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Gastroenterology Insights
Special Issues
Novelties in Gastrointestinal Surgery
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Novelties in Gastrointestinal Surgery

A special issue of Gastroenterology Insights (ISSN 2036-7422).

Deadline for manuscript submissions: closed (30 May 2024) | Viewed by 2661

Special Issue Editors

Dr. Diego Coletta

E-Mail Website
Guest Editor
1. Department of General Surgery—AO Ospedali Riuniti Marche Nord, Pesaro, Italy
2. Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy
Interests: general and emergency surgery; digestive and HPB surgery; laparoscopic and robotic surgery; surgical oncology; advanced surgical technologies
Special Issues, Collections and Topics in MDPI journals
Dr. Andrea Balla

E-Mail Website
Guest Editor
General and Minimally Invasive Surgical Unit, San Paolo Hospital, 00053 Civitavecchia, Italy
Interests: general and minimally invasive surgery; coloproctological surgery and inflammatory bowel diseases; upper GI and bariatric surgery; surgical oncology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues, 

The development and the employment of new technologies have given several and great contributions to improving the quality of care in the field of general and gastrointestinal surgery, either in a diagnostic or operative manner. As the metamorphosis from conventional to minimally invasive surgery has changed the methods of performing surgery, the knowledge of molecular genetics, neuroendocrine, and immune mechanisms of diseases has also modified the therapeutic strategies for treating cancers toward an ever more patient-tailored treatment. The ever-growing interest in advanced surgical technologies requires us to always keep up with novelties. The aim of this Special Issue is to collect original papers about innovations in gastrointestinal surgery, either in the diagnostic or operative fields of research. We are soliciting original articles, systematic reviews and meta-analyses, short communications, technical notes and opinion articles.

Dr. Diego Coletta
Dr. Andrea Balla
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. Gastroenterology Insights is an international peer-reviewed open access quarterly 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 1600 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.

Dr. Diego Coletta
Dr. Andrea Balla
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. Gastroenterology Insights is an international peer-reviewed open access quarterly 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 1600 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

  • minimally invasive surgery
  • laparoscopic surgery
  • robotic surgery
  • fluorescence-guided surgery
  • indocyanine green
  • digestive surgery
  • gastrointestinal surgery
  • hepato-pancreato-biliary surgery
  • endoscopic surgery
  • advanced surgical technologies
  • artificial intelligence
  • emergency surgery
  • surgical oncology
  • 3D model-guided surgery
  • cancer diagnosis

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Published Papers (2 papers)

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Research

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15 pages, 325 KiB  
Article
Robotic Platform da Vinci Xi Is Feasible and Beneficial in Both Colon and Rectal Surgery in Short-Term Outcome and Recovery
by Yi-Lin Huang, Ming-Cheng Chen and Feng-Fan Chiang
Gastroenterol. Insights 2023, 14(4), 538-552; https://doi.org/10.3390/gastroent14040038 - 6 Nov 2023
Viewed by 1685
Abstract
Background: The literature discussed colorectal surgery using a robotic platform, which is mainly the previous da Vinci Si system. The role of the da Vinci Xi surgical system remains unclear. This study aims to evaluate the benefits and feasibility of using the robot-assisted [...] Read more.
Background: The literature discussed colorectal surgery using a robotic platform, which is mainly the previous da Vinci Si system. The role of the da Vinci Xi surgical system remains unclear. This study aims to evaluate the benefits and feasibility of using the robot-assisted method in colorectal surgery. Methods: We retrospectively collected 418 patients undergoing minimally invasive colorectal surgery between March 2020 and December 2021, in a single center. Patients were divided into robotic and laparoscopic groups. Primary outcomes were conversion rates to open surgery, complications, and length of stay (LOS). Secondary outcomes were post-operation functional outcomes. Results: A total of 218 patients received colectomy, while 200 patients received rectum resection. No differences were found in the conversion rate in both groups. A lower complication rate (colectomy: 7.5% vs. 23.2%, p = 0.01, rectum resection: 14.1% vs. 28.7%, p = 0.038) and shorter LOS (5 vs. 8 days, p < 0.001) was found in the robotic group. The robotic approach was associated with good functional outcomes in tolerated solid food and the termination of urinary drainage. Conclusions: The new da Vinci Xi system is safe and feasible both for colonic and rectal surgery, with reduced complications. Shorter LOS and reliable short-term outcomes may reflect both better functional recovery and surgical quality when compared to laparoscopic surgery. Full article
(This article belongs to the Special Issue Novelties in Gastrointestinal Surgery)

Other

Jump to: Research

10 pages, 2747 KiB  
Systematic Review
Is ERAS Protocol Necessary during Ileostomy Reversal in Patients after Anterior Rectal Resection—A Systematic Review and Meta-Analysis
by Michał Kisielewski, Tomasz Stefura, Jakub Rusinek, Maciej Zając, Magdalena Pisarska-Adamczyk, Karolina Richter, Tomasz Wojewoda and Wojciech M. Wysocki
Gastroenterol. Insights 2024, 15(3), 720-729; https://doi.org/10.3390/gastroent15030051 - 21 Aug 2024
Viewed by 361
Abstract
Purpose: The aim of this study is to establish whether implement ation of the ERAS protocol has a beneficial effect postoperatively after ileostomy reversal. Introduction: Loop ileostomy is commonly performed during anterior rectal resection with total mesorectal excision to protect the newly created [...] Read more.
Purpose: The aim of this study is to establish whether implement ation of the ERAS protocol has a beneficial effect postoperatively after ileostomy reversal. Introduction: Loop ileostomy is commonly performed during anterior rectal resection with total mesorectal excision to protect the newly created anastomosis. Ileostomy reversal is performed after rectal anastomoses are completely healed and can be associated with complications. The use of the ERAS protocol in elective colorectal surgery has been shown to significantly reduce the complication rate and length of hospital stay without an increased readmission rate. Methods: After PROSPERO registration (CRD42023449551), a systematic review of the following databases was carried out: MEDLINE/PubMed, EMBASE, Web of Science, and Scopus. This meta-analysis involved studies up to December 2023 without language restrictions. A random effects model meta-analysis was performed to assess complications, readmissions, and length of stay (LOS) in ileostomy reversal patients with and without ERAS protocol implementation. Results: Six articles were analyzed, and each study reported on the elements of the ERAS protocol. There was no significant difference between the ERAS and non-ERAS groups in terms of complications rate (OR = 0.98; 95%CI: 0.64–1.52; I2 = 0%). Postoperative ileus was the most prevalent adverse event in both groups. The readmission rate did not differ significantly between the groups (OR = 1.77; 95%CI: 0.85–3.50, I2 = 0%). In comparison to the control group, the LOS in the ERAS group was noticeably shorter (MD = −1.94; 95%CI: −3.38–−0.49; I2 = 77%). Conclusions: Following the ERAS protocol can result in a shorter LOS and does not increase complications or readmission rates in patients undergoing ileostomy reversal. Thus, the ERAS protocol is recommended for clinical implementation. Full article
(This article belongs to the Special Issue Novelties in Gastrointestinal Surgery)
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