Application of biological patch in laparoscopic repair of esophageal hiatal hernia: Meta analysis

doi:10.3877/cma.j.issn.2095-8765.2022.01.003

Abstract

Abstract:

Objective

To evaluate the clinical efficacy of biological patch in laparoscopic esophageal hiatal hernia repair in the treatment of esophageal hiatal hernia.

Methods

The databases of PubMed, EMbase, The Cochrane Library, Wanfang and Zhiwang were searched by computer, and the literatures were screened according to the inclusion criteria and exclusion criteria, and the relevant data were extracted, and the methodological quality evaluation and Meta analysis were carried out.

Results

A total of 8 articles and 237 patients were included. The results of Meta analysis showed that there were significant differences in the scores of sensation symptoms such as cauterization, reflux and dysphagia before and after laparoscopic esophageal hiatal hernia repair (P＜0.05). It is suggested that the symptoms such as burning sensation, reflux and dysphagia after laparoscopic esophageal hiatal hernia repair are obviously relieved. There was no significant difference in the score of chest pain before and after laparoscopic esophageal hiatal hernia repair (P＞0.05), but it can be seen from the forest map that the diamond representing the combined effect is located on the right side. it is suggested that the symptoms of chest pain after laparoscopic esophageal hiatal hernia repair are less than that before operation, but the relief effect is not obvious.

Conclusion

Laparoscopic esophageal hiatal herniorrhaphy with biological patch is an effective method for the treatment of esophageal hiatal hernia, which is safe and effective, and significantly reduces the incidence of postoperative complications.

Key words: Laparoscopes, Hiatal hernia repair, Biological patch, Meta analysis

Zanlin Li, Yiliang Li, Kelimu·Abudureyimu. Application of biological patch in laparoscopic repair of esophageal hiatal hernia: Meta analysis[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2022, 09(01): 12-18.

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URL: https://zhwsgflbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-8765.2022.01.003

https://zhwsgflbdzzz.cma-cmc.com.cn/EN/Y2022/V09/I01/12

Figures/Tables 10

第一作者	年份	国家	例数	男性/女性	年龄（岁， $x ¯$ ±s）	食管裂空长颈（cm， $x ¯$ ±s）	手术时间（min， $x ¯$ ±s）	术后住院时间（d， $x ¯$ ±s）
姚国良^［9］	2011	中国	33	13/20	65.2±18.9	4.1±1.4	104.2±10.3	4.6±1.0
Wassenaar^［10］	2012	美国	73	20/53	62.3±13.2	-	-	-
Priego^［13］	2014	西班牙	10	3/7	65.5±7.25	-	162±30	3±0.75
Schmidt^［12］	2014	美国	38	12/21	51	1.23±0.75	-	1.2±0.75
张伟^［11］	2014	中国	20	13/7	56.7±14.9	4.3±1.5	138.3±45.1	5.7±3.8
吕杰敏^［14］	2015	中国	20	14/6	52±13.5	5.9±1.8	133.8±39.6	-
Antonakis^［15］	2016	德国	13	3/7	73±13	-	-	-
Watkins^［16］	2018	美国	30	8/22	64±13	5	144±31	-

第一作者	年份	国家	例数	男性/女性	年龄（岁， $x ¯$ ±s）	食管裂空长颈（cm， $x ¯$ ±s）	手术时间（min， $x ¯$ ±s）	术后住院时间（d， $x ¯$ ±s）
姚国良^［9］	2011	中国	33	13/20	65.2±18.9	4.1±1.4	104.2±10.3	4.6±1.0
Wassenaar^［10］	2012	美国	73	20/53	62.3±13.2	-	-	-
Priego^［13］	2014	西班牙	10	3/7	65.5±7.25	-	162±30	3±0.75
Schmidt^［12］	2014	美国	38	12/21	51	1.23±0.75	-	1.2±0.75
张伟^［11］	2014	中国	20	13/7	56.7±14.9	4.3±1.5	138.3±45.1	5.7±3.8
吕杰敏^［14］	2015	中国	20	14/6	52±13.5	5.9±1.8	133.8±39.6	-
Antonakis^［15］	2016	德国	13	3/7	73±13	-	-	-
Watkins^［16］	2018	美国	30	8/22	64±13	5	144±31	-

纳入研究	发表年份（年）	随机方法	分配隐藏	盲法	结果数据的完整性（退出/失访）	选择性报告研究结果	其他偏倚来源
姚国良^［9］	2011	否	否	否	无	不清楚	不清楚
Wassenaar ^［10］	2012	否	否	否	无	不清楚	不清楚
Priego ^［13］	2014	否	否	否	无	不清楚	不清楚
Schmidt ^［12］	2014	否	否	否	无	不清楚	不清楚
张伟 ^［11］	2014	否	否	否	无	不清楚	不清楚
吕杰敏 ^［14］	2015	否	否	否	无	不清楚	不清楚
Antonakis ^［15］	2016	否	否	否	无	不清楚	不清楚
Watkins ^［16］	2018	否	否	否	无	不清楚	不清楚

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