Major abdominal surgery is associated with high rate of postoperative complications. Several studies hypothesize that prehabilitation may contribute to reduce postoperative complications.

The RYGBP is a standardized procedure, with clear and identified steps. In this lecture, Prof. Carlos Vaz describes the robotic approach to the procedure on a step-by-step basis, highlighting the possible advantages that this platform provides.

Primary hyperparathyroidism is the condition in which there are high levels of serum calcium due to non-suppressed parathyroid hormone (PTH) levels. Most cases are sporadic, and its prevalence has been reported as high as 2% in women population in the USA. 80% of cases are caused by a single parathyroid adenoma. The majority of the patients will require surgery as the definitive treatment.

In this lecture, Professor Ralph Peterli, explain the results of the SM-BOSS Randomized Clinical Trial that compares differences between the sleeve gastrectomy and the Roux-en-Y gastric bypass in the treatment of morbid obesity in terms of weight loss, changes in comorbidities, quality of life, and adverse events.

The lack of liver donors and the increasing use of marginal organs requires new techniques for the preservation and rescue of these grafts. Dr. Tolba, a transplantation expert and an experienced researcher, tells us about these new techniques.

Indications of bariatric procedures are currently extending from obesity patients to other pathologies, such as diabetes, which is becoming an increasingly common indication for metabolic surgery. At IFSO, Dr. Rubino will discuss the topic and give several recommendations, reviewing the available literature and guidelines.

In this lecture, Nikolaos G. Danias explains the etiology of this serious disease, its treatment, and the suitable surgical management to reduce mortality in these serious patients and improve their prognosis.

Obesity is a pandemic that on the Mediterranean area affects 15.1% of patients, especially those with lower education status and women. Laparoscopic surgery has become the standard of care and, after 2013, sleeve gastrectomy has become the most commonly performed procedure. Bariatric surgery is safe and effective and is associated with short length of stay in Mediterranean patients.

Bile duct injuries while performing a laparoscopic cholecystectomies are still a major concern for general surgeons. Several strategies have been described to reduce its rate. In this presentation, the risk factors for a difficult cholecystectomy and the surgical strategies to visualize the structures according to the critical view of safety are reviewed.

In this lecture, professor Malin Sund reviews the relationship between surgical infections and oncological outcomes in terms of overall suvival, cancer-related survival and both local and systemic recurrence.