Clinical Advances in Abdominal 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: 20 March 2025 | Viewed by 884

Special Issue Editors


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Guest Editor
General and Digestive Surgery Service, La Paz University Hospital, 28046 Madrid, Spain
Interests: oncologic surgery (cytoreductive surgery and HIPEC); trauma surgery; “balconing” phenomenon
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Guest Editor
Surgical Oncology and Digestive Surgery Department, Hospital Quirón, Málaga, Spain
Interests: HIPEC; surgical oncology; ovarian cancer; peritoneal carcinomatosis; colorectal cancer

Special Issue Information

Dear Colleagues,

Advances in abdominal surgery have significantly transformed the field of medicine, offering new hope and improved outcomes for patients. Minimally invasive techniques, such as laparoscopic and robot-assisted surgery, have revolutionized traditional surgical approaches. These innovative methods are now being applied to a broader range of procedures, including duodenopancreatectomies, abdominal wall repairs, and various aspects of abdominal surgery.

Beyond minimally invasive techniques, new surgical methods are making a profound impact. Cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy (HIPEC), electrochemotherapy, high-intensity focused ultrasound (HIFU) and others are allowing for the more effective targeting of cancer cells compared to systemic chemotherapy. These advanced techniques have proven particularly beneficial for patients with advanced abdominal cancers, significantly improving survival rates and quality of life.

Overall, these advancements in abdominal surgery not only enhance the efficacy and safety of surgical interventions but also expand the range of conditions that can be successfully treated, offering new hope to patients worldwide.

Dr. Juan José Segura-Sampedro
Dr. César P. Ramírez-Plaza
Guest Editors

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Keywords

  • abdominal surgery
  • oncologic surgery
  • minimal invasive techniques
  • HIPEC
  • PIPAC
  • peritoneal carcinomatosis
  • liver metastasis

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Published Papers (1 paper)

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Research

12 pages, 993 KiB  
Article
Rates of Textbook Outcome Achieved in Patients Undergoing Liver and Pancreatic Surgery
by Celia Villodre, Candido F. Alcázar-López, Silvia Carbonell-Morote, Paola Melgar, Mariano Franco-Campello, Juan Jesus Rubio-García and José M. Ramia
J. Clin. Med. 2024, 13(21), 6413; https://doi.org/10.3390/jcm13216413 - 26 Oct 2024
Viewed by 596
Abstract
Backgorund: Textbook outcome (TO) is a composite measure that reflects the most desirable surgical results as a single indicator. The aim of this study was to assess the achievement of TO at a hepatopancreatobiliary (HPB) surgery unit in a Spanish tertiary hospital. Methods: [...] Read more.
Backgorund: Textbook outcome (TO) is a composite measure that reflects the most desirable surgical results as a single indicator. The aim of this study was to assess the achievement of TO at a hepatopancreatobiliary (HPB) surgery unit in a Spanish tertiary hospital. Methods: We performed a retrospective observational study of all consecutive patients who underwent HPB surgery over a 4-year period. Morbidity according to the Clavien-Dindo classification at 30 days, hospital stay, risk of morbidity and mortality according to the POSSUM, and mortality and readmissions at 90 days were recorded. TO was considered when a patient presented no major complications (≥IIIA), no mortality, no readmission, and no prolonged length of stay (≤75th). Results: 283 patients were included. Morbidity >IIIA was reported in 21.6%, and 5.7% died; the median postoperative stay was 4 days. TO was achieved in 56.2% of patients. Comparing patients who presented TO with those who did not, significant differences were recorded for the type of procedure and the expected risk of morbidity and mortality calculated according to the POSSUM scale. There were significant differences between patients with major resections (TO rates: major hepatectomy (46.3%) and major pancreatectomy (52.5%)) and those with minor resections (TO rates minor hepatectomy (67.7%) and minor pancreatectomy (40.4%)). Conclusions: TO is a useful management tool for assessing postoperative results. Full article
(This article belongs to the Special Issue Clinical Advances in Abdominal Surgery)
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