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Open surgery remains a cornerstone in the field of vascular surgery even in the era of rapidly evolving endovascular treatment. As the demographics of general populations change, so do the complex characteristics of vascular patients. Under these circumstances, some emerging evidence shows unchanged or even ...

Open surgery remains a cornerstone in the field of vascular surgery even in the era of rapidly evolving endovascular treatment. As the demographics of general populations change, so do the complex characteristics of vascular patients. Under these circumstances, some emerging evidence shows unchanged or even worse outcomes of open surgery than before despite the increased knowledge and technological advancements.
Ongoing discussions are focusing on "open versus endovascular" outcomes, but some patients will benefit more from high-quality open surgery. The current topic is interested in ingenuity, advancement and evolution of open/hybrid surgical approaches for various vascular pathologies.

The achievements in this field have been:
Hybrid surgical approaches are widely utilized to reduce the invasiveness at the same time of maintaining the benefits of open surgery (e.g., TCAR, femoral endarterectomy together with endovascular treatment)
Understanding the risk factors for short- and long-term outcomes to help clinical decision making
Preoperative rehabilitation (prehabilitation) for open/hybrid surgical treatment
Optimal analgesic management including opioid usage (e.g., use of regional anesthesia in severely morbid patients)
A preliminary study to validate the fast-track management

To improve the outcomes of vascular patients and further define the place of open/hybrid procedures in relation to endovascular treatment, we would like to call for papers especially focusing on better patient care.

The scope of the research topic includes but not is limited to;
1. Advanced perioperative management including the follow-up periods (e.g., enhanced recovery after surgery)
2. An ingenuity for hybrid surgery to reduce perioperative complications or to improve long-term results
3. The role of less invasive surgery in relation to aging and frailty
4. Trials to reduce surgery-related complications (e.g., groin infection, incision hernia, postoperative delirium)
5. Detailed assessment of hospitalization, quality of life and cost effectiveness
6. Education of open surgical techniques to younger generations
7. Objective methods to measure invasiveness and comparisons in various types of surgery
8. Appropriate selection between open and endovascular surgery, based on robust evidence

Topic Coordinator:
Dr. Keisuke Miyake

Keywords: Open surgery, Hybrid surgery, Endovascular treatment, Vascular surgery, Advanced perioperative management, enhanced recovery after surgery, state-of-art, Less invasive surgery, Aortic aneurysm, Peripheral artery disease, carotid artery stenosis


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