Department of Gastrointestinal Surgery, The First Hospital, China Medical University, Shenyang, Liaoning Province, China.
Department of Health Statistics, School of Public Health, China Medical University, Shenyang, China.
BMC Surg. 2023 May 17;23(1):134. doi: 10.1186/s12893-023-02033-3.
To evaluate the prognostic impact and describe suturing tools of mesenteric closure after laparoscopic right hemicolectomy (LRH).
PubMed, Embase, Cochrane library, Web of Science, and Scopus databases, were searched and publications relating to mesenteric closure data and tools were extracted. Search terms: "Mesenteric Defects" and "Mesenteric Closure" were used, and manual searches of eligible articles from literature reference lists performed.
A total of 7 publications were identified. 5 focused on prognostic impact and 4 referred to tools for mesenteric closure, two of which concerned both prognostic data and tools. All studies related to prognostic impact were single center with "low" modified GRADE quality. A high degree of heterogeneous was found.
The evidence from current research does not support routine closure of mesenteric defects. Use of a polymer ligation clip has produced favorable results in a small sample size trial and further investigation is merited. A large randomized controlled trial is still warranted.
评估腹腔镜右半结肠切除术（LRH）后肠系膜关闭的预后影响并描述其缝合工具。
检索 PubMed、Embase、Cochrane 图书馆、Web of Science 和 Scopus 数据库，并提取与肠系膜关闭数据和工具相关的出版物。检索词：“肠系膜缺损”和“肠系膜关闭”，并对合格文章的文献参考文献进行手工检索。
共确定了 7 篇出版物。其中 5 篇侧重于预后影响，4 篇涉及肠系膜关闭工具，其中 2 篇同时涉及预后数据和工具。所有与预后影响相关的研究均为单中心研究，改良 GRADE 质量为“低”。发现高度异质性。
目前研究的证据并不支持常规关闭肠系膜缺损。聚合物结扎夹的使用在一项小样本量试验中产生了良好的结果，值得进一步研究。仍需要进行大规模的随机对照试验。
