Laparoscopy and Treatment: An All-Encompassing Solution for Surgeons

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Medical Research".

Deadline for manuscript submissions: 26 October 2025 | Viewed by 534

Special Issue Editors


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Guest Editor
1. Department of Surgery, “Carol Davila” University of Medicine and Pharmacy, 37, Dionisie Lupu Street, 020021 Bucharest, Romania
2. General Surgery Department, “Sf. Ioan” Clinical Emergency Hospital, 13 Vitan-Bârzeşti Road, 042122 Bucharest, Romania
Interests: oncological; staging laparoscopy; tool; radical surgery; diagnostic

E-Mail Website
Guest Editor
1. Department of Surgery, “Carol Davila” University of Medicine and Pharmacy, 37, Dionisie Lupu Street, 020021 Bucharest, Romania
2. General Surgery Department, “Sf. Ioan” Clinical Emergency Hospital, 13 Vitan-Bârzeşti Road, 042122 Bucharest, Romania
Interests: oncological; staging laparoscopy; tool; radical surgery; diagnostic

Special Issue Information

Dear Colleagues,

In an era where patient-reported outcomes have become more important, one of the tools that every surgeon should have in their bag is diagnostic laparoscopy. This versatile instrument can serve as a diagnostic confirmation and definitive treatment. Through a couple of trocars placed into the abdomen, a surgeon can diagnose a variety of surgical ailments, such as bowel infarction, the site of obstruction in bowel obstruction, occult hernias, and, last but not least, trauma. In addition, the oncological field is another place where it shines: intraperitoneal tumors, peritoneal carcinomatosis, and superficial liver metastases that were not identified upon imaging. Staging laparoscopy is recommended for pancreatic and gastric cancers, thus providing a potential indication for radical surgery. Laparoscopy is not only diagnostic, but after identifying the nature of the surgical disease one can perform various laparoscopic surgeries with net advantages when compared to the open approach.

Prof. Dr. Niculae Iordache
Dr. Claudiu-Octavian Ungureanu
Guest Editors

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Keywords

  • oncological
  • staging laparoscopy
  • tool
  • radical surgery
  • diagnostic

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Published Papers (1 paper)

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Research

11 pages, 5203 KiB  
Article
Laparoscopic and Robot-Assisted Laparoscopic Management of Iatrogenic Ureteral Strictures: Preliminary Experience
by Roxana Andra Coman and Bogdan Petrut
Life 2025, 15(4), 645; https://doi.org/10.3390/life15040645 - 14 Apr 2025
Viewed by 188
Abstract
Iatrogenic ureteral strictures are uncommon but challenging to manage. We present our expertise in laparoscopic and robot-assisted laparoscopic ureteroureterostomy (LUU and RAUU) for lumbar and iliac strictures and laparoscopic ureteral reimplantation for pelvic strictures. A descriptive study was conducted on nine adult patients [...] Read more.
Iatrogenic ureteral strictures are uncommon but challenging to manage. We present our expertise in laparoscopic and robot-assisted laparoscopic ureteroureterostomy (LUU and RAUU) for lumbar and iliac strictures and laparoscopic ureteral reimplantation for pelvic strictures. A descriptive study was conducted on nine adult patients who underwent minimally invasive procedures. Six had lumbar or iliac ureteral strictures—five due to ureterorenoscopy and one following pancreaticoduodenectomy for pancreatic cancer. Three developed pelvic strictures after ureterorenoscopy. Preoperative evaluation included a medical history review, abdominal ultrasound, and CT scan. Success was characterized by the absence of symptoms and the lack of obstruction on follow-up imaging at one year. All procedures were technically feasible, with a median operating time of 105 min and a median hospital stay of four days. No major complications occurred. One patient experienced ureteral stricture recurrence following a laparoscopic approach for a lumbar stricture, and required a permanent double-J stent. At a median follow-up of 38 months, 88.88% of patients remained asymptomatic with preserved renal function. Our findings suggest that robotic and laparoscopic ureteral reconstruction performed by experienced surgeons at a tertiary center is a safe and effective option with a low complication rate. Full article
(This article belongs to the Special Issue Laparoscopy and Treatment: An All-Encompassing Solution for Surgeons)
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