Current Status and Progress in Laparoscopic Surgery

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

Deadline for manuscript submissions: closed (30 April 2025) | Viewed by 2202

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Guest Editor
Department of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, Niepodległosci 44 St., 10-045 Olsztyn, Poland
Interests: bariatric surgery; metabolic surgery; UGI surgery
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Dear Colleagues,

In surgical practice, laparoscopic techniques have revolutionized procedures across various disciplines. From gastrointestinal to gynecological surgeries, the adoption of laparoscopy has significantly impacted patient outcomes and recovery times. Laparoscopic cholecystectomy, appendectomy, or bariatric surgery have become standard procedures, demonstrating the widespread acceptance and efficacy of minimally invasive surgery.

We are excited to announce a Special Issue dedicated to exploring the current status and advancements in laparoscopic surgery across diverse surgical specialties. This issue aims at providing a comprehensive overview of the broad applications of laparoscopy, showcasing its effectiveness and evolving role in modern surgical practice. Authors are invited to share their research findings, clinical experiences, and insights into the utilization of laparoscopic techniques in their respective fields.

We welcome contributions that highlight not only the successes but also the challenges encountered in the implementation of laparoscopic surgery. By fostering collaboration and knowledge exchange, we aim to further enhance the understanding and utilization of laparoscopic techniques across surgical disciplines.

Dr. Natalia Dowgiałło-Gornowicz
Guest Editor

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Keywords

  • laparoscopic surgery
  • laparoscopy
  • cholecystectomy
  • appendectomy
  • bariatric surgery
  • minimally invasive surgery
  • surgical innovations

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Published Papers (2 papers)

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Research

10 pages, 258 KiB  
Article
Current New Approach in Thoracoscopic Surgery: Non-Intubated Uniportal Video-Assisted Thoracoscopic Surgery (NI-UniVATS)
by Mehmet Agar, Ilham Gulcek, Muhammed Kalkan, Hakki Ulutas, Muhammet Reha Celık, Ahmet Aksu, Siyami Aydın and Muharrem Cakmak
Medicina 2025, 61(4), 641; https://doi.org/10.3390/medicina61040641 - 1 Apr 2025
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Abstract
Background and Objectives: Non-intubated uniportal video-assisted thoracoscopic surgery (NI-UniVATS) is a minimally invasive technique performed using a single port, allowing the entire surgical procedure to be completed with spontaneous breathing without the need for general anesthesia. Materials and Methods: This retrospective study included [...] Read more.
Background and Objectives: Non-intubated uniportal video-assisted thoracoscopic surgery (NI-UniVATS) is a minimally invasive technique performed using a single port, allowing the entire surgical procedure to be completed with spontaneous breathing without the need for general anesthesia. Materials and Methods: This retrospective study included 51 patients who underwent NI-UniVATS between 2020 and 2023. The intraoperative and postoperative data of patients who underwent NI-UniVATS were evaluated. Results: Among the cases, 37 (72.5%) were male, and 14 (46.6%) were female, with a mean age of 47.73 ± 20.43 years (range: 18–78 years). The mean operative time was 25.92 ± 7.31 min. No perioperative complications were observed in any patient. The mean postoperative hospital stay was 4.17 ± 1.76 days (range: 2–9 days). A right hemithoracic approach was performed in 28 patients (54.9%), whereas a left hemithoracic approach was used in 23 patients (45.1%). The procedures performed included wedge resection in 27 patients (52.9%), biopsy in 22 patients (43.1%), pericardial window creation in one patient (2%), and intrathoracic foreign body removal in one patient (2%). Conclusions: NI-UniVATS allows for safer surgery by preventing the adverse effects and complications associated with general anesthesia. NI-UniVATS can be recommended as a safe and feasible approach for both minor and major thoracic procedures. Full article
(This article belongs to the Special Issue Current Status and Progress in Laparoscopic Surgery)
9 pages, 470 KiB  
Article
Impact of Patient- and Surgeon-Related Factors on Weight Loss after Laparoscopic Sleeve Gastrectomy—A Single-Center Study
by Mateusz Wityk, Natalia Dowgiałło-Gornowicz and Maciej Bobowicz
Medicina 2024, 60(9), 1450; https://doi.org/10.3390/medicina60091450 - 4 Sep 2024
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Abstract
Background and Objectives: Surgical treatment for obesity is becoming increasingly popular. Surgeons have been trying to find a simple way to predict the type of surgical intervention that is best for a specific patient. This study aimed to determine the patient- and [...] Read more.
Background and Objectives: Surgical treatment for obesity is becoming increasingly popular. Surgeons have been trying to find a simple way to predict the type of surgical intervention that is best for a specific patient. This study aimed to determine the patient- and surgeon-related factors that affect weight loss after laparoscopic sleeve gastrectomy (LSG). Materials and Methods: A total of 129 patients underwent LSG in one surgical department. The following factors were analyzed: gender; age; highest preoperative and 6-month postoperative weight; the occurrence of obesity-related diseases, such as type 2 diabetes and hypertension; the number of surgeons involved in the surgery; and who performed the surgery, a resident or specialist. The outcomes also included length of hospital stay, operative time and complications. Statistical significance was defined as p ≤ 0.05. Results: A total of 129 patients (94 female) with a median age of 43 years and BMI of 43.1 kg/m2 underwent LSG, while a total of 109 (84.5%) patients achieved ≥50% of excess BMI loss (%EBMIL). Preoperative weight loss had no impact on %EBMIL (p = 0.95), operative time (p = 0.31) and length of hospital stay (p = 0.2). Two versus three surgeons in the operating team had no impact on surgery time (p = 0.1), length of stay (p = 0.98) and %EBMIL (p = 0.14). The operative time and length of hospital stay were similar for specialists and surgeons in training. %EBMIL was higher in the residents’ surgery without statistical significance (p = 0.19). Complications occurred in 3.9% without mortality or leaks. Conclusions: Preoperative comorbidities, surgeons’ experience and the number of surgeons in the operating team do not impact the complication rate, length of hospital stay, operative time and postoperative weight loss after LSG. Full article
(This article belongs to the Special Issue Current Status and Progress in Laparoscopic Surgery)
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