Department of Pediatric Surgery, University of Leipzig, Leipzig, Germany.
Division of Pediatric Surgery, Department of General Surgery, University of New Mexico, Albuquerque, New Mexico, USA.
J Laparoendosc Adv Surg Tech A. 2021 Mar;31(3):348-354. doi: 10.1089/lap.2020.0797. Epub 2020 Dec 31.
Assessment of current role and future trends of Single-Incision-Pediatric-Endoscopic-Surgery (SIPES) in pediatric surgery among International Pediatric Endosurgery Group (IPEG) members two decades after introduction. An online survey was conducted between December 2019 and April 2020 on behalf of the IPEG Research Committee. All IPEG members were contacted by e-mail and asked to complete an anonymous questionnaire that included 39 items on SIPES. One hundred eighty-four practicing pediatric surgeons completed the questionnaire from a pool of 890 IPEG members. The majority (76%) of respondents performed SIPES for more than 6 years with the following caseload per month: 1 case (31%), 2-5 cases (30%), 6-10 cases (24%), and >10 cases (17%). The four most commonly performed procedures were appendectomy (95%), Meckel diverticulectomy (55%), treatment of ovarian pathologies (43%), and U-stitch gastrostomy (40%). Complex reconstructive SIPES procedures were performed rarely. Most surgeons (95%) stated that better cosmesis is the predominant advantage of SIPES procedures. The majority of respondents (70%) felt that there is no convincing scientific evidence that SIPES offers benefits to multi-port minimally invasive procedures. Twenty years after introduction of SIPES, this technique has found its place in pediatric endoscopic surgery. Eighty percent of participating IPEG members of this survey apply SIPES for cases of lower complexity, such as appendectomy mainly for cosmetic reasons. The fact that 70% of respondents state that the scientific evidence for the benefits of SIPES is not convincing suggests that further studies and discussion on this technique are needed.
评估单切口小儿内镜手术（SIPES）在引入 20 年后在国际小儿内镜外科医师学会（IPEG）成员中的当前作用和未来趋势。代表 IPEG 研究委员会，于 2019 年 12 月至 2020 年 4 月期间进行了一项在线调查。通过电子邮件联系了所有 IPEG 成员，并要求他们填写一份匿名问卷，其中包括 39 项 SIPES 内容。来自 890 名 IPEG 成员的 184 名执业小儿外科医生完成了问卷。大多数（76％）受访者进行 SIPES 手术超过 6 年，每月的病例数如下：1 例（31％），2-5 例（30％），6-10 例（24％），以及> 10 例（17％）。最常进行的四种手术是阑尾切除术（95％）， Meckel 憩室切除术（55％），卵巢病变的治疗（43％）和 U 形缝合胃造口术（40％）。很少进行复杂的重建性 SIPES 手术。大多数外科医生（95％）表示 SIPES 手术的主要优势是更好的美容效果。大多数受访者（70％）认为没有令人信服的科学证据表明 SIPES 对多孔微创手术有益。 SIPES 引入 20 年后，该技术已在小儿内镜手术中找到了自己的位置。这项调查的 80％参与 IPEG 的成员应用 SIPES 进行较低复杂性的病例，例如主要出于美容原因的阑尾切除术。有 70％的受访者表示 SIPES 的益处的科学证据没有说服力，这表明需要对该技术进行进一步的研究和讨论。
