Evidence mapPaperPMID 30771069Full record

GuidelineSurgical endoscopy2019

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

Salvador Morales-Conde, Andrea Peeters, Yannick M Meyer, Stavros A Antoniou, Isaías Alarcón Del Agua, Alberto Arezzo, Simone Arolfo, Amir Ben Yehuda, Luigi Boni, Elisa Cassinotti and 23 more

Abstract readConsensus StatementPractice GuidelineSystematic Review
In one paragraph

Guideline in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  5. Surgical treatment of gastrointestinal stromal tumors.Journal of medicine and life · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

33 authors.

Salvador Morales-CondeUnit of Innovation in Minimally Invasive Sugery, Department of General and Digestive Surgery, University Hospital "Virgen del Rocio", Sevilla, Spain.
Andrea PeetersDepartment of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center, Maastricht, The Netherlands.
Yannick M MeyerDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands. y.meyer2384@gmail.com.ORCID http://orcid.org/0000-0002-8748-4161
Stavros A AntoniouColorectal Department, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK.
Isaías Alarcón Del AguaUnit of Innovation in Minimally Invasive Sugery, Department of General and Digestive Surgery, University Hospital "Virgen del Rocio", Sevilla, Spain.
Alberto ArezzoDepartment of Surgical Sciences, University of Torino, Torino, Italy.
Simone ArolfoDepartment of Surgical Sciences, University of Torino, Torino, Italy.
Amir Ben YehudaSurgery division, Assaf Harofe medical center, Zeriffin, Israel.
Luigi BoniDepartment of Surgery, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
Elisa CassinottiDepartment of Surgery, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
Giovanni DapriSaint-Pierre University Hospital, Brussels, Belgium.
Tao YangUnit of Innovation in Minimally Invasive Sugery, Department of General and Digestive Surgery, University Hospital "Virgen del Rocio", Sevilla, Spain.
Sofie FransenDepartment of Surgery, Laurentius Ziekenhuis Roermond, Roermond, The Netherlands.
Antonello ForgioneNiguarda Cà Granda Hospital, Milan, Italy.
Shahab HajibandehDepartment of General Surgery, Royal Bolton Hospital, Bolton, UK.
Shahin HajibandehDepartment of General Surgery, Stepping Hill Hospital, Stockport, UK.
Michele MazzolaNiguarda Cà Granda Hospital, Milan, Italy.
Marco MiglioreDepartment of Surgical Sciences, University of Torino, Torino, Italy.
Christof MittermairSJOG Hospital - PMU Teaching Hospital, Salzburg, Austria.
Doris MittermairSJOG Hospital - PMU Teaching Hospital, Salzburg, Austria.
Antonio Morandeira-RivasDepartment of Surgery, "La Mancha Centro" General Hospital, Alcázar de San Juan, Ciudad Real, Spain.
Carlos Moreno-SanzDepartment of Surgery, "La Mancha Centro" General Hospital, Alcázar de San Juan, Ciudad Real, Spain.
Andrea MorlacchiDepartment of Surgery, University of Insubria, Varese, Italy.
Eran NizriSurgery division, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Myrthe NuijtsDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Jonas RaakowCenter for Innovative Surgery- ZIC, Charité - Universitätsmedizin, Chirurgische Klinik, Campus Charité Mitte/ Campus Virchow-Klinikum, Berlin, Germany.
Francisco M Sánchez-MargalloJesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.
Juan A Sánchez-MargalloJesús Usón Minimally Invasive Surgery Centre, Cáceres, Spain.
Amir SzoldAssia Medical Group, Tel Aviv, Israel.
Helmut WeissSJOG Hospital - PMU Teaching Hospital, Salzburg, Austria.
Michael WeissSJOG Hospital - PMU Teaching Hospital, Salzburg, Austria.
Ricardo ZorronDepartment of Surgery, University of Insubria, Varese, Italy.
Nicole D BouvyDepartment of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic 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.

methodsAn 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.

resultsIn 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.

conclusionsConsidering 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.

Indexed as

AppendectomyCholecystectomy, LaparoscopicColectomyEndoscopyHumansLearning CurveOperative TimeRobotic Surgical ProceduresConsensusLaparoscopic surgeryLaparoscopyRecommendationSingle incisionStatement

Identifiers

PMID30771069
PMCPMC6430755

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.