Single incision laparoscopic fundoplication: A systematic review of the literature
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摘要
BACKGROUND Fundoplication, was first introduced as a surgical treatment method of gastroesophageal reflux disease. Consequently, several modifications of this method have been described, whereas laparoscopic fundoplication was recently introduced. Although single incision(SI) fundoplication was considered as an alternative to the conventional laparoscopic approach, several studies reported an increased operation duration, and high rates of multiport conversion and incisional hernia.AIM To provide a current overview of the technical variations and the postoperative outcomes of patients submitted to SI fundoplication.METHODS The present systematic review of the literature was designed and conducted on the basis of the PRISMA guidelines. A systematic screening of the electronic scholar databases(Medline, Scopus and Web of Science) was performed.RESULTS Literature search resulted in the identification of 19 studies. Overall, 266, 137 and110 SI Nissen, Dor and Toupet fundoplications were reported, respectively. In the majority of the trials, standard laparoscopic instruments were used. The left liver lobe was displayed through the use of forceps, graspers, retractors, drains or even glue. Both intra-corporeal and extracorporeal suturing was described. Mean operative time was 136.3 min. Overall complication rate was 5.2% and the rate of incisional hernia was 0.9%. No mortality was reported.CONCLUSIONDue to the methodological heterogeneity and the lack of high quality studies comparing multi to single access techniques and the several variations, we conclude that further well designed studies are necessary, in order to evaluate the role of SI fundoplication.
BACKGROUND Fundoplication, was first introduced as a surgical treatment method of gastroesophageal reflux disease. Consequently, several modifications of this method have been described, whereas laparoscopic fundoplication was recently introduced. Although single incision(SI) fundoplication was considered as an alternative to the conventional laparoscopic approach, several studies reported an increased operation duration, and high rates of multiport conversion and incisional hernia.AIM To provide a current overview of the technical variations and the postoperative outcomes of patients submitted to SI fundoplication.METHODS The present systematic review of the literature was designed and conducted on the basis of the PRISMA guidelines. A systematic screening of the electronic scholar databases(Medline, Scopus and Web of Science) was performed.RESULTS Literature search resulted in the identification of 19 studies. Overall, 266, 137 and110 SI Nissen, Dor and Toupet fundoplications were reported, respectively. In the majority of the trials, standard laparoscopic instruments were used. The left liver lobe was displayed through the use of forceps, graspers, retractors, drains or even glue. Both intra-corporeal and extracorporeal suturing was described. Mean operative time was 136.3 min. Overall complication rate was 5.2% and the rate of incisional hernia was 0.9%. No mortality was reported.CONCLUSIONDue to the methodological heterogeneity and the lack of high quality studies comparing multi to single access techniques and the several variations, we conclude that further well designed studies are necessary, in order to evaluate the role of SI fundoplication.
BACKGROUND Fundoplication, was first introduced as a surgical treatment method of gastroesophageal reflux disease. Consequently, several modifications of this method have been described, whereas laparoscopic fundoplication was recently introduced. Although single incision(SI) fundoplication was considered as an alternative to the conventional laparoscopic approach, several studies reported an increased operation duration, and high rates of multiport conversion and incisional hernia.AIM To provide a current overview of the technical variations and the postoperative outcomes of patients submitted to SI fundoplication.METHODS The present systematic review of the literature was designed and conducted on the basis of the PRISMA guidelines. A systematic screening of the electronic scholar databases(Medline, Scopus and Web of Science) was performed.RESULTS Literature search resulted in the identification of 19 studies. Overall, 266, 137 and110 SI Nissen, Dor and Toupet fundoplications were reported, respectively. In the majority of the trials, standard laparoscopic instruments were used. The left liver lobe was displayed through the use of forceps, graspers, retractors, drains or even glue. Both intra-corporeal and extracorporeal suturing was described. Mean operative time was 136.3 min. Overall complication rate was 5.2% and the rate of incisional hernia was 0.9%. No mortality was reported.CONCLUSIONDue to the methodological heterogeneity and the lack of high quality studies comparing multi to single access techniques and the several variations, we conclude that further well designed studies are necessary, in order to evaluate the role of SI fundoplication.
