Abstract
Introduction: The 30th Albanian Conference of Surgery (ACS) and the 7th Albanian Congress of Trauma and Emergency Surgery (ACTES) were jointly convened in Tirana, Albania, on November 10–11, 2023. As the region's premier assembly for surgical disciplines and emergency care, this year’s event marked a pivotal milestone in advancing medical reform and multidisciplinary integration, driven by the unifying theme "Together we can make the difference."
Methods: The scientific program was structured around 42 plenary sessions held across four parallel halls, designed to address the complexities of a dynamic healthcare landscape. The congress facilitated a robust exchange of knowledge through more than 270 accepted abstracts and a distinguished faculty of 71 international and 180 national experts. This diverse representation underscored the event's role as a critical forum for bridging global best practices with regional clinical needs.
Key thematic areas included acute trauma management, damage control surgery, minimally invasive techniques, oncologic surgery, and innovations in perioperative care. These sessions stimulated rigorous discourse on contemporary challenges, ranging from technological integration to evolving demographic health patterns, thereby fostering a culture of continuous professional development.
Conclusion: The proceedings highlighted the scientific resilience of the Albanian surgical network and its commitment to excellence. Ultimately, the congress underscored the need for international collaboration and evidence-based practice as cornerstones for improving patient care and strengthening surgical infrastructure in Southeast Europe.
References
Heald, R. J., & Ryall, R. D. (1986). Recurrence and survival after total mesorectal excision for rectal cancer. Lancet (London, England), 1(8496), 1479–1482. https://doi.org/10.1016/s0140-6736(86)91510-2
Hohenberger, W., Weber, K., Matzel, K., Papadopoulos, T., & Merkel, S. (2009). Standardized surgery for colonic cancer: complete mesocolic excision and central ligation--technical notes and outcome. Colorectal disease: the official journal of the Association of Coloproctology of Great Britain and Ireland, 11(4), 354–365. https://doi.org/10.1111/j.1463-1318.2008.01735.x
Culligan, K., Remzi, F. H., Soop, M., & Coffey, J. C. (2013). Review of nomenclature in colonic surgery--proposal of a standardised nomenclature based on mesocolic anatomy. The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 11(1), 1–5. https://doi.org/10.1016/j.surge.2012.01.006
Sjövall, A., Granath, F., Cedermark, B., Glimelius, B., & Holm, T. (2007). Loco-regional recurrence from colon cancer: a population-based study. Annals of surgical oncology, 14(2), 432–440. https://doi.org/10.1245/s10434-006-9243-1
Pramateftakis M. G. (2010). Optimizing colonic cancer surgery: high ligation and complete mesocolic excision during right hemicolectomy. Techniques in coloproctology, 14 Suppl 1, S49–S51. https://doi.org/10.1007/s10151-010-0609-9
Brezeanu, L. N., Brezeanu, R. C., Diculescu, M., & Droc, G. (2020). Anaesthesia for Liver Transplantation: An Update. Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures), 6(2), 91–100. https://doi.org/10.2478/jccm-2020-0011
Bruno Jawan, Chih-Hsien Wang, Chao-Long Chen, Chia-Jung Huang, Kwok-Wai Cheng, Shao- Chun Wu, Tsung-Hsiao Shih, Sheng-Chun Yang, Review of anesthesia in liver transplantation, Acta Anaesthesiologica Taiwanica, Volume 52, Issue 4, 2014, Pages 185-196, ISSN 1875-4597, https://doi.org/10.1016/j.aat.2014.09.004
Dogjani, A. (2014, May 27). Blunt Abdominal Trauma and their Management, two Years' Experience. 15th European Congress of Trauma and Emergency Surgery and 2nd World Trauma Congress (ECTES & WTC 2014), 25–27 May 2014.Frankfurt, Germany. https://doi.org/10.5281/zenodo.16419688
