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Sunderland Repository records the research produced by the University of Sunderland including practice-based research and theses.

The First International Delphi Consensus Statement on Laparoscopic Gastrointestinal Surgery

Omar, Islam, Miller, Karl, Madhok, Brijesh, Amr, Bassem, Singhal, Rishi, Graham, Yitka, Pouwels, Sjaak, Abu Hilal, Mohammad, Aggrawal, Sandeep, Ahmed, Irfan, Aminian, Ali, Ammori, Basil, Arulampalam, Tan, Awam, Altaf, Balibrea, Jose Maria, Bhangu, Aneel, Brady, Richard, Brown, Wendy, Chand, Manish, Darzi, Ara, Gill, Tavinder, Goel, Ramen, Gopinath, Bussa, Henegouwen, Mark, Himpens, Jacques, Kerrigan, David, Luyer, Misha, Mayol, J, Purkayastha, Sanjay, Rosenthal, Raul, Shikora, Scott, Small, Peter, Smart, Neil, Taylor, Mark, Udwadia, Tehemton, Underwood, Tim, Viswanath, Yirupaiahgari, Welch, Neil, Wexner, S, Wilson, Michael, Winter, Des and Mahawar, Kamal (2022) The First International Delphi Consensus Statement on Laparoscopic Gastrointestinal Surgery. International Journal of Surgery. ISSN 1743-9191

Item Type: Article


Background: 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.

Methods: 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.

Results: 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.

Conclusion: 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.

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Uncontrolled Keywords: Laparoscopic Surgery, Minimally Invasive Surgery, Hepatobiliary, Gastrointestinal Surgery, Guidelines, Ergonomics, Patient Safety, Surgical Training
Depositing User: Yitka Graham


Item ID: 15046
Identification Number:
ISSN: 1743-9191
Official URL:

Users with ORCIDS

ORCID for Yitka Graham: ORCID iD

Catalogue record

Date Deposited: 15 Aug 2022 14:31
Last Modified: 15 Aug 2022 14:31


Author: Yitka Graham ORCID iD
Author: Islam Omar
Author: Karl Miller
Author: Brijesh Madhok
Author: Bassem Amr
Author: Rishi Singhal
Author: Sjaak Pouwels
Author: Mohammad Abu Hilal
Author: Sandeep Aggrawal
Author: Irfan Ahmed
Author: Ali Aminian
Author: Basil Ammori
Author: Tan Arulampalam
Author: Altaf Awam
Author: Jose Maria Balibrea
Author: Aneel Bhangu
Author: Richard Brady
Author: Wendy Brown
Author: Manish Chand
Author: Ara Darzi
Author: Tavinder Gill
Author: Ramen Goel
Author: Bussa Gopinath
Author: Mark Henegouwen
Author: Jacques Himpens
Author: David Kerrigan
Author: Misha Luyer
Author: J Mayol
Author: Sanjay Purkayastha
Author: Raul Rosenthal
Author: Scott Shikora
Author: Peter Small
Author: Neil Smart
Author: Mark Taylor
Author: Tehemton Udwadia
Author: Tim Underwood
Author: Yirupaiahgari Viswanath
Author: Neil Welch
Author: S Wexner
Author: Michael Wilson
Author: Des Winter
Author: Kamal Mahawar

University Divisions

Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences


Sciences > Nursing

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