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JCM
Special Issues
Current Advances and Future Perspectives of Laparoscopic Surgery
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Current Advances and Future Perspectives of Laparoscopic 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 (31 May 2025) | Viewed by 606

Special Issue Editors

Dr. Giuseppe Di Buono

E-Mail Website
Guest Editor
Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, 90127 Palermo, Italy
Interests: abdominal surgery; general surgery; colorectal surgery; advance laparoscopic surgery; hernia surgery; surgical oncology; bariatric surgery
Prof. Dr. Antonino Agrusa

E-Mail Website
Guest Editor
Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, 90127 Palermo, Italy
Interests: laparoscopic surgery; general surgery; emergency surgery; surgical oncology; adrenal surgery

Special Issue Information

Dear Colleagues,

Since its introduction, laparoscopic surgery has represented a real “revolution” in clinical practice. In recent decades, technological advances like high-definition (HD) cameras, dedicated instruments, and articulating staplers have improved the safety and feasibility of laparoscopic procedures. We saw a large spread of laparoscopic surgery, also in the developing countries, with more difficult and complex operations. Nevertheless, laparoscopic surgery is more difficult to learn and requires different psychomotor skills than open surgery, and this limitation can be challenging, especially with regard to maneuvers requiring precision and dexterity. For this reason, the role of laparoscopic surgeon training is particularly important today.

In this Special Issue, we welcome authors to submit papers on the current advances and future perspectives of laparoscopic surgery about the different fields of general, emergency, oncological, and bariatric surgery.

Dr. Giuseppe Di Buono
Prof. Dr. Antonino Agrusa
Guest Editors

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 Clinical Medicine is an international peer-reviewed open access semimonthly 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

  • abdominal surgery
  • general surgery
  • emergency laparoscopic surgery
  • colorectal surgery
  • advance laparoscopic surgery
  • hernia surgery
  • surgical oncology
  • bariatric surgery
  • adrenal surgery
  • mini-invasive surgery

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

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12 pages, 1748 KiB  
Systematic Review
Single-Port Laparoscopy Compared with Conventional Laparoscopic Surgery: A Systematic Review and Meta-Analysis
by Baudolino Mussa, Barbara Defrancisco, Ludovico Campi and Mario Morino
J. Clin. Med. 2025, 14(14), 4915; https://doi.org/10.3390/jcm14144915 - 11 Jul 2025
Viewed by 324
Abstract
Background/Objectives: Single-port laparoscopy represents a significant advancement in minimally invasive surgical techniques and is designed to reduce surgical trauma and enhance cosmetic outcomes. However, ongoing debate surrounds its relative benefits and limitations as compared with conventional multi-port laparoscopy. This study systematically reviewed [...] Read more.
Background/Objectives: Single-port laparoscopy represents a significant advancement in minimally invasive surgical techniques and is designed to reduce surgical trauma and enhance cosmetic outcomes. However, ongoing debate surrounds its relative benefits and limitations as compared with conventional multi-port laparoscopy. This study systematically reviewed and analyzed comparative outcomes between these two approaches. Methods: We conducted a comprehensive systematic search of major electronic databases from January 2000 to October 2023, following PRISMA guidelines. Only randomized controlled trials comparing single-port laparoscopy with conventional laparoscopy were included. We analyzed operative outcomes, postoperative recovery parameters, complications, and patient-reported measures using random-effects models, with heterogeneity explored through subgroup analyses. Results: Forty-three randomized controlled trials involving 5807 patients were analyzed. Single-port laparoscopy demonstrated longer operative times (weighted mean difference: +10.5 min; 95% CI: 7.83–13.18; p < 0.001), superior cosmetic satisfaction (standardized mean difference: +0.61; 95% CI: 0.39–0.83; p < 0.001), and reduced postoperative pain within 24 h (standardized mean difference: −0.58; 95% CI: −0.95 to −0.21; p = 0.002). The overall complication rates showed no significant differences (risk ratio: 0.94; 95% CI: 0.78–1.14; p = 0.31), though incisional hernia risk increased with single-port laparoscopy (odds ratio: 2.26; 95% CI: 1.23–4.15; p = 0.009). Conclusions: Single-port laparoscopy offers meaningful improvements in cosmetic outcomes and early pain relief, balanced against longer operative times and increased hernia risk. The substantial heterogeneity observed underscores the importance of surgeon experience, appropriate patient selection, and optimal technique selection in determining outcomes. Full article
(This article belongs to the Special Issue Current Advances and Future Perspectives of Laparoscopic Surgery)
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