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Related Experiment Video

Updated: Sep 4, 2025

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The first international Delphi consensus statement on Laparoscopic Gastrointestinal surgery.

Islam Omar1, Karl Miller2, Brijesh Madhok3

  • 1Wirral University Teaching Hospital NHS Foundation Trust, UK.

International Journal of Surgery (London, England)
|July 16, 2022
PubMed
Summary

Expert consensus was reached on 133 principles for laparoscopic gastro-intestinal (GI) surgery. These guidelines aim to improve surgeon training and patient outcomes in minimally invasive GI procedures.

Keywords:
ErgonomicsGastrointestinal surgeryGuidelinesHepatobiliaryLaparoscopic surgeryMinimally invasivePatient safetySurgical training

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Area of Science:

  • Surgical Innovation
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Laparoscopic surgery is now standard for many gastro-intestinal (GI) procedures, largely replacing open surgery.
  • A lack of expert consensus guidelines may impact the training of new surgeons in laparoscopic GI techniques.
  • This study aimed to establish expert consensus on key principles for laparoscopic GI surgery.

Purpose of the Study:

  • To achieve expert consensus on essential principles of laparoscopic gastro-intestinal (GI) surgery.
  • To provide guidance for the training of surgeons in laparoscopic GI procedures.
  • To identify best practices for improving patient outcomes in laparoscopic GI surgery.

Main Methods:

  • A modified Delphi protocol was employed, involving 38 international experts in laparoscopic GI surgery.
  • Experts proposed and voted on 149 statements across two rounds to reach consensus.
  • The study focused on establishing agreement on critical aspects of laparoscopic GI surgical practice.

Main Results:

  • Consensus was achieved on 133 out of 149 statements after two voting rounds.
  • Key agreements include tailoring port sites, avoiding umbilical pneumoperitoneum after midline laparotomy, and closing all 15 mm ports.
  • High consensus was also reached on safe use of staplers and ultrasonic devices, avoiding large port sites for drains, and specimen retrieval bag management.

Conclusions:

  • Thirty-eight international experts established consensus on 133 principles for laparoscopic GI surgery.
  • Increased awareness and implementation of these consensus statements can enhance surgical training.
  • Adherence to these principles is expected to improve patient outcomes in laparoscopic GI procedures.