operation substantially. Larger series are, however, evidently needed to evaluate the SIA technique in further detail to elucidate whether the technique is generalizable and safe. Full article
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