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Minimally Invasive Gastrointestinal Surgery: Clinical Advances and Prospects
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Minimally Invasive Gastrointestinal Surgery: Clinical Advances and Prospects

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

Deadline for manuscript submissions: closed (30 November 2025) | Viewed by 618

Special Issue Editor

Dr. Jun Suh Lee

E-Mail Website
Guest Editor
Department of Surgery, Bucheon Sejong Hospital, Bucheon, Republic of Korea
Interests: minimally invasive surgery; pancreatectomy; pancreatic cancer; laparoscopic surgery; robotic surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Minimally invasive gastrointestinal surgery has transformed the landscape of surgical treatment, offering improved patient outcomes, reduced complications, and faster recovery times. Recent advancements in laparoscopic, robotic, and endoscopic techniques have expanded the indications for minimally invasive procedures in gastrointestinal diseases, allowing for more precise and safer interventions. The integration of enhanced imaging, novel energy devices, and artificial intelligence has further refined surgical accuracy and intraoperative decision-making.

This Special Issue aims to highlight the latest clinical advances in minimally invasive gastrointestinal surgery, focusing on innovative techniques, perioperative management strategies, and long-term outcomes. We welcome original research and review articles that explore cutting-edge developments in minimally invasive approaches to gastrointestinal surgery, including, but not limited to, colorectal, gastric, hepatopancreatobiliary, and bariatric procedures.

We invite authors to contribute their expertise and research findings to provide a comprehensive overview of the current trends and future directions in the field.

Dr. Jun Suh Lee
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • minimally invasive surgery
  • gastrointestinal surgery
  • laparoscopic surgery
  • robotic surgery
  • surgical innovation

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Published Papers (1 paper)

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Review

30 pages, 3790 KB  
Review
Robotic Gastrointestinal Surgery Compared to Conventional Approaches: An Umbrella Review of Clinical and Economic Outcomes
by Seung Hyun Rho, Jeonghyun Lee and Jun Suh Lee
J. Clin. Med. 2025, 14(23), 8555; https://doi.org/10.3390/jcm14238555 - 2 Dec 2025
Viewed by 356
Abstract
Background/Objectives: Robotic-assisted surgery (RAS) has emerged as a technological advancement in gastrointestinal (GI) procedures, addressing limitations of conventional laparoscopy through enhanced dexterity, three-dimensional visualization, and ergonomic improvements. While its clinical use is expanding, the comparative benefits and cost-effectiveness of RAS across different GI [...] Read more.
Background/Objectives: Robotic-assisted surgery (RAS) has emerged as a technological advancement in gastrointestinal (GI) procedures, addressing limitations of conventional laparoscopy through enhanced dexterity, three-dimensional visualization, and ergonomic improvements. While its clinical use is expanding, the comparative benefits and cost-effectiveness of RAS across different GI domains remain unclear. Methods: An umbrella review was conducted to evaluate RAS across six GI domains: esophageal, gastric, liver, biliary, pancreatic, and colorectal. A systematic literature search of PubMed was performed in April 2025, yielding 8961 articles. Reviews published in English since 2018 and comparing RAS with laparoscopic or open approaches in human GI surgery were eligible. A total of 250 articles met the inclusion criteria. Data on technical feasibility, clinical outcomes, and cost-effectiveness were extracted. Methodological quality was appraised using the AMSTAR 2 checklist. Results were synthesized narratively. The study was supported by the National Research Foundation of Korea grant, and the protocol was registered in PROSPERO (CRD420251042541). Results: RAS demonstrated domain-specific advantages. Esophageal and gastric surgeries benefited from enhanced precision and lymphadenectomy, while long-term outcomes were comparable to laparoscopy. Robotic liver and biliary surgeries offered technical advantages in complex cases, but evidence was limited. The most significant clinical benefits were observed in pancreatic and colorectal procedures, in which RAS reduced conversion rates and improved short-term outcomes in anatomically challenging scenarios. Cost-effectiveness was generally unfavorable but showed improvement in high-volume centers due to reduced complications and shorter hospital stays. Conclusions: Robotic assistance provides the most consistent clinical benefit in pancreatic and colorectal surgery, especially for complex, high-risk cases. While high procedural costs remain a barrier, selective use of RAS in appropriate settings may yield improved outcomes. These findings support the need for ongoing evaluation of cost-effectiveness and long-term results to guide evidence-based integration of robotics into GI surgery. Full article
(This article belongs to the Special Issue Minimally Invasive Gastrointestinal Surgery: Clinical Advances and Prospects)
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