引文
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3 Andolfi C,Plana A,Furno S,Fisichella PM.Paraesophageal Hernia and Reflux Prevention:Is One Fundoplication Better than the Other?World J Surg 2017;41:2573-2582[PMID:28484816 DOI:10.1007/s00268-017-4040-5]
4 Amer MA,Smith MD,Khoo CH,Herbison GP,McCall JL.Network meta-analysis of surgical management of gastro-oesophageal reflux disease in adults.Br J Surg 2018;105:1398-1407[PMID:30004114 DOI:10.1002/bjs.10924]
5 Du X,Wu JM,Hu ZW,Wang F,Wang ZG,Zhang C,Yan C,Chen MP.Laparoscopic Nissen(total)versus anterior 180°fundoplication for gastro-esophageal reflux disease:A meta-analysis and systematic review.Medicine(Baltimore)2017;96:e8085[PMID:28906412 DOI:10.1097/MD.0000000000008085]
6 Litle VR.Laparoscopic Heller myotomy for achalasia:a review of the controversies.Ann Thorac Surg2008;85:S743-S746[PMID:18222208 DOI:10.1016/j.athoracsur.2007.12.004]
7 Peters MJ,Mukhtar A,Yunus RM,Khan S,Pappalardo J,Memon B,Memon MA.Meta-analysis of randomized clinical trials comparing open and laparoscopic anti-reflux surgery.Am J Gastroenterol 2009;104:1548-61;quiz 1547,1562[PMID:19491872 DOI:10.1038/ajg.2009.176]
8 Westebring-van der Putten EP,Goossens RH,Jakimowicz JJ,Dankelman J.Haptics in minimally invasive surgery--a review.Minim Invasive Ther Allied Technol 2008;17:3-16[PMID:18270873 DOI:10.1080/13645700701820242]
9 Allaix ME,Patti MG.Heller myotomy for achalasia.From the open to the laparoscopic approach.World JSurg 2015;39:1603-1607[PMID:25526923 DOI:10.1007/s00268-014-2914-3]
10 Navarra G,Pozza E,Occhionorelli S,Carcoforo P,Donini I.One-wound laparoscopic cholecystectomy.Br J Surg 1997;84:695[PMID:9171771 DOI:10.1002/bjs.1800841126]
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13 Sharp NE,Vassaur J,Buckley FP.Single-site Nissen fundoplication versus laparoscopic Nissen fundoplication.JSLS 2014;18:pii:e2014.00202[PMID:25392613 DOI:10.4293/JSLS.2014.00202]
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18 Barbaros U,Demirel T,Sumer A,Deveci U,Tukenmez M,Cansunar MI,Kalayci M,D?nccag A,Seven R,Mercan S.Pure SILS Floppy Nissen Fundoplication with Hiatal Repair:A Case Report.ISRNGastroenterol 2011;2011:347487[PMID:21991503 DOI:10.5402/2011/347487]
19 Miyazaki Y,Nakajima K,Yamasaki M,Miyata H,Kurokawa Y,Takiguchi S,Fujiwara Y,Mori M,Doki Y.Single-port laparoscopic surgery of the distal esophagus:initial clinical experience.Surg Laparosc Endosc Percutan Tech 2012;22:e118-e121[PMID:22678329 DOI:10.1097/SLE.0b013e318247c45f]
20 Eyuboglu E,Ipek T,Atasoy D.Single-port laparoscopic floppy Nissen fundoplication:a novel technique with the aid of the Cerrahpasa retractor.J Laparoendosc Adv Surg Tech A 2012;22:173-175[PMID:22146016 DOI:10.1089/lap.2011.0349]
21 Mizuno M,Kobayashi M,Sasaki A,Nakajima J,Wakabayashi G.Early experience with single-incision laparoscopic Nissen fundoplication for gastroesophageal reflux disease in patients with mental retardation via a gastrostomy site incision:report of five cases.Surg Today 2012;42:601-604[PMID:22278618DOI:10.1007/s00595-012-0120-1]
22 Yilmaz H,Alptekin H,?ahin M.Single-incision laraposcopic Nissen fundoplication for gastroesophageal reflux disease using conventional instruments.Turkiye Klin J Med Sci 2013;33:1022-1027[DOI:10.5336/medsci.2012-31954]
23 Dapri G,Bruyns J,Himpens J,Cadière GB.Single-access transumbilical laparoscopic nissen fundoplication performed with new curved reusable instruments.Surg Innov 2011;18:61-65[PMID:21059609 DOI:10.1177/1553350610384406]
