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The first international Delphi consensus statement on Laparoscopic Gastrointestinal surgery

2022; Wolters Kluwer; Volume: 104; Linguagem: Inglês

10.1016/j.ijsu.2022.106766

1743-9191

Islam Omar, Karl Miller, Brijesh Madhok, Bassem Amr, Rishi Singhal, Yitka Graham, Sjaak Pouwels, Mohammad Abu Hilal, Sandeep Aggarwal, Irfan Ahmed, Ali Aminian, Basil J. Ammori, Tan Arulampalam, Altaf Awan, José M. Balibrea, Aneel Bhangu, R Brady, Wendy A. Brown, Manish Chand, Ara Darzi, Talvinder Gill, Ramen Goel, Bussa Gopinath, Mark I. van Berge Henegouwen, Jacqués Himpens, David Kerrigan, Misha Luyer, Christian Macutkiewicz, Julio Mayol, Sanjay Purkayastha, Raúl J. Rosenthal, Scott A. Shikora, Peter Small, Neil Smart, Mark Taylor, Tehemton E. Udwadia, Timothy J. Underwood, Y K S Viswanath, Neil T. Welch, Steven D. Wexner, Michael Wilson, D. C. Winter, Kamal Mahawar,

Cardiac, Anesthesia and Surgical Outcomes

Laparoscopic surgery has almost replaced open surgery in many areas of Gastro-Intestinal (GI) surgery. There is currently no published expert consensus statement on the principles of laparoscopic GI surgery. This may have affected the training of new surgeons. This exercise aimed to achieve an expert consensus on important principles of laparoscopic GI surgery. A committee of 38 international experts in laparoscopic GI surgery proposed and voted on 149 statements in two rounds following a strict modified Delphi protocol. A consensus was achieved on 133 statements after two rounds of voting. All experts agreed on tailoring the first port site to the patient, whereas 84.2% advised avoiding the umbilical area for pneumoperitoneum in patients who had a prior midline laparotomy. Moreover, 86.8% agreed on closing all 15 mm ports irrespective of the patient's body mass index. There was a 100% consensus on using cartridges of appropriate height for stapling, checking the doughnuts after using circular staplers, and keeping the vibrating blade of the ultrasonic energy device in view and away from vascular structures. An 84.2% advised avoiding drain insertion through a ≥10 mm port site as it increases the risk of port-site hernia. There was 94.7% consensus on adding laparoscopic retrieval bags to the operating count and ensuring any surgical specimen left inside for later removal is added to the operating count. Thirty-eight experts achieved a consensus on 133 statements concerning various aspects of laparoscopic GI Surgery. Increased awareness of these could facilitate training and improve patient outcomes.