Agron Dogjani. (2014, October 31). Damage to the Gastrointestinal Tract in Blunt Abdominal Trauma, a Retrospective Assessment. The 22nd Albanian Medico-Surgical Conference (MSC 2014), Tirana, Albania. https://doi.org/10.5281/zenodo.5484407
Agron Dogjani. (2015, July 8). THE HOLLOW VISCUS INJURIES IN BLUNT ABDOMINAL TRAUMA, A RETROSPECTIVE ASSESSMENT. 3rd Congress of the World Society of Emergency Surgery. (WSES 2015 Congress), Jerusalem, Israel. https://doi.org/10.5281/zenodo.5484434
Dogjani, A., Hasanaj, B. E., Matevossian, E., Doll, D., & Latifi, R. (2015). Early Operative Treatment for an Enterocutaneous Fistula after Gunshot Wound. Journal of Case Reports. Vol 2; Issue 5(2):551-555 December 2015 https://doi.org/10.17659/01.2015.0141
Agron Dogjani. (2016, April). PATI Index & Injury Severity Score, as Predictive Factors in the Management of Penetrating Abdominal Trauma. 17th European Congress of Trauma and Emergency Surgery- ECTES 2016; 24-26 April 2016. Vienna, Austria DOI: 10.13140/RG.2.2.28448.33284
Agron Dogjani. (2016, April). “Assessment, Treatment, and Results in Penetrating Abdominal Trauma. A Retrospective Study of 102 Cases.” 17th European Congress of Trauma and Emergency Surgery- ECTES 2016; 24-26 April 2016. Vienna, Austria Doi: http://dx.doi.org/10.13140/RG.2.2.18837.83684
Luedi, M. M., Wölfl, C. C., Wieferich, K., Dogjani, A., Kauf, P., & Doll, D. (2017). Teaching Advanced Trauma Life Support (ATLS): A nationwide retrospective analysis of 8202 lessons taught in Germany. Journal of surgical education, 74(1), 161–166. https://doi.org/10.1016/j.jsurg.2016.06.010
Sartelli, M., Weber, D. G., Ruppé, E., Bassetti, M., Wright, B. J., Ansaloni, L., Catena, F., Coccolini, F., Abu-Zidan, F. M., Coimbra, R., Moore, E. E., Moore, F. A., Maier, R. V., De Waele, J. J., Kirkpatrick, A. W., Griffiths, E. A., Eckmann, C., Brink, A. J., Mazuski, J. E., May, A. K., … Viale, P. (2016). Antimicrobials: a global alliance for optimizing their rational use in intra-abdominal infections (AGORA). World journal of emergency surgery: WJES, 11, 33. https://doi.org/10.1186/s13017-016-0089-y
Latifi, R., Gunn, J. K., Stroster, J. A., Zaimi, E., Olldashi, F., Dogjani, A., Kerci, M., Draçini, X., Kuçani, J., Shatri, Z., Kociraj, A., Boci, A., & Donaldson, R. I. (2016). The readiness of emergency and trauma care in low- and middle-income countries: a cross-sectional descriptive study of 42 public hospitals in Albania. International journal of emergency medicine, 9(1), 26. https://doi.org/10.1186/s12245-016-0124-5
Coccolini, F., Montori, G., Ceresoli, M., Catena, F., Ivatury, R., Sugrue, M., Sartelli, M., Fugazzola, P., Corbella, D., Salvetti, F., Negoi, I., Zese, M., Occhionorelli, S., Maccatrozzo, S., Shlyapnikov, S., Galatioto, C., Chiarugi, M., Demetrashvili, Z., Dondossola, D., Yovtchev, Y., … Ansaloni, L. (2017). IROA: International Register of Open Abdomen, preliminary results. World journal of emergency surgery: WJES, 12, 10. https://doi.org/10.1186/s13017-017-0123-8
Sartelli, M., Labricciosa, F. M., Barbadoro, P., Pagani, L., Ansaloni, L., Brink, A. J., Carlet, J., Khanna, A., Chichom-Mefire, A., Coccolini, F., Di Saverio, S., May, A. K., Viale, P., Watkins, R. R., Scudeller, L., Abbo, L. M., Abu-Zidan, F. M., Adesunkanmi, A. K., Al-Dahir, S., Al-Hasan, M. N., … Catena, F. (2017). The Global Alliance for Infections in Surgery: defining a model for antimicrobial stewardship-results from an international cross-sectional survey. World journal of emergency surgery: WJES, 12, 34. https://doi.org/10.1186/s13017-017-0145-2
