Laparoscopic Versus Open Incisional and Ventral Hernia Repair: A Systematic Review and Meta-analysis
文献类型：期刊论文
| 作者 | Zhang, YY; Zhou, HY; Chai, YS; Cao, C; Jin, KZ; Hu, ZQ |
| 刊名 | WORLD JOURNAL OF SURGERY
 |
| 出版日期 | 2014 |
| 卷号 | 38期号:9页码:2233-2240 |
| 通讯作者 | Zhou, HY (reprint author), Second Mil Med Univ, Changzheng Hosp, Dept Gen Surg, 415 Fengyang Rd, Shanghai 200003, Peoples R China.,haiyang1985_1@aliyun.com ; czhuzq@aliyun.com |
| 英文摘要 | Laparoscopic incisional and ventral hernia repair (LIVHR) is an alternative approach to conventional open incisional and ventral hernia repair (OIVHR). A consensus on outcomes of LIVHR when compared with OIVHR has not been reached. As the basis for the present study, we performed a systematic review and meta-analysis of all randomized controlled trials comparing LIVHR and OIVHR. Eleven studies involving 1,003 patients were enrolled. The incidences of wound infection were significantly lower in the laparoscopic group than that in the open group (laparoscopic group 2.8 %, open group 16.2 %; RR = 0.19, 95 % CI 0.11-0.32; P < 0.00001). The rates of wound drainage were significantly lower in the laparoscopic group than that in the open group (laparoscopic group 2.6 %, open group 67.0 %; RR = 0.06, 95 % CI 0.03-0.09; P < 0.00001). However, the rates of bowel injury were significantly higher in the laparoscopic group than in the open group (laparoscopic group 4.3 %, open group 0.81 %; RR = 3.68, 95 % CI 1.56-8.67; P = 0.003). There were no significant differences between the two groups in the incidences of hernia recurrence, postoperative seroma, hematoma, bowel obstruction, bleeding, and reoperation. Descriptive analyses showed a shorter length of hospital stay in the laparoscopic group. Laparoscopic incisional and ventral hernia repair is a feasible and effective alternative to the open technique. It is associated with lower incidences of wound infection and shorter length of hospital stay. However, caution is required because it is associated with an increased risk of bowel injury compared with the open technique. Given the relatively short follow-up duration of trials included in the systematic review, trials with long-term follow-up are needed to compare the durability of laparoscopic and open repair. |
| 学科主题 | Surgery |
| 类目[WOS] | Surgery |
| 关键词[WOS] | PROSPECTIVE-RANDOMIZED-TRIAL ; MESH ; OUTCOMES |
| 收录类别 | SCI |
| 语种 | 英语 |
| WOS记录号 | WOS:000340421700008 |
| 版本 | 出版稿 |
| 源URL | [http://202.127.25.143/handle/331003/228]  |
| 专题 | 上海生化细胞研究所_上海生科院生化细胞研究所 |
| 推荐引用方式 GB/T 7714 | Zhang, YY,Zhou, HY,Chai, YS,et al. Laparoscopic Versus Open Incisional and Ventral Hernia Repair: A Systematic Review and Meta-analysis[J]. WORLD JOURNAL OF SURGERY,2014,38(9):2233-2240. |
| APA | Zhang, YY,Zhou, HY,Chai, YS,Cao, C,Jin, KZ,&Hu, ZQ.(2014).Laparoscopic Versus Open Incisional and Ventral Hernia Repair: A Systematic Review and Meta-analysis.WORLD JOURNAL OF SURGERY,38(9),2233-2240. |
| MLA | Zhang, YY,et al."Laparoscopic Versus Open Incisional and Ventral Hernia Repair: A Systematic Review and Meta-analysis".WORLD JOURNAL OF SURGERY 38.9(2014):2233-2240. |
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