Abdominal Surgery: Current Concepts and Future Challenges

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 December 2023) | Viewed by 875

Special Issue Editor


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Guest Editor
Associate Professor, Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, 87036 Rende, Italy
Interests: HPB surgery; colorectal surgery; artificial intelligence; social networks in surgery

Special Issue Information

Dear Colleagues,

Abdominal surgery is a wide field that is currently facing multiple challenges due to the emergence of new technologies, such as robotics and artificial intelligence, that promise to change the current practice. On the other hands, the need for standardization requires a systematic approach in selecting the best evidence in the literature to inform the current scenario.

The impact of the COVID-19 pandemic created the backlog in elective surgery, and the implementation of telemedicine and remote consultations represents further challenges for health systems worldwide.

Therefore, researchers in the field of abdominal surgery (general surgery, no other surgical specialties) interested in analyzing the impacts and consequences of new technologies and the evidence of well-established techniques in the field of abdominal surgery through systematic reviews, meta-analyses and well-designed observational studies are encouraged to submit an original article to this Special Issue.

Dr. Bruno Nardo
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 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

  • surgery
  • abdominal surgery
  • colorectal
  • general surgery
  • gastrointestinal
  • coloproctology
  • emergency surgery
  • new technologies
  • systematic review
  • meta-analysis
  • HPB surgery

Published Papers (1 paper)

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Research

10 pages, 655 KiB  
Article
The Safety and Cost Analysis of Outpatient Laparoendoscopy in the Treatment of Cholecystocholedocholithiasis: A Retrospective Study
by José Sebastião dos Santos, Rafael Kemp, Alicia Guadalupe Mendoza Orquera, Alberto Facury Gaspar, Jorge Resende Lopes Júnior, Lucas Tobias Almeida Queiroz, Víctor Antônio Peres Alves Ferreira Avezum, José Celso Ardengh, Ajith Kumar Sankarankutty and Leonardo Santos Lima
J. Clin. Med. 2024, 13(2), 460; https://doi.org/10.3390/jcm13020460 - 14 Jan 2024
Viewed by 635
Abstract
Introduction: The advantages of single-stage treatment of cholecystocholedocholithiasis are well established, but the conditions for carrying out treatment on an outpatient basis require a review of concepts and practices of medical corporations. Objective: To evaluate the practice of treating cholecystocholedocholithiasis by laparoendoscopy on [...] Read more.
Introduction: The advantages of single-stage treatment of cholecystocholedocholithiasis are well established, but the conditions for carrying out treatment on an outpatient basis require a review of concepts and practices of medical corporations. Objective: To evaluate the practice of treating cholecystocholedocholithiasis by laparoendoscopy on an outpatient basis with cost analysis. Method: A retrospective study was conducted on patients with cholecystocholedocholithiasis treated by combined laparoscopic cholecystectomy and endoscopic choledocholithotomy from January 2015 to January 2019. After collecting data from physical and digital medical records, the patients were divided into two groups—AR (n = 42)—ambulatory regimen and HR (n = 28)—hospitalization regimen—which were compared in terms of demographic, clinical and treatment variables and their results, as well as in terms of costs. Results: The mean age of the AR group was lower than that of the HR group and the physical status of the AR patients was better when assessed according to the American Society of Anesthesiologists (ASA) (p = 0.01). There was no difference between groups regarding the risk of choledocholithiasis (p = 0.99). For the AR group, the length of stay was shorter: 11.29 h × 65.21 h (p = 0.02), as was the incidence of postoperative complications assessed by applying the Clavien–Dindo classification: 3 (7.1%) × 11 (39.2%) (p < 0.01). The total mean costs were higher for the HR group (USD 2489.93) than the AR group (USD 1650.98) (p = 0.02). Conclusion. Outpatient treatment of cholecystocholedocholithiasis by laparoendoscopy is safe and viable for most cases, has a lower cost and can support the reorientation of training and practice of hepatobiliary surgeons. Full article
(This article belongs to the Special Issue Abdominal Surgery: Current Concepts and Future Challenges)
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