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Gastrointestinal Surgery at the Cutting Edge
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Gastrointestinal Surgery at the Cutting Edge

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Gastroenterology & Hepatopancreatobiliary Medicine".

Deadline for manuscript submissions: closed (28 February 2022) | Viewed by 4113

Special Issue Editors

Prof. Dr. Harry Van Goor

E-Mail Website
Guest Editor
Department of Surgery, Radboudumc, University Medical Center, Nijmegen, The Netherlands
Interests: anastomotic leakage; perioperative care; predictive analytics for decision support; VR/AR diagnostic and treatment; healing environment
Dr. Richard P G ten Broek

E-Mail Website
Guest Editor
Radboud University Medical Centre (Radboudumc), Nijmegen, The Netherlands
Interests: peritoneal adhesions; postoperative abdominal pain; abdominal cine-MRI; research methodologies

Special Issue Information

Dear Colleagues,

Gastro-intestinal surgery encompasses a broad field of technology, social, and business innovations. In the past 20 years, surgical innovation has significantly improved patient outcomes, rates of complications and length of stay. When asked for main surgical innovations, most refer to precision surgery with minimal invasive surgical techniques, robotic systems, imaging navigated operations, and 3D/AR operative planning. However, social (surgical care) innovations such as (shared) decision support solutions based on AI predictive analytics, pre- and rehabilitation programs, and improved surgical training programs with VR and AR also matter with regard to improved patient outcomes and experiences. An example of a surgical business innovation is early discharge with hospital to home wearable monitoring and virtual surgical connected care solutions. Another growing field of surgical innovation is regenerative medicine, i.e., stem cell transplantation to organ scaffolds, organ-on-a-chip, xenotransplantation, and reprogramming gastro-intestinal adult organ cells.

In this Special Issue, we shall review a variety of innovations in gastro-intestinal surgery addressing the daily challenges of surgeons. We divide the innovations according to a Surgical Patient Journey in pre-operative, operative, and postoperative but will attempt to demonstrate the integration of innovations across the three phases contributing to better surgical patient outcome.

Prof. Dr. Harry van Goor
Dr. Richard P G ten Broek
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. 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

  • Anastomotic leak
  • Adhesions
  • Operative imaging
  • Precision surgery
  • Fit for surgery
  • Decision support in surgical care
  • Evidenced based surgical healing environment
  • Virtual connected surgical care

Published Papers (2 papers)

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Research

12 pages, 354 KiB  
Article
Modern Machine Learning Practices in Colorectal Surgery: A Scoping Review
by Stephanie Taha-Mehlitz, Silvio Däster, Laura Bach, Vincent Ochs, Markus von Flüe, Daniel Steinemann and Anas Taha
J. Clin. Med. 2022, 11(9), 2431; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm11092431 - 26 Apr 2022
Cited by 1 | Viewed by 1540
Abstract
Objective: The use of machine learning (ML) has revolutionized every domain of medicine. Surgeons are now using ML models for disease detection and outcome prediction with high precision. ML-guided colorectal surgeries are more efficient than conventional surgical procedures. The primary aim of this [...] Read more.
Objective: The use of machine learning (ML) has revolutionized every domain of medicine. Surgeons are now using ML models for disease detection and outcome prediction with high precision. ML-guided colorectal surgeries are more efficient than conventional surgical procedures. The primary aim of this paper is to provide an overview of the latest research on “ML in colorectal surgery”, with its viable applications. Methods: PubMed, Google Scholar, Medline, and Cochrane library were searched. Results: After screening, 27 articles out of 172 were eventually included. Among all of the reviewed articles, those found to fit the criteria for inclusion had exclusively focused on ML in colorectal surgery, with justified applications. We identified existing applications of ML in colorectal surgery. Additionally, we discuss the benefits, risks, and safety issues. Conclusions: A better, more sustainable, and more efficient method, with useful applications, for ML in surgery is possible if we and data scientists work together to address the drawbacks of the current approach. Potential problems related to patients’ perspectives also need to be resolved. The development of accurate technologies alone will not solve the problem of perceived unreliability from the patients’ end. Confidence can only be developed within society if more research with precise results is carried out. Full article
(This article belongs to the Special Issue Gastrointestinal Surgery at the Cutting Edge)
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14 pages, 682 KiB  
Article
Surgical Outcomes and Trends for Chronic Pancreatitis: An Observational Cohort Study from a High-Volume Centre
by Poya Ghorbani, Rimon Dankha, Rosa Brisson, Melroy A. D’Souza, Johannes-Matthias Löhr, Ernesto Sparrelid and Miroslav Vujasinovic
J. Clin. Med. 2022, 11(8), 2105; https://0-doi-org.brum.beds.ac.uk/10.3390/jcm11082105 - 9 Apr 2022
Cited by 2 | Viewed by 2003
Abstract
Surgery for chronic pancreatitis (CP) is considered as a last resort treatment. The present study aims to determine the short- and medium-term outcomes of surgical treatment for CP with a comparison between duodenum-preserving pancreatic head resection (DPPHR) and pancreatoduodenectomy (PD). The trends in [...] Read more.
Surgery for chronic pancreatitis (CP) is considered as a last resort treatment. The present study aims to determine the short- and medium-term outcomes of surgical treatment for CP with a comparison between duodenum-preserving pancreatic head resection (DPPHR) and pancreatoduodenectomy (PD). The trends in surgical procedures were also examined. This was a retrospective cohort study of patients who underwent surgery for CP between 2000 and 2019 at the Karolinska University Hospital. One hundred and sixty-two patients were included. Surgery performed included drainage procedures (n = 2), DPPHR (n = 35), resections (n = 114, of these PD in n = 65) and other procedures (n = 11). Morbidity occurred in 17%, and the 90-day mortality was 1%. Complete or partial pain relief was achieved in 65% of patients. No significant difference in morbidity was observed between the DPPHR and PD groups: 17% vs. 20% (p = 0.728). Pain relief did not differ between the groups (62% for DPPHR vs. 73% for PD, p = 0.142). The frequency of performed DPPHR decreased, whereas the rate of PD remained unaltered. Surgical treatment for CP is safe and effective. DPPHR and PD are comparable regarding post-operative morbidity and are equally effective in achieving pain relief. Trends over time revealed PD as more commonly performed compared to DPPHR. Full article
(This article belongs to the Special Issue Gastrointestinal Surgery at the Cutting Edge)
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