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25 Wu S,Yu H,Fan Y,Kong J,Yu X.Liver retraction using n-butyl-2-cyanoacrylate glue during singleincision laparoscopic upper abdominal surgery.Br J Surg 2014;101:546-549[PMID:24615563 DOI:10.1002/bjs.9446]
26 Agaba EA,Rainville H,Ikedilo O,Vemulapali P.Incidence of port-site incisional hernia after singleincision laparoscopic surgery.JSLS 2014;18:204-210[PMID:24960483 DOI:10.4293/108680813X13693422518317]
27 Nakajima J,Sasaki A,Obuchi T,Baba S,Umemura A,Wakabayashi G.Single-incision laparoscopic Heller myotomy and Dor fundoplication for achalasia:report of a case.Surg Today 2011;41:1543-1547[PMID:21969159 DOI:10.1007/s00595-010-4533-4]
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2 Iwakiri K,Kinoshita Y,Habu Y,Oshima T,Manabe N,Fujiwara Y,Nagahara A,Kawamura O,Iwakiri R,Ozawa S,Ashida K,Ohara S,Kashiwagi H,Adachi K,Higuchi K,Miwa H,Fujimoto K,Kusano M,Hoshihara Y,Kawano T,Haruma K,Hongo M,Sugano K,Watanabe M,Shimosegawa T.Evidence-based clinical practice guidelines for gastroesophageal reflux disease 2015.J Gastroenterol 2016;51:751-767[PMID:27325300 DOI:10.1007/s00535-016-1227-8]
3 Andolfi C,Plana A,Furno S,Fisichella PM.Paraesophageal Hernia and Reflux Prevention:Is One Fundoplication Better than the Other?World J Surg 2017;41:2573-2582[PMID:28484816 DOI:10.1007/s00268-017-4040-5]
4 Amer MA,Smith MD,Khoo CH,Herbison GP,McCall JL.Network meta-analysis of surgical management of gastro-oesophageal reflux disease in adults.Br J Surg 2018;105:1398-1407[PMID:30004114 DOI:10.1002/bjs.10924]
5 Du X,Wu JM,Hu ZW,Wang F,Wang ZG,Zhang C,Yan C,Chen MP.Laparoscopic Nissen(total)versus anterior 180°fundoplication for gastro-esophageal reflux disease:A meta-analysis and systematic review.Medicine(Baltimore)2017;96:e8085[PMID:28906412 DOI:10.1097/MD.0000000000008085]
6 Litle VR.Laparoscopic Heller myotomy for achalasia:a review of the controversies.Ann Thorac Surg2008;85:S743-S746[PMID:18222208 DOI:10.1016/j.athoracsur.2007.12.004]
7 Peters MJ,Mukhtar A,Yunus RM,Khan S,Pappalardo J,Memon B,Memon MA.Meta-analysis of randomized clinical trials comparing open and laparoscopic anti-reflux surgery.Am J Gastroenterol 2009;104:1548-61;quiz 1547,1562[PMID:19491872 DOI:10.1038/ajg.2009.176]
8 Westebring-van der Putten EP,Goossens RH,Jakimowicz JJ,Dankelman J.Haptics in minimally invasive surgery--a review.Minim Invasive Ther Allied Technol 2008;17:3-16[PMID:18270873 DOI:10.1080/13645700701820242]
9 Allaix ME,Patti MG.Heller myotomy for achalasia.From the open to the laparoscopic approach.World JSurg 2015;39:1603-1607[PMID:25526923 DOI:10.1007/s00268-014-2914-3]
10 Navarra G,Pozza E,Occhionorelli S,Carcoforo P,Donini I.One-wound laparoscopic cholecystectomy.Br J Surg 1997;84:695[PMID:9171771 DOI:10.1002/bjs.1800841126]
11 Hamzaoglu I,Karahasanoglu T,Aytac E,Karatas A,Baca B.Transumbilical totally laparoscopic singleport Nissen fundoplication:a new method of liver retraction:the Istanbul technique.J Gastrointest Surg2010;14:1035-1039[PMID:20306152 DOI:10.1007/s11605-010-1183-1]
12 Hawasli A,Holman AK.Single incision laparoscopic Nissen fundoplication:step by step.Surg Laparosc Endosc Percutan Tech 2011;21:e78-e80[PMID:21471786 DOI:10.1097/SLE.0b013e31820d6491]
13 Sharp NE,Vassaur J,Buckley FP.Single-site Nissen fundoplication versus laparoscopic Nissen fundoplication.JSLS 2014;18:pii:e2014.00202[PMID:25392613 DOI:10.4293/JSLS.2014.00202]
14 Fukuda S,Nakajima K,Miyazaki Y,Takahashi T,Makino T,Kurokawa Y,Yamasaki M,Miyata H,Takiguchi S,Mori M,Doki Y.Laparoscopic surgery for esophageal achalasia:Multiport vs single-incision approach.Asian J Endosc Surg 2016;9:14-20[PMID:26315292 DOI:10.1111/ases.12226]
