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European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery
BACKGROUND: Laparoscopic surgery changed the management of numerous surgical conditions. It was associated with many advantages over open surgery, such as decreased postoperative pain, faster recovery, shorter hospital stay and excellent cosmesis. Since two decades single-incision endoscopic surgery...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430755/ https://www.ncbi.nlm.nih.gov/pubmed/30771069 http://dx.doi.org/10.1007/s00464-019-06693-2 |
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author | Morales-Conde, Salvador Peeters, Andrea Meyer, Yannick M. Antoniou, Stavros A. del Agua, Isaías Alarcón Arezzo, Alberto Arolfo, Simone Yehuda, Amir Ben Boni, Luigi Cassinotti, Elisa Dapri, Giovanni Yang, Tao Fransen, Sofie Forgione, Antonello Hajibandeh, Shahab Hajibandeh, Shahin Mazzola, Michele Migliore, Marco Mittermair, Christof Mittermair, Doris Morandeira-Rivas, Antonio Moreno-Sanz, Carlos Morlacchi, Andrea Nizri, Eran Nuijts, Myrthe Raakow, Jonas Sánchez-Margallo, Francisco M. Sánchez-Margallo, Juan A. Szold, Amir Weiss, Helmut Weiss, Michael Zorron, Ricardo Bouvy, Nicole D. |
author_facet | Morales-Conde, Salvador Peeters, Andrea Meyer, Yannick M. Antoniou, Stavros A. del Agua, Isaías Alarcón Arezzo, Alberto Arolfo, Simone Yehuda, Amir Ben Boni, Luigi Cassinotti, Elisa Dapri, Giovanni Yang, Tao Fransen, Sofie Forgione, Antonello Hajibandeh, Shahab Hajibandeh, Shahin Mazzola, Michele Migliore, Marco Mittermair, Christof Mittermair, Doris Morandeira-Rivas, Antonio Moreno-Sanz, Carlos Morlacchi, Andrea Nizri, Eran Nuijts, Myrthe Raakow, Jonas Sánchez-Margallo, Francisco M. Sánchez-Margallo, Juan A. Szold, Amir Weiss, Helmut Weiss, Michael Zorron, Ricardo Bouvy, Nicole D. |
author_sort | Morales-Conde, Salvador |
collection | PubMed |
description | BACKGROUND: Laparoscopic surgery changed the management of numerous surgical conditions. It was associated with many advantages over open surgery, such as decreased postoperative pain, faster recovery, shorter hospital stay and excellent cosmesis. Since two decades single-incision endoscopic surgery (SIES) was introduced to the surgical community. SIES could possibly result in even better postoperative outcomes than multi-port laparoscopic surgery, especially concerning cosmetic outcomes and pain. However, the single-incision surgical procedure is associated with quite some challenges. METHODS: An 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. The material presented during the consensus meeting was based on evidence identified through a systematic search of literature according to a pre-specified protocol. Three main topics with respect to SIES have been identified by the panel: (1) General, (2) Organ specific, (3) New development. Within each of these topics, subcategories have been defined. Evidence was graded according to the Oxford 2011 Levels of Evidence. Recommendations were made according to the GRADE criteria. RESULTS: 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. In selected patients, the single-incision approach seems to be safe and effective in terms of perioperative morbidity. Satisfaction with cosmesis has been established to be the main advantage of the single-incision approach. 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. CONCLUSIONS: Considering 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. |
format | Online Article Text |
id | pubmed-6430755 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-64307552019-04-05 European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery Morales-Conde, Salvador Peeters, Andrea Meyer, Yannick M. Antoniou, Stavros A. del Agua, Isaías Alarcón Arezzo, Alberto Arolfo, Simone Yehuda, Amir Ben Boni, Luigi Cassinotti, Elisa Dapri, Giovanni Yang, Tao Fransen, Sofie Forgione, Antonello Hajibandeh, Shahab Hajibandeh, Shahin Mazzola, Michele Migliore, Marco Mittermair, Christof Mittermair, Doris Morandeira-Rivas, Antonio Moreno-Sanz, Carlos Morlacchi, Andrea Nizri, Eran Nuijts, Myrthe Raakow, Jonas Sánchez-Margallo, Francisco M. Sánchez-Margallo, Juan A. Szold, Amir Weiss, Helmut Weiss, Michael Zorron, Ricardo Bouvy, Nicole D. Surg Endosc Consensus Statement BACKGROUND: Laparoscopic surgery changed the management of numerous surgical conditions. It was associated with many advantages over open surgery, such as decreased postoperative pain, faster recovery, shorter hospital stay and excellent cosmesis. Since two decades single-incision endoscopic surgery (SIES) was introduced to the surgical community. SIES could possibly result in even better postoperative outcomes than multi-port laparoscopic surgery, especially concerning cosmetic outcomes and pain. However, the single-incision surgical procedure is associated with quite some challenges. METHODS: An 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. The material presented during the consensus meeting was based on evidence identified through a systematic search of literature according to a pre-specified protocol. Three main topics with respect to SIES have been identified by the panel: (1) General, (2) Organ specific, (3) New development. Within each of these topics, subcategories have been defined. Evidence was graded according to the Oxford 2011 Levels of Evidence. Recommendations were made according to the GRADE criteria. RESULTS: 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. In selected patients, the single-incision approach seems to be safe and effective in terms of perioperative morbidity. Satisfaction with cosmesis has been established to be the main advantage of the single-incision approach. 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. CONCLUSIONS: Considering 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. Springer US 2019-02-15 2019 /pmc/articles/PMC6430755/ /pubmed/30771069 http://dx.doi.org/10.1007/s00464-019-06693-2 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Consensus Statement Morales-Conde, Salvador Peeters, Andrea Meyer, Yannick M. Antoniou, Stavros A. del Agua, Isaías Alarcón Arezzo, Alberto Arolfo, Simone Yehuda, Amir Ben Boni, Luigi Cassinotti, Elisa Dapri, Giovanni Yang, Tao Fransen, Sofie Forgione, Antonello Hajibandeh, Shahab Hajibandeh, Shahin Mazzola, Michele Migliore, Marco Mittermair, Christof Mittermair, Doris Morandeira-Rivas, Antonio Moreno-Sanz, Carlos Morlacchi, Andrea Nizri, Eran Nuijts, Myrthe Raakow, Jonas Sánchez-Margallo, Francisco M. Sánchez-Margallo, Juan A. Szold, Amir Weiss, Helmut Weiss, Michael Zorron, Ricardo Bouvy, Nicole D. European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery |
title | European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery |
title_full | European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery |
title_fullStr | European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery |
title_full_unstemmed | European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery |
title_short | European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery |
title_sort | european association for endoscopic surgery (eaes) consensus statement on single-incision endoscopic surgery |
topic | Consensus Statement |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430755/ https://www.ncbi.nlm.nih.gov/pubmed/30771069 http://dx.doi.org/10.1007/s00464-019-06693-2 |
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