Sartelli, M., Weber, D. G., Ruppé, E., Bassetti, M., Wright, B. J., Ansaloni, L., Catena, F., Coccolini, F., Abu-Zidan, F. M., Coimbra, R., Moore, E. E., Moore, F. A., Maier, R. V., De Waele, J. J., Kirkpatrick, A. W., Griffiths, E. A., Eckmann, C., Brink, A. J., Mazuski, J. E., May, A. K., … Viale, P. (2017). Erratum to: Antimicrobials: a global alliance for optimizing their rational use in intra-abdominal infections (AGORA). World journal of emergency surgery: WJES, 12, 35. https://doi.org/10.1186/s13017-017-0147-0
Agron Dogjani, & Engjellushe Jonuzi. (2017). Evaluation of Blunt Abdominal Trauma in the Pediatric Age. 47th World Congress of Surgery (WCS 2017), Basel, Switzerland. https://doi.org/10.5281/zenodo.7888114
A Global Declaration on Appropriate Use of Antimicrobial Agents across the Surgical Pathway. (2017). Surgical infections, 18(8), 846–853. https://doi.org/10.1089/sur.2017.219
Dogjani, A., Bendo, H., & Blloshmi, A. (2017). Polytrauma – Definition & Management Aspects and Trauma Score? 1st Annual Congress of Trauma and Emergency Surgery - ACTES 2017; 10-11 November. Tirana, Albania. AJTES Vol 1; No 1; November 2017; Abstracts Book - ACTES 2017, Albanian Journal of Trauma and Emergency Surgery, 1(1.1), 9-10. https://doi.org/10.32391/ajtes.v1i1.154
Sartelli, M., Kluger, Y., Ansaloni, L. et al. Raising concerns about the Sepsis-3 definitions. World J Emerg Surg 13, 6 (2018). https://doi.org/10.1186/s13017-018-0165-6
Agron Dogjani. (2018, May). “Assessment of Abdominal Stab Wound Injuries: A Retrospective Study.” 19th European Congress of Trauma and Emergency Surgery- ECTES 2018; 06-06 May 2018. Valencia, Spain http://dx.doi.org/10.13140/RG.2.2.23434.82884
Mulita F, Anjum F. Thyroid Adenoma. In: StatPearls. Treasure Island (FL): StatPearls Publishing;2022. https://pubmed.ncbi.nlm.nih.gov/32965923/ (14 March 2023)
Latifi, R., & Dogjani, A. (2018). Postoperative leaks in esophagectomy and sleeve gastrectomy for obesity. Albanian Journal of Trauma and Emergency Surgery, 2(2), 71-75. https://doi.org/10.32391/ajtes.v2i2.1
Coccolini, F., Ceresoli, M., Kluger, Y., Kirkpatrick, A., Montori, G., Salvetti, F., Fugazzola, P., Tomasoni, M., Sartelli, M., Ansaloni, L., Catena, F., Negoi, I., Zese, M., Occhionorelli, S., Shlyapnikov, S., Galatioto, C., Chiarugi, M., Demetrashvili, Z., Dondossola, D., Ioannidis, O., … Ivatury, R. (2019). Open abdomen and entero-atmospheric fistulae: An interim analysis from the International Register of Open Abdomen (IROA). Injury, 50(1), 160–166. https://doi.org/10.1016/j.injury.2018.09.040
Mulita F, Verras GI, Dafnomili VD, Tchabashvili L, Perdikaris I, Bousis D, Liolis E, Samaras A, Vafeiadis V, Delis A, Panagiotopoulos I, Filis D, Perdikaris P, Maroulis I, Anesidis S, Bouchagier K. Thyroidectomy for the management of differentiated thyroid carcinoma and their outcome on early postoperative complications: a 6-year single-centre retrospective study. Chirurgia (Bucur) 2022; 117:556-62.
Vishi, I., Dogjani, A., Bytyqi, R., Spahiu, S., & Vishi, N. (2018). Gastric adenocarcinoma advanced in a final-year student. A case report. The 2nd Albanian Congress of Trauma and Emergency Surgery & The 3rd International Scientific Conference of the Faculty of Medical Sciences, Tetovo, RN of Macedonia; 8-10 November 2018, Ohrid, RN of Macedonia; Albanian Journal of Trauma and Emergency Surgery, AJTES Vol 2; No 2; Supplement 2; November 2018; 2(2.2), 25. https://doi.org/10.32391/ajtes.v2i2.2.108
Lenjani, B., Rashiti, P., Lenjani, D., Borovci, P., Arslani, N., & Dogjani, A. (2019). Road Accidents Management and Emergency Medicine Care. Albanian Journal of Trauma and Emergency Surgery, 3(1), 214-219. https://doi.org/10.32391/ajtes.v3i1.25