15 Moher D,Liberati A,Tetzlaff J,Altman DG;PRISMA Group.Preferred reporting items for systematic reviews and meta-analyses:the PRISMA statement.PLoS Med 2009;6:e1000097[PMID:19621072 DOI:10.1371/journal.pmed.1000097]
16 Hozo SP,Djulbegovic B,Hozo I.Estimating the mean and variance from the median,range,and the size of a sample.BMC Med Res Methodol 2005;5:13[PMID:15840177 DOI:10.1186/1471-2288-5-13]
17 Sukharamwala P,Teta A,Ross S,Co F,Alvarez-Calderon G,Luberice K,Rosemurgy A.Over 250Laparoendoscopic Single Site(LESS)Fundoplications:Lessons Learned.Am Surg 2015;81:870-875[PMID:26350663]
18 Barbaros U,Demirel T,Sumer A,Deveci U,Tukenmez M,Cansunar MI,Kalayci M,D?nccag A,Seven R,Mercan S.Pure SILS Floppy Nissen Fundoplication with Hiatal Repair:A Case Report.ISRNGastroenterol 2011;2011:347487[PMID:21991503 DOI:10.5402/2011/347487]
19 Miyazaki Y,Nakajima K,Yamasaki M,Miyata H,Kurokawa Y,Takiguchi S,Fujiwara Y,Mori M,Doki Y.Single-port laparoscopic surgery of the distal esophagus:initial clinical experience.Surg Laparosc Endosc Percutan Tech 2012;22:e118-e121[PMID:22678329 DOI:10.1097/SLE.0b013e318247c45f]
20 Eyuboglu E,Ipek T,Atasoy D.Single-port laparoscopic floppy Nissen fundoplication:a novel technique with the aid of the Cerrahpasa retractor.J Laparoendosc Adv Surg Tech A 2012;22:173-175[PMID:22146016 DOI:10.1089/lap.2011.0349]
21 Mizuno M,Kobayashi M,Sasaki A,Nakajima J,Wakabayashi G.Early experience with single-incision laparoscopic Nissen fundoplication for gastroesophageal reflux disease in patients with mental retardation via a gastrostomy site incision:report of five cases.Surg Today 2012;42:601-604[PMID:22278618DOI:10.1007/s00595-012-0120-1]
22 Yilmaz H,Alptekin H,?ahin M.Single-incision laraposcopic Nissen fundoplication for gastroesophageal reflux disease using conventional instruments.Turkiye Klin J Med Sci 2013;33:1022-1027[DOI:10.5336/medsci.2012-31954]
23 Dapri G,Bruyns J,Himpens J,Cadière GB.Single-access transumbilical laparoscopic nissen fundoplication performed with new curved reusable instruments.Surg Innov 2011;18:61-65[PMID:21059609 DOI:10.1177/1553350610384406]
24 Galvani CA,Garza U,Echeverria A,Kaul A,SamaméJ.Multipurpose internal retractor for Singleincision surgery(SIS):single-institution case series.Surg Laparosc Endosc Percutan Tech 2014;24:e59-e62[PMID:24686364 DOI:10.1097/SLE.0b013e31828f720d]
25 Wu S,Yu H,Fan Y,Kong J,Yu X.Liver retraction using n-butyl-2-cyanoacrylate glue during singleincision laparoscopic upper abdominal surgery.Br J Surg 2014;101:546-549[PMID:24615563 DOI:10.1002/bjs.9446]
26 Agaba EA,Rainville H,Ikedilo O,Vemulapali P.Incidence of port-site incisional hernia after singleincision laparoscopic surgery.JSLS 2014;18:204-210[PMID:24960483 DOI:10.4293/108680813X13693422518317]
27 Nakajima J,Sasaki A,Obuchi T,Baba S,Umemura A,Wakabayashi G.Single-incision laparoscopic Heller myotomy and Dor fundoplication for achalasia:report of a case.Surg Today 2011;41:1543-1547[PMID:21969159 DOI:10.1007/s00595-010-4533-4]
28 Yamada H,Yano T.Single incision laparoscopic approach for esophageal achalasia:A case report.Int JSurg Case Rep 2013;4:1-4[PMID:23088902 DOI:10.1016/j.ijscr.2012.09.003]
29 Yano F,Omura N,Tsuboi K,Hoshino M,Yamamoto SR,Kashiwagi H,Yanaga K.Single-incision laparoscopic Heller myotomy and Dor fundoplication for achalasia:report of a case.Surg Today 2012;42:299-302[PMID:22218875 DOI:10.1007/s00595-011-0089-1]
30 Buckley FP,Vassaur HE,Jupiter DC,Crosby JH,Wheeless CJ,Vassaur JL.Influencing factors for portsite hernias after single-incision laparoscopy.Hernia 2016;20:729-733[PMID:27417943 DOI:10.1007/s10029-016-1512-8]
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