Neugebauer E, Troidl H, Kum C K, Eypasch E, Miserez M, Paul A
II. Department of Surgery, University of Cologne, Germany.
Surg Endosc. 1995 May;9(5):550-63. doi: 10.1007/BF00206852.
Under the mandate of the Educational Committee of the European Association of Endoscopic Surgery (E.A.E.S.), three consensus development conferences (CDCs) were performed in order to assess the current status of the endoscopic surgical approaches for the treatment of cholelithiasis, appendicitis, and inguinal hernia. Consensus panels for the different disease states (10-13 members each) selected by the education committee on the basis of members' clinical expertise, academic activity, community influence, and geographical location weighed the evidence on the basis of published results according to the criteria for technology assessment: feasibility, efficacy, effectiveness, economy. Draft statements were prepared, discussed by the panels, and presented at plenary sessions of the 2nd European Congress of the E.A.E.S. in Madrid September 15-17, 1994. Following discussions final consensus statements were formulated to provide specific answers for each topic to a minimum of the following questions: 1. What stage of technological development is the endoscopic surgical procedure at (in September 1994)? 2. Is endoscopic surgery safe and feasible? 3. Is it beneficial to the patients? 4. Who should undergo endoscopic surgery? 5. What are the training recommendations? Laparoscopic cholecystectomy is the procedure of choice for symptomatic cholelithiasis. Laparoscopic appendectomy is presently at the efficacy stage of development, because most of the data on feasibility and safety originate from centers with special interest in endoscopic surgery: it is not yet the gold standard for acute appendicitis. Endoscopic hernia repair is presently a feasible alternative for conventional hernia repair if performed by experienced endoscopic surgeons. It appears to be efficacious in the short-term. The full text of the consensus panel's statements is given in this publication.
在欧洲内镜外科学会（E.A.E.S.）教育委员会的授权下，举办了三次共识发展会议（CDC），以评估内镜手术治疗胆结石、阑尾炎和腹股沟疝的现状。教育委员会根据成员的临床专业知识、学术活动、社区影响力和地理位置选出的针对不同疾病状态的共识小组（每组10 - 13名成员），根据技术评估标准：可行性、有效性、效能、经济性，对已发表结果的证据进行权衡。起草了声明，由各小组进行讨论，并在1994年9月15 - 17日于马德里举行的第二届E.A.E.S.欧洲大会全体会议上发表。经过讨论，制定了最终的共识声明，以针对每个主题至少回答以下问题：1. （1994年9月）内镜手术处于技术发展的哪个阶段？2. 内镜手术安全可行吗？3. 对患者有益吗？4. 谁应该接受内镜手术？5. 有哪些培训建议？腹腔镜胆囊切除术是有症状胆结石的首选手术方法。腹腔镜阑尾切除术目前处于发展的有效性阶段，因为关于可行性和安全性的大多数数据都来自对内镜手术有特殊兴趣的中心：它尚未成为急性阑尾炎的金标准。如果由经验丰富的内镜外科医生进行，内镜疝修补术目前是传统疝修补术的一种可行替代方法。它在短期内似乎是有效的。本出版物给出了共识小组声明的全文。
