![]() ![]() The participants have been asked to note the number of studies identified by the search, number of included and excluded studies and the reason for exclusion. The participants were also encouraged to search beyond the scope of the given search and consider papers for inclusion if found by an alternative way as well. Searches included a query for searching the PubMed database another query has been designed to search EMBASE (using OVID). The composition of the searches has been discussed and approved by a librarian at the Maastricht University Library (The Netherlands). The participants received a search specific to their (sub) topic. ![]() IRB approval and written consent were not required for this paper. For each (sub) category, a member of a team has been assigned, responsible for the search, methodological appraisal of the articles, data extraction and presentation of the material. ‘New development’ topics included (a) single-port intragastric, (b) single-port through natural orifice and (c) single-port and robotics. ‘Organ specific’ topics included (a) cholecystectomy, (b) appendectomy, (c) colon, (d) rectum–abdominal approach, (e) bariatrics, (f) spleen and adrenal, (g) liver and pancreas, (h) upper GI-benign, (i) upper GI-malignant and (j) abdominal wall-inguinal and ventral hernia. ‘General’ topics included (a) instruments, (b) devices and (c) ergonomics. Within each of these topics, subcategories have been defined. Three main topics with respect to SIES have been identified by the panel: (1) General, (2) Organ specific, (3) New development. The material presented during the consensus meeting was based on evidence identified through a systematic search of literature according to a pre-specified protocol. The members of the panel had met three times (February, March, June 2017) before the final presentation at the EAES congress, to discuss the strategy, preparation and progress of the project. Two surgeons with vast experience in endoscopic surgery (NB, SM-C) and by an epidemiologist (AP) coordinated the project. ConclusionsĬonsidering the increased direct costs (devices, instruments and operating time) of the SIES procedure and the prolonged learning curve, wider acceptance of the procedure should be supported only after demonstration of clear benefits.Īn expert panel of surgeons has been selected and invited to participate in the preparation of the material for a consensus meeting on the topic SIES, which was held during the EAES congress in Frankfurt, June 16, 2017. Less pain after single-incision approach compared to conventional laparoscopy seems to be considered an advantage, although it has not been consistently demonstrated across studies. Satisfaction with cosmesis has been established to be the main advantage of the single-incision approach. In selected patients, the single-incision approach seems to be safe and effective in terms of perioperative morbidity. In general, there is a lack of high level evidence and a lack of long-term follow-up in the field of single-incision endoscopic surgery. Recommendations were made according to the GRADE criteria. Evidence was graded according to the Oxford 2011 Levels of Evidence. MethodsĪn expert panel of surgeons has been selected and invited to participate in the preparation of the material for a consensus meeting on the topic SIES, which was held during the EAES congress in Frankfurt, June 16, 2017. However, the single-incision surgical procedure is associated with quite some challenges. SIES could possibly result in even better postoperative outcomes than multi-port laparoscopic surgery, especially concerning cosmetic outcomes and pain. Since two decades single-incision endoscopic surgery (SIES) was introduced to the surgical community. It was associated with many advantages over open surgery, such as decreased postoperative pain, faster recovery, shorter hospital stay and excellent cosmesis. Laparoscopic surgery changed the management of numerous surgical conditions. ![]() Surgical Endoscopy volume 33, pages 996–1019 ( 2019) Cite this article European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery ![]()
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