Sartelli, M., Abu-Zidan, F. M., Labricciosa, F. M., Kluger, Y., Coccolini, F., Ansaloni, L., Leppäniemi, A., Kirkpatrick, A. W., Tolonen, M., Tranà, C., Regimbeau, J. M., Hardcastle, T., Koshy, R. M., Abbas, A., Aday, U., Adesunkanmi, A. R. K., Ajibade, A., Akhmeteli, L., Akın, E., Akkapulu, N., … Catena, F. (2019). Physiological parameters for Prognosis in Abdominal Sepsis (PIPAS) Study: a WSES observational study. World journal of emergency surgery: WJES, 14, 34. https://doi.org/10.1186/s13017-019-0253-2
Lenjani, B., Rashiti, P., Bunjaku, I., Demiri, A., Shabani, G., Lenjani, D., & Dogjani, A. (2019). Polytrauma Management and Links to EMS. Albanian Journal of Trauma and Emergency Surgery, 3(2), 417-423. https://doi.org/10.32391/ajtes.v3i2.51
Dogjani A, Kolani H, Haxhirexha K, Gjata A, Selmani E, et al. (2020) Considerations about Traumatic Diaphragmatic Rupture, Case Series and Review of Literature. J Surg 5: 1315. DOI: 10.29011/2575-9760.001315
Henri Kolani, & Agron Dogjani. (2020). “Current Approach of Surgical Technique of Upper and Lower Colo-Rectal Anastomosis, Early and Late Complications”. In Current Approach of Surgical Technique of Upper and Lower Colo-Rectal Anastomosis, Early and Late Complications (1st ed., p. 96). LAP LAMBERT Academic Publishing, Norderstedt, Germany. https://doi.org/10.5281/zenodo.5510535
Dogjani, A., Gjata, A., Haxhirexha, K., Blloshmi, A., Shandro, S., & Laqja, S. (2020). Advanced Trauma Life Support training. How useful is it? AJTES Vol 4; No 2; Supplement 4 - December 2020, Abstracts Book - ACTES 2020; 21-22 December 2020; Albanian Journal of Trauma and Emergency Surgery, 4(2.4), 28-29. https://doi.org/10.32391/ajtes.v4i2.4.171
Ruci, V., Selmani, E., & Dogjani, A. (2021). Salvage Total Hip Replacement after Failed Internal Fixation of Trochanteric Fracture Femur. Albanian Journal of Trauma and Emergency Surgery, 5(1), 751-757. https://doi.org/10.32391/ajtes.v5i1.163
Agron Dogjani, & Kastriot Haxhirexha. (2021). MBËSHTETJA BAZIKE JETËSORE DHE DEFIBRILIMI. In MBËSHTETJA BAZIKE JETËSORE DHE DEFIBRILIMI (1st ed., p. 178). Botimet M & B, Tirana, Albania. https://doi.org/10.5281/zenodo.5484293
Cobianchi, L., Dal Mas, F., Massaro, M. et al. Team dynamics in emergency surgery teams: results from a first international survey. World J Emerg Surg 16, 47 (2021). https://doi.org/10.1186/s13017-021-00389-6
Sartelli, M., Coccolini, F., Kluger, Y. et al. WSES/GAIS/SIS-E/WSIS/AAST global clinical pathways for patients with intra-abdominal infections. World J Emerg Surg 16, 49 (2021). https://doi.org/10.1186/s13017-021-00387-8
Waydhas, C., Trentzsch, H., Hardcastle, T.C. et al. Survey on worldwide trauma team activation requirement. Eur J Trauma Emerg Surg 47, 1569–1580 (2021). https://doi.org/10.1007/s00068-020-01334-z
Agron Dogjani. (2021, December 10). Diabetes Mellitus Complications and their Surgical Management. Organized by the Faculty of Medicine of the "Fehmi AGANI" University of Gjakova, Kosovo. https://doi.org/10.5281/zenodo.7015469
Kacani A, Goga M, Kuci S, Aliu A, Ibrahimi A, Gjergo P, Janko A, Dogjani A. Invading of Renal Cell Carcinoma in Inferior Vena Cava and Right Atrium with a Huge Metastatic Thrombus. Open Access Maced J Med Sci. 2022 Mar. 9; 10(C): 107-10. DOI: http://dx.doi.org/10.3889/oamjms.2022.8552
Sartelli, M., Labricciosa, F.M., Coccolini, F. et al. It is time to define an organizational model for the prevention and management of infections along the surgical pathway: a worldwide cross-sectional survey. World J Emerg Surg 17, 17 (2022). https://doi.org/10.1186/s13017-022-00420-4
Agron Dogjani, Arben Gjata, Kastriot Haxhirexha, & Amarildo Blloshmi. (2022, May 14). ATLS® Course Albania, a Great Opportunity for Educating Health Professionals in Trauma Management. The 10th National Conference of Medical Sciences (NCMS 2022), Tirana, Albania. https://doi.org/10.5281/zenodo.7015607
