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Special Issue "Education and Innovation in General Surgery"

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

Deadline for manuscript submissions: closed (25 September 2023) | Viewed by 3734

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Dr. Elisa Reitano

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1. Department of Translational Medicine, Maggiore della Carità Hospital, University of Eastern Piedmont, Corso Giuseppe Mazzini 18, 28100 Novara, Italy
2. Institut de Recherche contre les Cancers de l'Appareil Digestif (IRCAD), 1 Pl. de l'Hôpital, 67000 Strasbourg, France
Interests: general surgery; surgical education; emergency surgery

Prof. Dr. Nicola De'Angelis

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Unit of Colorectal and Digestive Surgery, DIGEST Department, Beaujon Hospital, 100 Bd du Général Leclerc, 92110 Clichy, France
Interests: general surgery; colorectal surgery; surgical education

Prof. Dr. Fausto Catena

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Guest Editor

Department of General Surgery, Level I Trauma Center, Bufalini Hospital, AUSL Romagna, 47521 Cesena, Italy
Interests: general surgery; colorectal surgery; surgical education; emergency surgery, minimally invasive surgery
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Special Issue Information

Dear Colleagues,

Technological innovation in surgery has, over time, led to a profound change in medical care, improving outcomes and enabling a faster postoperative course. Several procedures once performed in open surgery are now performed in minimally invasive surgery, requiring the surgeon to become familiar with new techniques. Therefore, improvements in technological innovation require the surgeon to undergo continuing education and acquire new expertise. Surgical education and training are now considered of paramount importance to acquire practical, theoretical, attitudinal, and technological skills.

This Special Issue aims to collect articles on surgical training and procedures performed with innovative minimally invasive surgery techniques. Both clinical and experimental research will be welcomed.

Case series, cohort and case-control studies, as well as systematic reviews and meta-analyses will be accepted from all over the world.

Dr. Elisa Reitano
Prof. Dr. Nicola De'Angelis
Prof. Dr. Fausto Catena
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. Medicina 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 1800 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

surgical innovation
minimally invasive surgery
surgical training

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12 pages, 599 KiB

Open AccessArticle

Educational Scoring System in Laparoscopic Cholecystectomy: Is It the Right Time to Standardize?

Medicina 2023, 59(3), 446; https://doi.org/10.3390/medicina59030446 - 23 Feb 2023

Cited by 1 | Viewed by 1929

Abstract

Background and Objectives: Laparoscopic cholecystectomy (LC) is one of the most performed surgeries worldwide. Procedure difficulty and patient outcomes depend on several factors which are not considered in the current literature, including the learning curve, generating confusing and subjective results. This study aims to create a scoring system to calculate the learning curve of LC based on hepatobiliopancreatic (HPB) experts’ opinions during an educational course. Materials and Methods: A questionnaire was submitted to the panel of experts attending the HPB course at Research Institute against Digestive Cancer-IRCAD (Strasbourg, France) from 27–29 October 2022. Experts scored the proposed variables according to their degree of importance in the learning curve using a Likert scale from 1 (not useful) to 5 (very useful). Variables were included in the composite scoring system only if more than 75% of experts ranked its relevance in the learning curve assessment ≥4. A positive or negative value was assigned to each variable based on its effect on the learning curve. Results: Fifteen experts from six different countries attended the IRCAD HPB course and filled out the questionnaire. Ten variables were finally included in the learning curve scoring system (i.e., patient body weight/BMI, patient previous open surgery, emergency setting, increased inflammatory levels, presence of anatomical bile duct variation(s), and appropriate critical view of safety (CVS) identification), which were all assigned positive values. Minor or major intraoperative injuries to the biliary tract, development of postoperative complications related to biliary injuries, and mortality were assigned negative values. Conclusions: This is the first scoring system on the learning curve of LC based on variables selected through the experts’ opinions. Although the score needs to be validated through future studies, it could be a useful tool to assess its efficacy within educational programs and surgical courses. Full article

(This article belongs to the Special Issue Education and Innovation in General Surgery)

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18 pages, 763 KiB

Open AccessSystematic Review

New Robotic Platforms in General Surgery: What’s the Current Clinical Scenario?

Francesco Marchegiani

Paschalis Gavriilidis

and

Nicola de’Angelis

Medicina 2023, 59(7), 1264; https://doi.org/10.3390/medicina59071264 - 07 Jul 2023

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Abstract

Background and Objectives: Robotic surgery has been widely adopted in general surgery worldwide but access to this technology is still limited to a few hospitals. With the recent introduction of new robotic platforms, several studies reported the feasibility of different surgical procedures. The aim of this systematic review is to highlight the current clinical practice with the new robotic platforms in general surgery. Materials and Methods: A grey literature search was performed on the Internet to identify the available robotic systems. A PRISMA compliant systematic review was conducted for all English articles up to 10 February 2023 searching the following databases: MEDLINE, EMBASE, and Cochrane Library. Clinical outcomes, training process, operating surgeon background, cost-analysis, and specific registries were evaluated. Results: A total of 103 studies were included for qualitative synthesis after the full-text screening. Of the fifteen robotic platforms identified, only seven were adopted in a clinical environment. Out of 4053 patients, 2819 were operated on with a new robotic device. Hepatopancreatobiliary surgery specialty performed the majority of procedures, and the most performed procedure was cholecystectomy. Globally, 109 emergency surgeries were reported. Concerning the training process, only 45 papers reported the background of the operating surgeon, and only 28 papers described the training process on the surgical platform. Only one cost-analysis compared a new robot to the existing reference. Two manufacturers promoted a specific registry to collect clinical outcomes. Conclusions: This systematic review highlights the feasibility of most surgical procedures in general surgery using the new robotic platforms. Adoption of these new devices in general surgery is constantly growing with the extension of regulatory approvals. Standardization of the training process and the assessment of skills’ transferability is still lacking. Further studies are required to better understand the real clinical and economical benefit. Full article

(This article belongs to the Special Issue Education and Innovation in General Surgery)

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