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Strategies for Preventing and Managing Postoperative Complications in Minimally Invasive...
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Strategies for Preventing and Managing Postoperative Complications in Minimally Invasive 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: 25 September 2025 | Viewed by 1741

Special Issue Editor

Dr. Shingo Tsujinaka

E-Mail Website
Guest Editor
Division of Gastroenterological Surgery, Department of Surgery, Tohoku Medical and Pharmaceutical University, Sendai 983-8536, Japan
Interests: colorectal cancer; minimally invasive surgery; colorectal surgery

Special Issue Information

Dear Colleagues,

This Special Issue, "Strategies for Preventing and Managing Postoperative Complications in Minimally Invasive Surgery", aims to explore the latest advancements in reducing and addressing postoperative complications associated with minimally invasive surgical procedures. This comprehensive collection of articles will cover a wide range of topics, including preoperative risk assessment, intraoperative techniques to minimize complications, and postoperative care strategies. The focus will be on identifying evidence-based preventive measures and effective management approaches for complications such as infection, bleeding, organ injury, and anesthetic-related issues. Additionally, this Special Issue will delve into the role of technology, patient optimization, and multidisciplinary collaboration in improving postoperative outcomes for patients undergoing minimally invasive surgery. Furthermore, it will examine how minimally invasive surgery affects patient care and patient satisfaction, with a focus on patient-reported outcomes and their impact on overall quality of care.

Dr. Shingo Tsujinaka
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 100 words) can be sent to the Editorial Office for announcement on this website.

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
  • postoperative complications
  • risk assessment
  • surgical techniques
  • patient optimization
  • complication management
  • surgical outcomes
  • patient satisfaction
  • patient-reported outcomes

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

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Research

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10 pages, 708 KiB  
Article
Postoperative Pain and Incisional Hernia of Specimen Extraction Sites for Minimally Invasive Rectal Cancer Surgery: Comparison of Periumbilical Midline Incision Versus Pfannenstiel Incision
by Yasuhiro Takeda, Keisuke Goto, Teppei Kamada, Tadashi Abe, Takafumi Nakano, Yasuhiro Takano, Masahisa Ohkuma, Makoto Kosuge and Ken Eto
J. Clin. Med. 2025, 14(8), 2697; https://doi.org/10.3390/jcm14082697 - 15 Apr 2025
Viewed by 204
Abstract
Background: Recent studies indicate that minimally invasive surgery is widely accepted as the optimal procedure for colorectal cancer. However, the ideal location of the specimen extraction site remains unclear. This study aimed to compare the conventional periumbilical midline incision with the Pfannenstiel [...] Read more.
Background: Recent studies indicate that minimally invasive surgery is widely accepted as the optimal procedure for colorectal cancer. However, the ideal location of the specimen extraction site remains unclear. This study aimed to compare the conventional periumbilical midline incision with the Pfannenstiel incision for specimen extraction during minimally invasive surgery for rectal cancer. Methods: This retrospective cohort study included 76 patients who underwent minimally invasive surgery (double-stapling technique anastomosis) for rectal cancer between January 2022 and June 2023. The postoperative short- and mid-term outcomes were compared between the periumbilical midline incision and Pfannenstiel incision groups. Results: The patients’ backgrounds were comparable between the two groups. There were no significant differences in the surgical outcomes or short-term postoperative complications. The Pfannenstiel incision demonstrated advantages, including reduced postoperative pain at rest and during movement, and a lower incidence of incisional hernia (p = 0.038). Conclusions: The Pfannenstiel incision is a safe and effective option associated with reduced postoperative pain and a lower risk of incisional hernia. Therefore, it can serve as a useful alternative for specimen extraction during minimally invasive rectal cancer surgery. Full article
(This article belongs to the Special Issue Strategies for Preventing and Managing Postoperative Complications in Minimally Invasive Surgery)
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Review

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11 pages, 5867 KiB  
Review
Prevention and Management of Recurrent Laryngeal Nerve Palsy in Minimally Invasive Esophagectomy: Current Status and Future Perspectives
by Yusuke Taniyama, Hiroshi Okamoto, Chiaki Sato, Yohei Ozawa, Hirotaka Ishida, Michiaki Unno and Takashi Kamei
J. Clin. Med. 2024, 13(24), 7611; https://doi.org/10.3390/jcm13247611 - 13 Dec 2024
Viewed by 1289
Abstract
Recurrent laryngeal nerve palsy remains a significant complication following minimally invasive esophagectomy for esophageal cancer. Despite advancements in surgical techniques and lymphadenectomy precision, the incidence of recurrent laryngeal nerve palsy has not been improved. Recurrent laryngeal nerve palsy predominantly affects the left side [...] Read more.
Recurrent laryngeal nerve palsy remains a significant complication following minimally invasive esophagectomy for esophageal cancer. Despite advancements in surgical techniques and lymphadenectomy precision, the incidence of recurrent laryngeal nerve palsy has not been improved. Recurrent laryngeal nerve palsy predominantly affects the left side and may lead to unilateral or bilateral vocal cord paralysis, resulting in hoarseness, dysphagia, and an increased risk of aspiration pneumonia. While most cases of recurrent laryngeal nerve palsy are temporary and resolve within 6 to 12 months, some patients may experience permanent nerve dysfunction, severely impacting their quality of life. Prevention strategies, such as nerve integrity monitoring, robotic-assisted minimally invasive esophagectomy, and advanced dissection techniques, aim to minimize nerve injury, though their effectiveness varies. The management of recurrent laryngeal nerve palsy includes voice and swallowing rehabilitation, reinnervation techniques, and, in severe cases, surgical interventions such as thyroplasty and intracordal injection. As recurrent laryngeal nerve palsy can lead to significant postoperative respiratory complications, a multidisciplinary approach involving surgical precision, early detection, and comprehensive rehabilitation is crucial to improving patient outcomes and minimizing long-term morbidity in minimally invasive esophagectomy. This review article aims to inform esophageal surgeons and other clinicians about strategies for the prevention and management of recurrent laryngeal nerve palsy in esophagectomy. Full article
(This article belongs to the Special Issue Strategies for Preventing and Managing Postoperative Complications in Minimally Invasive Surgery)
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