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Challenges in Minimally Invasive Colorectal and Abdominal Wall Surgery
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Challenges in Minimally Invasive Colorectal and Abdominal Wall 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: 31 July 2025 | Viewed by 2296

Special Issue Editors

Dr. Francesco Ferrara

E-Mail Website
Guest Editor
Department of Precision Medicine in Medical, Surgical, and Critical Care (Me.Pre.C.C.), Unit of General and Oncologic Surgery, “Paolo Giaccone” Hospital, University of Palermo, Palermo, Italy
Interests: colorectal surgery; proctology; laparoscopy; abdominal wall surgery; hernia; diastasis recti; surgical oncology
Dr. Roberto Peltrini

E-Mail Website
Guest Editor
Department of Public Health, School of Medicine and Surgery, University of Naples Federico II, Naples, Italy
Interests: colorectal surgery; laparoscopy; surgical oncology

Special Issue Information

Dear Colleagues,

Progress in minimally invasive colorectal and abdominal wall surgery has been significant over the years, driven by advancements in technology, surgical techniques, and perioperative care. A large number of controlled studies and meta-analyses have shown that laparoscopic colorectal surgery is associated with the same benefits as other minimally invasive procedures, including lesser pain, earlier recovery of bowel transit, and a shorter hospital stay. The use of laparoscopy for the surgical treatment of colorectal cancer is currently widely accepted. Moreover, the introduction of robotic systems has introduced more innovation in this field. These advancements have also been seen in abdominal wall surgery, where new laparoscopic, endoscopic, and robotic techniques have been proposed in the last few years. The aim of this Special Issue is to collect the most recent studies about the treatment of colorectal diseases and abdominal wall defects with the use of minimally invasive approaches.

Dr. Francesco Ferrara
Dr. Roberto Peltrini
Guest Editors

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Keywords

  • colorectal surgery
  • laparoscopy
  • abdominal wall surgery
  • hernia
  • diastasis recti
  • surgical oncology
  • rectal tumor
  • colon tumor
  • colorectal neoplasia

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Published Papers (2 papers)

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9 pages, 229 KiB  
Article
Evaluation of Short-Term Effects on Colorectal Surgery Elective Patients after Implementing a Patient Blood Management Program: A Multicenter Retrospective Analysis
by Filippo Carannante, Gabriella Teresa Capolupo, Manuel Barberio, Amedeo Altamura, Valentina Miacci, Martina Zenobia Scopigno, Erika Circhetta, Gianluca Costa, Marco Caricato and Massimo Giuseppe Viola
J. Clin. Med. 2024, 13(15), 4447; https://doi.org/10.3390/jcm13154447 - 29 Jul 2024
Cited by 1 | Viewed by 1043
Abstract
Introduction: Patients who undergo surgery may require a blood transfusion and patients undergoing major colorectal surgery are more prone to preoperative and perioperative anemia. Blood transfusions have, however, long been associated with inflammatory and oncological complications. We aim to investigate the effects [...] Read more.
Introduction: Patients who undergo surgery may require a blood transfusion and patients undergoing major colorectal surgery are more prone to preoperative and perioperative anemia. Blood transfusions have, however, long been associated with inflammatory and oncological complications. We aim to investigate the effects of an optimal implementation of a patient blood management (PBM) program in our hospital. Methods: This study retrospectively reviewed data from two different prospectively maintained databases of all patients undergoing elective major colorectal surgery with either a laparoscopic, open, or robotic approach from January 2017 to December 2022 at two different high-volume colorectal surgery Italian centers: the Colorectal Surgery Unit of Fondazione Policlinico Campus Bio-Medico in Rome and the Colorectal Surgery Unit of Fondazione Cardinale Panico in Tricase (Lecce). Our study compares the first group, also known as pre-PBM (January 2017–December 2018) and the second group, known as post-PBM (January 2021–December 2022). Results: A total of 2495 patients, who satisfied the inclusion and exclusion criteria, were included in this study, with, respectively, 1197 patients in the pre-PBM group and 1298 in the post- PBM group. The surgical approach was similar amongst the two groups, while the operative time was longer in the pre-PBM group than in the post-PBM group (273.0 ± 87 vs. 215.0 ± 124 min; p < 0.001). There was no significant difference in preparatory Hb levels (p = 0.486), while anemia detection was significantly higher post-PBM (p = 0.007). However, the rate of transfusion was drastically reduced since the implementation of PBM, with p = 0.032 for preoperative, p = 0.025 for intraoperative, and p < 0.001 for postoperative. Conclusions: We confirmed the need to reduce blood transfusions and optimize transfusion procedures to improve short-term clinical outcomes of patients. The implementation of the PBM program was associated with a significant reduction in the rate of perioperative transfusions and an increase in only appropriate transfusions. Full article
(This article belongs to the Special Issue Challenges in Minimally Invasive Colorectal and Abdominal Wall Surgery)

Other

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10 pages, 5172 KiB  
Case Report
Successful Laparoscopy-Assisted Extirpation of Burkitt’s Lymphoma Causing Intestinal Obstruction in a 17-Year-Old Boy
by Zoltán Derzsi, Zsolt Bara, Emőke Horváth, Gabriel Serac, Răzvan Mărginean, Réka Sólyom, Evelyn Kovács and Horea Gozar
J. Clin. Med. 2024, 13(24), 7834; https://doi.org/10.3390/jcm13247834 - 22 Dec 2024
Viewed by 870
Abstract
Background: Childhood extranodal B-cell non-Hodgkin’s lymphomas are often caused by Burkitt’s lymphoma (BL). Treatment usually involves intensive polychemotherapy, and recent prospective trials show significantly improved outcomes. Surgery primarily involves conducting biopsies; ablative interventions are not recommended. However, in cases of severe presentation, such [...] Read more.
Background: Childhood extranodal B-cell non-Hodgkin’s lymphomas are often caused by Burkitt’s lymphoma (BL). Treatment usually involves intensive polychemotherapy, and recent prospective trials show significantly improved outcomes. Surgery primarily involves conducting biopsies; ablative interventions are not recommended. However, in cases of severe presentation, such as an acute abdomen, emergency surgery may be necessary. Methods: We present the case of a 17-year-old boy who underwent emergency surgery due to intestinal obstruction caused by a tumor mass. An exploratory laparoscopy was performed due to abdominal wall infiltrates, and a large intraabdominal mass was discovered in the ileocaecal region. The tumor and tumor infiltrates were successfully removed en bloc in a minimally invasive laparoscopy-assisted fashion. Results: The postoperative course was favorable, and chemotherapy was started. Histopathology confirmed the diagnosis of BL. Follow-up examinations, including a positron emission tomography (PET) scan, showed no tumor recurrence. More than two years later, the patient remains asymptomatic with negative PET scans. Conclusions: Laparoscopy-assisted removal can be useful for pediatric solid abdominal tumors with abdominal wall infiltrates that cause obstruction. Surgeons must assess indications and procedures based on imaging and findings during emergency interventions. The role of ablative MIS in pediatric BL is limited. Full article
(This article belongs to the Special Issue Challenges in Minimally Invasive Colorectal and Abdominal Wall Surgery)
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