Dogjani, A. (2022, May 20). Challenges of Surgical Emergency Management during COVID-19. The 28th Albanian Surgical Conference., Tirana, Albania. https://doi.org/10.5281/zenodo.16733819
Enkelejda Çuedari, Majlinda Ikonomi, Silvana Çeliku, Flutura Proko, Bledi Kreka, Anila Pema, Dhurata Tarifa, & Agron Dogjani. (2022). Benefits in the Progression of Colorectal Cancer with Screening Methods and Treatment Based on Molecular Tests. Clinics of Oncology, 6(7), 1–6. https://doi.org/10.5281/zenodo.7055144
Cuedari, E., & Dogjani, A. (2022). HER 2 in Gastric Cancer in Albania as a New Therapeutic Alternative. International Journal of Medical Science and Clinical Invention. https://doi.org/10.18535/IJMSCI/V9I06.06
Agron Dogjani, Kastriot Haxhirexha, Arben Gjata, Arben Dhima, Amarildo Blloshmi. Intrahepatic Pseudoaneurysm of Right Hepatic Artery after Gunshot Thoracic-Abdominal Injury. A Case Report and Review of the Literature. Archives of Clinical and Medical Case Reports 6 (2022): 517-520 https://www.doi.org/10.26502/acmcr.96550506
Haxhirexha, K., Dogjani, A., Haxhirexha, A., Haxhirexha, L., Fejzuli, B., & Ademi, A. (2022). Some Consideration about Port Site Hernia after Laparoscopic Surgery. Albanian Journal of Trauma and Emergency Surgery, 6(2), 1029-1032. https://doi.org/10.32391/ajtes.v6i2.284
Joanna W. Colorectal anastomotic healing: Why the biological processes that lead to anastomotic leakage should be revealed prior to conducting intervention studies. Bosmans et al. BMC Gastroenterology (2015) 15:180 DOI 10.1186/s12876-015-0410-3
Agron Dogjani, Kastriot Haxhirexha, Arben Gjata, Alfred Ibrahimi, Amarildo Blloshmi. Medical Emergency Services in Albania, the Challenges and Improvements of Concepts in Management. Journal of Surgery and Research 5 (2022): 456-461. https://www.doi.org/10.26502/jsr.10020242
Cobianchi, L., Dal Mas, F., Massaro, M. et al. Diversity and ethics in trauma and acute care surgery teams: results from an international survey. World J Emerg Surg 17, 44 (2022). https://doi.org/10.1186/s13017-022-00446-8
Agron Dogjani, Arben Gjata, Kastriot Haxhirexha, Dritan Cobani, & Amarildo Blloshmi. (2022, September 16). Challenges in the Management of Penetrating Abdominal Trauma, Predictive Factors. The second Clinical Congress of the Kosova College of Surgeons, Pristina, Kosovo. https://doi.org/10.5281/zenodo.7092939
Dogjani, A. (2022, October 28). The Definitive Surgical Trauma Care (DSTC™) Course is Essential in the Education of General Surgeons and not only…. 29th Albanian Surgical Conference, Tirana, Albania. https://doi.org/10.5281/zenodo.16737202
Cobianchi, L., Dal Mas, F., Agnoletti, V. et al. Time for a paradigm shift in shared decision-making in trauma and emergency surgery? Results from an international survey. World J Emerg Surg 18, 14 (2023). https://doi.org/10.1186/s13017-022-00464-6
Lenjani, B., Baftiu, N., Krasniqi, B., Makolli, S., Lenjani, D., Mišanović, V., Ljuhar, K., & Dogjani, A. (2023). Access and Emergency Medical Care for Massive or Multiple Injuries. Albanian Journal of Trauma and Emergency Surgery, 7(1), 1181-1188. https://doi.org/10.32391/ajtes.v7i1.298
De Simone, B., Abu-Zidan, F.M., Chouillard, E. et al. The ChoCO-W prospective observational global study: Does COVID-19 increase gangrenous cholecystitis? World J Emerg Surg 17, 61 (2022). https://doi.org/10.1186/s13017-022-00466-4
Sibilla, M. G., Cremonini, C., Portinari, M., Carcoforo, P., Tartaglia, D., Cicuttin, E., Musetti, S., Strambi, S., Sartelli, M., Radica, M. K., Catena, F., Chiarugi, M., Coccolini, F., & IROA Study Group (2023). First published: 03 November 2022 Patients with an Open Abdomen in Asian, American and European Continents: A Comparative Analysis from the International Register of Open Abdomen (IROA). World journal of surgery, 47(1), 142–151. https://doi.org/10.1007/s00268-022-06733-4

