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| 1 | Current state of laparoscopic parastomal hernia repair:A meta-analysis显示文摘AIM:To evaluate the efficacy and safety of the laparoscopic approaches for parastomal hernia repair reported in the literature.METHODS:A systematic review of PubMed and MEDLINE databases was conducted using various combination of the following keywords:stoma repair,laparoscopic,parastomal,and hernia.Case reports,studies with less than 5 patients,and articles not written in English were excluded.Eligible studies were further scrutinized with the 2011 levels of evidence from the Oxford Centre for Evidence-Based Medicine.Two authors reviewed and analyzed each study.If there was any discrepancy between scores,the study in question was referred to another author.A meta-analysis was performed using both random and fixed-effect models.Publication bias was evaluated using Begg's funnel plot and Egger's regression test.The primary outcome analyzed was recurrence of parastomal hernia.Secondary outcomes were mesh infection,surgical site infection,obstruction requiring reoperation,death,and other complications.Studies were grouped by operative technique where indicated.Except for recurrence,most postoperative morbidities were reported for the overall cohort and not by approach so they were analyzed across approach.RESULTS:Fifteen articles with a total of 469 patients were deemed eligible for review.Most postoperative morbidities were reported for the overall cohort,and not by approach.The overall postoperative morbidity rate was 1.8%(95%CI:0.8-3.2),and there was no difference between techniques.The most common postoperative complication was surgical site infection,which was seen in 3.8%(95%CI:2.3-5.7).Infected mesh was observed in 1.7%(95%CI:0.7-3.1),and obstruction requiring reoperation also occurred in 1.7%(95%CI:0.7-3.0).Other complications such as ileus,pneumonia,or urinary tract infection were noted in16.6%(95%CI:11.9-22.1).Eighty-one recurrences were reported overall for a recurrence rate of 17.4%(95%CI:9.5-26.9).The recurrence rate was 10.2%(95%CI:3.9-19.0) for the modified laparoscopic Sugarbaker approach,whereas the recurrence rate was27.9%(95%CI:12.3-46.9) for the keyhole approach.There were no intraoperative mortalities reported and six mortalities during the postoperative course.CONCLUSION:Laparoscopic intraperitoneal mesh repair is safe and effective for treating parastomal hernia.A modified Sugarbaker approach appears to provide the best outcomes. | Francis J DeAsis Brittany Lapin Matthew E Gitelis Michael B Ujiki | 2015 | World Journal of Gastroenterology2015，21，28： | 34 |
| 2 | Antibioticresistant Propionibacte- rium acnes on the skin of patients with moderate to severe acne in Stock- holm显示文摘 | Oprica C Emtestam L Lapins J | 2004 | Anaerobe2004，10，3： | 1 |
| 3 | Effect of Y2 03 Crucible on Contamination of Directionally Solidified Intermetallic Ti-46AI-8Nb Alloy 显示文摘 | Lapin J Gabalcovl Z Pelachov6 T | 2011 | lntermetallics2011，19，： | 1 |
| 4 | Coarsening kinetics of α and γ'-precipitates in a multiphase intermetallic Ni-Al-Cr-Ti type alloy with additions of Mo and Zr显示文摘 | Lapin J Vauo A | 2004 | Scripta Materialia2004，50，5： | 1 |
| 5 | Tolerability and effects of two formulations of oral transmucosal fentanyl citrate (OTFC; ACTIQ) in patients with radiation-induced oral mueositis显示文摘 | Shaiova L Lapin J Manco LS | 2004 | Support Care Cancer2004，12，4： | 1 |
| 6 | Morphine-6-glucuro- nide concentrations and opioid-related side effects: a sur-vey in cancer patients显示文摘 | Tiseo P J Thaler HT Lapin J | 1995 | Pain1995，61，1： | 1 |
| 7 | Creep behaviour of a cast TiAl-based alloy for industrial applications显示文摘 | Lapin J | 2006 | Intermetallics2006，14，2： | 1 |
| 8 | On the control of the residual porosity in iron aluminides processed by reactive squeeze-infiltration of aluminium into'a preform of steel fibres显示文摘 | Tiberghien D Lapin J Ryelandt S | 2002 | Materials Science and EngineeringA2002，323，12： | 1 |
| 9 | Creep behavior of a cast TiAl-based alloy for industrial applications 显示文摘 | Lapin J | 2006 | Intermetallics2006，14，2： | 1 |
| 10 | Effect of Y2 03 crucible on contamination of directionally solidified intemaetallic Ti- 46A1-8Nb alloy显示文摘 | Lapin J GabalcovOZ PelachovdT | 2011 | Intermetallics2011，19，3： | 1 |
| 11 | Microstructural stability, hardness and compressive behavior of directionally solidified intermetallic Ni3Al-based alloy with γ/γ1-13structure 显示文摘 | Lapin J Wierzbinski S Pelachoua T | 1999 | lntermetallic1999，7，： | 1 |
| 12 | Effect of Y203 crucible on contamination of directionally solidified intermetallic Ti-46AI-8Nb alloy 显示文摘 | LAPIN J GABALCOVA z PELACHOvA T | 2001 | Intermetallics2001，19，： | 1 |
| 13 | Measuring coherence functions using non-parallel double slits显示文摘 | Divitt S Lapin Z J Novotny L | 2014 | Opt Express2014，22，7： | 1 |
| 14 | Effect of Y203 crucible on contamination of directionally solidified intermetallic Ti- 46A1-SNb alloy 显示文摘 | Lapin J Gabalcovd Z Pelachovd T | 2011 | Intermetallics2011，19，： | 1 |
| 15 | TiAl-based alloys:present status and future per-spectives显示文摘 | LAPIN J | 2009 | Hradec nad Moravicí2009，1921，5： | 1 |
| 16 | Anomalous bilateral single pulmonary vein demonstrated by 3-dimensional reconstruction of helical computed tomography: a case report显示文摘 | Hidvegi RS Lapin J | 1998 | Can Assoc Radiol1998，49，4： | 1 |
| 17 | Solidification behaviour of TiAI- based alloys studied by directional solidification technique 显示文摘 | Lapin J Gabalcovd Z | 2011 | Intermetallics2011，19，： | 1 |
| 18 | Microstructure and mechanical properties of a directioanlly solidified and aged intermetallic Ni-AI-Cr-Ti alloy with β-y'-y-α structure 显示文摘 | Lapin J Pelachova T Bajana O | 2000 | Intermetallics2000，，8： | 1 |
| 19 | Effect of directional solidification and heat treat- ments on the mierostructure and mechanical properties of multiphase intermetallic Zr-doped Ni-Al-Cr-Ta-Mo alloy显示文摘 | Lapin J | 2006 | Intermetallics2006，14，12： | 1 |
| 20 | Effect of Y2O3 crucible on contamination of directionally solidified intermetallic Ti- 46AI-8Nb alloy显示文摘 | Lapin J Gabalcovd Z Pelachovd T | 2011 | Intermetallics2011，19，： | 1 |
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