European association for endoscopic surgery (EAES) consensus statement on single-incision endoscopic surgery

Area of Science:

• Minimally Invasive Surgery
• Surgical Innovation

Background:

• Laparoscopic surgery offers advantages over open surgery, including reduced pain and faster recovery.
• Single-incision endoscopic surgery (SIES) emerged as a refinement, potentially enhancing cosmetic outcomes and patient comfort.
• SIES presents unique challenges despite its potential benefits.

Framework:

• An expert panel convened to establish consensus on SIES during the EAES congress.
• Literature search followed a pre-specified protocol, grading evidence using Oxford 2011 Levels.
• Recommendations were formulated based on GRADE criteria.

Implementation:

• SIES appears safe and effective for selected patients regarding perioperative morbidity.
• Cosmetic satisfaction is a primary advantage of SIES.
• Reduced postoperative pain is a potential benefit, though not consistently proven.

Implications:

• Limited high-level evidence and long-term follow-up exist for SIES.
• Wider SIES adoption requires demonstration of clear benefits beyond current laparoscopic approaches.
• Increased costs and a prolonged learning curve necessitate careful consideration for SIES implementation.