Advances and Future Perspectives in Abdominal and Gastrointestinal Surgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Gastroenterology & Hepatology".

Deadline for manuscript submissions: 31 October 2025 | Viewed by 445

Special Issue Editors


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Guest Editor
Fourth Department of Surgery, General Hospital of Thessaloniki “G. Papanikolaou”, School of Medicine, Faculty of Health Science, Aristotle University of Thessaloniki, 57010 Thessaloniki, Greece
Interests: abdominal surgery; gastrointestinal surgery; general surgery; surgical oncology; minimally invasive surgery; perioperative management; surgical innovation

E-Mail Website
Guest Editor
Fourth Department of Surgery, General Hospital of Thessaloniki “G. Papanikolaou”, School of Medicine, Faculty of Health Science, Aristotle University of Thessaloniki, 57010 Thessaloniki, Greece
Interests: abdominal surgery; gastrointestinal surgery; general surgery; surgical oncology; minimally invasive surgery; perioperative management; surgical innovation

E-Mail Website
Guest Editor Assistant
4th Department of Surgery, General Hospital “George Papanikolaou”, Aristotle University of Thessaloniki, 57010 Exochi, Greece
Interests: surgery; gastrointestinal surgery

Special Issue Information

Dear Colleagues,

In recent years, the field of abdominal and gastrointestinal surgery has rapidly evolved, driven by technological advancements, innovative surgical techniques, and a deeper understanding of patient-centered care and disease pathophysiology.

This Special Issue, titled “Advances and Future Perspectives in Abdominal and Gastrointestinal Surgery”, will explore the latest developments and future directions in the diagnosis, treatment, and management of abdominal and gastrointestinal conditions, both in elective and emergency settings. There will be a special focus on breakthroughs in minimally invasive and robotic surgery, precision medicine, enhanced recovery after surgery (ERAS) protocols, and novel approaches to achieving optimal perioperative patient care. We also encourage contributions on topics such as advanced imaging techniques for preoperative planning, intraoperative technologies, emerging biomaterials, the optimization of perioperative care, the role of multidisciplinary collaboration in improving patient outcomes, and the education and training of novel surgeons in abdominal and gastrointestinal surgical procedures. This Special Issue will also highlight emerging research trends that address complex pathologies and incorporate evidence-based practices to enhance surgical success and recovery. By bringing together original research articles, comprehensive reviews, and expert opinions, this Special Issue will provide a platform for knowledge exchange and innovation, ultimately advancing the standard of care in abdominal and gastrointestinal surgery.

We invite you to submit your valuable contributions, including research articles, reviews, and clinical studies, to help shape the future of this dynamic surgical field.

Prof. Dr. Stamatis Angelopoulos
Dr. Efstathios Kotidis
Guest Editors

Dr. Elissavet Anestiadou
Guest Editor Assistant

Manuscript Submission Information

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Keywords

  • abdominal surgery
  • gastrointestinal surgery
  • general surgery
  • minimally invasive surgery
  • perioperative management
  • surgical innovation

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Published Papers (1 paper)

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Research

14 pages, 436 KiB  
Article
Laparoscopic Radical Colectomy with Complete Mesocolic Excision Offers Similar Results Compared with Open Surgery
by Vasile V. Bintintan, Vlad Fagarasan, Radu I. Seicean, David Andras, Alexandru I. Ene, Romeo Chira, Adriana Bintintan, Georgiana Nagy, Cristina Petrisor, Simona Cocu, Elena Stefanescu, Ionut Negoi, Adrian Calborean, George C. Dindelegan, Ciprian Silaghi, Iulia Lupan and Gabriel Samasca
Medicina 2025, 61(7), 1231; https://doi.org/10.3390/medicina61071231 - 7 Jul 2025
Viewed by 208
Abstract
Background and Objectives: The technique of complete mesocolic excision (CME) for colonic cancer is being advocated to improve the local control of the disease and increase the long-term survival. However, even with an open approach, CME is a complex technique and has [...] Read more.
Background and Objectives: The technique of complete mesocolic excision (CME) for colonic cancer is being advocated to improve the local control of the disease and increase the long-term survival. However, even with an open approach, CME is a complex technique and has not yet been adopted as standard care. Laparoscopy has been proven to bring significant advantages to colorectal surgery but performing a laparoscopic CME (Lap-CME) for colonic cancer is even more technically demanding than CME in open surgery. The purpose of this study is to evaluate whether Lap-CME can be offered as a standard procedure for patients with colonic cancer and to compare the results with those obtained after a conventional, open technique. Materials and methods: This study included 100 consecutive patients with colonic cancer, who were operated on by the same surgical team using a standardized medial-to-lateral open or laparoscopic complete mesocolic excision technique. The perioperative data was prospectively recorded in a database and retrospectively analyzed with the aim of identifying the proportion of patients that received Lap-CME, to evaluate the success rate of the procedure and to identify whether there are differences in the oncological quality of CME between the laparoscopic and open surgery groups. Results: Most of the patients enrolled in this study were in the advanced stages of the disease, with the incidence of pT3 tumors being 67% and the mean tumor size averaging 4.5 cm. Laparoscopic CME was performed in 39% of cases overall, with 41.4% being right colectomies, 42.5% being left colectomies and 16.1% being transverse colectomies. All of the parameters relevant to the oncological quality of resection, namely total lymph node count, resection margins, or the completeness of resection, were similar between the open and laparoscopic groups both when analyzed for the entire cohort or when analyzed for specific subgroups according to the tumor location (right, transverse, or left colon) or stage of the disease (pT3 or stage III). Conclusions: Laparoscopic complete mesocolic excision for colonic cancer can be offered as a standard procedure by experienced surgical teams in carefully selected patients and provides oncological results similar to those obtained with open surgery. Full article
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