Evidence map›Paper›PMID 40217214›Full record

ArticleBMC surgery2025

Innovative laparoscopic 'Tunnel' approach in managing hiatal hernia with gastroesophageal reflux disease: a retrospective study.

Zhewen Feng, Zhiping Zhang, Zhilong Yan, Feng Gao, Qingfeng Chen

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zhewen FengDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Ningbo University, 59 Liuting Street, Haishu DistrictZhejiang Province, Ningbo City, China.
Zhiping ZhangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Ningbo University, 59 Liuting Street, Haishu DistrictZhejiang Province, Ningbo City, China.
Zhilong YanDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Ningbo University, 59 Liuting Street, Haishu DistrictZhejiang Province, Ningbo City, China.
Feng GaoDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Ningbo University, 59 Liuting Street, Haishu DistrictZhejiang Province, Ningbo City, China.
Qingfeng ChenDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Ningbo University, 59 Liuting Street, Haishu DistrictZhejiang Province, Ningbo City, China. cqf200008@126.com.

Funding

Application of NRS2002 in nutritional management of elderly patients after discharge from general surgery under the mode of medical alliance, Ningbo Science and Technology Bureau 2022S076
6 · The paper itself

Abstract

backgroundHiatal hernia (HH) is a major cause of gastroesophageal reflux disease (GERD), and laparoscopic repair combined with anti-reflux surgery is a common treatment. However, postoperative complications such as vagus nerve injury remain a concern. This study introduces a novel Laparoscopic "Tunnel" Approach aiming to minimize damage to the vagus nerve and preserve perigastric vessels.

methodsClinical data were consecutively collected from patients who underwent laparoscopic "tunnel" approach for the treatment of hiatal hernia combined with gastroesophageal reflux disease at the First Affiliated Hospital of Ningbo University between June 2023 and June 2024. Data collected included age, gender, BMI, DeMeester score, surgical time, and postoperative symptoms. Follow-ups were conducted at 1, 3, and 6 months postoperatively.

resultsThe average age was 54 ± 9 years, BMI was 25.56 ± 4.32 kg/m

conclusionsThe Laparoscopic "Tunnel" Approach may effectively minimizes vagus nerve injury and preserves perigastric vessels, resulting in improved postoperative outcomes and quality of life. This method shows potential for wider application in treating HH and GERD. However, since this study was retrospective and lacked a control group, further studies are needed to verify our conclusions.

Indexed as

Gastroesophageal RefluxHernia, HiatalHerniorrhaphyLaparoscopyAdultAgedFemaleFundoplicationHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeGastroesophageal reflux diseaseHiatal HerniaLaparoscopic surgeryVagus nerve

Identifiers

PMID40217214
PMCPMC11992776

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.