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Advances and Trends in Visceral and Gastrointestinal 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 (30 April 2025) | Viewed by 847

Special Issue Editor


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Guest Editor
Department of Abdominal Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania
Interests: colorectal surgery; digestive surgery; laparoscopic surgery; surgical oncology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Visceral and gastrointestinal surgery is a primary treatment option for oncological diseases in the abdominal cavity, as is bariatric and visceral reconstructive surgery. Recently, this field has seen significant advancements, with progress in methods reaching a very high level. The rapid emergence of new devices and techniques can sometimes be overwhelming. The advancements in minimally invasive robotic surgery, the use of lasers, the application of single-port instruments, and the assistance of AI in treatment processes are all areas that require in-depth research. New scientific studies are underway, and better treatment combinations are being explored.

This Special Issue aims to discuss advanced treatment methods and disseminate the latest research on developing and introducing new devices and techniques for colorectal cancer treatment. We welcome submissions of original articles, clinical trials, systematic reviews, and meta-analyses.

Dr. Saulius Svagzdys
Guest Editor

Manuscript Submission Information

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Keywords

  • laparoscopic and robotic surgery
  • endoscopic and minimally invasive surgery
  • colorectal cancers
  • energy devices
  • staplers
  • single-port surgery

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Published Papers (1 paper)

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Research

15 pages, 251 KiB  
Article
Current Approaches to the Management of Postoperative Fistulas in Gastric Cancer Surgery: Experience of a Tertiary Center
by Alin Fetti, Roxana Zaharie, Vlad Radu Puia, Dan Valean, Roman Taulean, Vlad Nechita, Florin Zaharie, Ioan Catalin Bodea, Oana Moșincat and Nadim Al-Hajjar
J. Clin. Med. 2025, 14(5), 1733; https://doi.org/10.3390/jcm14051733 - 4 Mar 2025
Viewed by 529
Abstract
Background: Gastric cancer remains a leading global health challenge, despite advances in surgical techniques and perioperative care. Patients with gastric cancer present with a degree of postoperative complications, most notably anastomotic fistulas, which can lead to a high level of morbidity and mortality. [...] Read more.
Background: Gastric cancer remains a leading global health challenge, despite advances in surgical techniques and perioperative care. Patients with gastric cancer present with a degree of postoperative complications, most notably anastomotic fistulas, which can lead to a high level of morbidity and mortality. Although significant advances have been made in their management by implementing less invasive methods, issues and debate remain regarding their early detection and treatment decisions. The purpose of this study was to emphasize the particularities of the treatment of postoperative fistulas in gastric cancer surgery, focusing on risk factors as well as management strategies. Methods: This retrospective study analyzed risk factors, diagnostic methods, and treatment strategies for anastomotic fistulas in 527 patients undergoing curative gastric cancer surgery over the span of five years, highlighting postoperative complication rates, the management of postoperative complications, and the primary risk factors for developing fistulas. Results: Conservative treatment combined with minimally invasive interventions achieved a primary success rate of over 65%, with surgical intervention being reserved for severe cases. The primary risk factors identified were an advanced tumor stage, total gastrectomy, type II diabetes mellitus, and a high number of transfusions required, as well as hypoalbuminemia. Conclusions: Although further research is required to standardize treatment protocols and reduce the morbidity and mortality associated with postoperative fistulas, understanding the primary elements of its causation can prove helpful in choosing the correct treatment. Full article
(This article belongs to the Special Issue Advances and Trends in Visceral and Gastrointestinal Surgery)
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