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Special Issues
Laparoscopy, Perioperative Care and Complications in Surgery for Gastrointestinal Diseases
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Laparoscopy, Perioperative Care and Complications in Surgery for Gastrointestinal Diseases

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Clinical Medicine, Cell, and Organism Physiology".

Deadline for manuscript submissions: 25 December 2025 | Viewed by 3113

Special Issue Editor

Dr. Michał Kisielewski

E-Mail Website
Guest Editor
Chair of Surgery, Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, 30-705 Krakow, Poland
Interests: laparoscopy; colorectal surgery; bariatric surgery; perioperative care; ERAS protocol; intestinal ostomy reversal surgery; endoscopy; negative-pressure wound therapy

Special Issue Information

Dear Colleagues,

Minimally invasive surgery has revolutionized the therapeutic landscape by reducing patient morbidity, shortening hospital stays, and expediting recovery times. Over the last 20 years, perioperative care in upper gastrointestinal, colorectal, and hepatobiliary surgery has also significantly evolved, markedly improving clinical outcomes for patients undergoing surgical interventions. The use of these advancements is integral to mitigating surgical risks, managing postoperative complications, and promoting patient-centered care.

This Special Issue aims to gather high-quality original research, systematic reviews, and meta-analyses that explore the nuanced roles of minimally invasive techniques and modern perioperative care in the treatment of both benign and malignant gastrointestinal diseases. Studies on surgical techniques, improvements in clinical practice, the application of cutting-edge technology, and perioperative management are also within the scope of this Special Issue. We invite researchers, clinicians, and healthcare professionals to contribute their findings and perspectives on these transformative topics.

By sharing innovative research and clinical experiences, this Special Issue will serve as a comprehensive resource that advances our collective understanding and fosters continued progress in the surgical management of gastrointestinal diseases.

Dr. Michał Kisielewski
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 Personalized Medicine is an international peer-reviewed open access monthly 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

  • laparoscopy
  • perioperative care
  • colorectal surgery
  • minimally invasive surgery
  • upper digestive surgery
  • hepatobiliary surgery
  • postoperative complications

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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

9 pages, 509 KiB  
Article
Is It Possible to Predict Difficulties During Laparoscopic Sleeve Gastrectomy? A Single Centre Experience
by Magdalena Pisarska-Adamczyk, Tomasz Stefura, Piotr Małczak, Piotr Major and Michał Wysocki
J. Pers. Med. 2024, 14(11), 1098; https://doi.org/10.3390/jpm14111098 - 8 Nov 2024
Viewed by 902
Abstract
Introduction: Laparoscopic sleeve gastrectomy (LSG) is a widely performed bariatric surgery across the globe. Understanding preoperative risk factors for possible intraoperative complications can aid in predicting surgical outcomes and shaping the approach to the procedure. This study aimed to identify and analyze potential [...] Read more.
Introduction: Laparoscopic sleeve gastrectomy (LSG) is a widely performed bariatric surgery across the globe. Understanding preoperative risk factors for possible intraoperative complications can aid in predicting surgical outcomes and shaping the approach to the procedure. This study aimed to identify and analyze potential risk factors associated with intraoperative difficulties during LSG. Patients and methods: The analysis encompassed consecutive patients who underwent LSG from 2017 to 2020. Patients who encountered intraoperative difficulties during the procedure were categorized into Group 1, whereas those who did not experience such complications were placed in Group 2. To identify potential risk factors for intraoperative challenges, a thorough evaluation of demographic characteristics was conducted, including variables such as age, body mass index (BMI), comorbidities, and previous surgical history. Results: Group 1 included 37 patients (11.71%), while Group 2 comprised 279 patients (88.29%). Apart from higher rates of diabetes, pulmonary disease, and sleep apnea in Group 1, no significant differences were observed between the groups regarding demographic parameters. A univariate logistic regression analysis identified several risk factors associated with intraoperative difficulties, including a body mass index (BMI) greater than 50 kg/m2 (OR 2.15, 95%, CI 1.05–4.39, p = 0.0362), the experience of the operating surgeon (OR 9.22, 95% CI 4.31–19.72, p = 0.0058), the presence of diabetes (OR 2.44, 95% CI 1.19–4.98, p = 0.0146), and pulmonary disease (OR 12.22, 95% CI 1.97–75.75, p < 0.0001). In multivariate logistic regression analysis, only the surgeon’s experience (OR 8.61, 95% CI 3.75–19.72, p < 0.0001) remained a significant factor influencing intraoperative difficulties. Conclusions: The sole significant factor influencing the occurrence of intraoperative difficulties was the level of the surgeon’s experience Full article
(This article belongs to the Special Issue Laparoscopy, Perioperative Care and Complications in Surgery for Gastrointestinal Diseases)
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9 pages, 602 KiB  
Article
Timing of Loop Ileostomy Closure Does Not Play a Pivotal Role in Terms of Complications—Results of the Liquidation of iLEOstomy (LILEO) Study
by Michał Kisielewski, Magdalena Pisarska-Adamczyk, Natalia Dowgiałło-Gornowicz, Łukasz Nawacki, Wojciech Serednicki, Mateusz Wierdak, Jerzy Wilczek, Kamil Safiejko, Marcin Juchimiuk, Marian Domurat, Jacek Pierko, Mateusz Mucha, Wojciech Fiedorowicz, Michał Wysocki, Maurycy Ladziński, Michał Zdrojewski, Tomasz Sachańbiński, Tomasz Wojewoda, Victoria Chochla, Karol Tkaczyński, Michał Jankowski, Wojciech M. Wysocki and LILEO Study Groupadd Show full author list remove Hide full author list
J. Pers. Med. 2024, 14(9), 934; https://doi.org/10.3390/jpm14090934 - 31 Aug 2024
Viewed by 1781
Abstract
Loop ileostomy is commonly performed by colorectal and general surgeons to protect newly created large bowel anastomoses. The optimal timing for ileostomy closure remains debatable. Defining the timing associated with the best postoperative outcomes can significantly improve the clinical results for patients undergoing [...] Read more.
Loop ileostomy is commonly performed by colorectal and general surgeons to protect newly created large bowel anastomoses. The optimal timing for ileostomy closure remains debatable. Defining the timing associated with the best postoperative outcomes can significantly improve the clinical results for patients undergoing ileostomy closure. The LILEO study was a prospective multicenter cohort study conducted in Poland from October 2022 to December 2023. Full data analysis involved 159 patients from 19 surgical centers. Patients were categorized based on the timing of ileostomy reversal: early (<4 months), standard (4–6 months), and delayed (>6 months). Data on demographics, clinical characteristics, and perioperative outcomes were analyzed for each group separately and compared. No significant differences were observed in length of hospital stay (p = 0.22), overall postoperative complications (p = 0.43), or 30-day reoperation rates (p = 0.28) across the three groups. Additional analysis of Clavien–Dindo complication grades was performed and did not show significant differences in complication severity (p = 0.95), indicating that the timing of ileostomy closure does not significantly impact perioperative complications or hospital stay. Decisions on ileostomy reversal timing should be personalized and should consider individual clinical factors, including the type of adjuvant oncological treatment and the preventive measures performed for common postoperative complications. Full article
(This article belongs to the Special Issue Laparoscopy, Perioperative Care and Complications in Surgery for Gastrointestinal Diseases)
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