{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T23:09:17Z","timestamp":1782860957193,"version":"3.54.5"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1007\/s00464-026-12814-5","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T16:45:14Z","timestamp":1776185114000},"page":"3658-3665","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of outcomes of minimally invasive vs. open surgery in patients with symptomatic hiatal hernias: a systematic review and meta-analysis"],"prefix":"10.1007","volume":"40","author":[{"given":"Vanessa","family":"Ha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4051-565X","authenticated-orcid":false,"given":"Aayush R.","family":"Malhotra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Pentland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris","family":"Zevin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Bechara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Giles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Reid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiley","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,14]]},"reference":[{"key":"12814_CR1","doi-asserted-by":"publisher","first-page":"g6154","DOI":"10.1136\/bmj.g6154","volume":"349","author":"S Roman","year":"2014","unstructured":"Roman S, Kahrilas PJ (2014) The diagnosis and management of hiatus hernia. BMJ 349:g6154","journal-title":"BMJ"},{"issue":"10","key":"12814_CR2","doi-asserted-by":"publisher","first-page":"1300","DOI":"10.1007\/s00464-004-2275-3","volume":"19","author":"WA Draaisma","year":"2005","unstructured":"Draaisma WA, Gooszen HG, Tournoij E, Broeders IA (2005) Controversies in paraesophageal hernia repair: a review of literature. Surg Endosc 19(10):1300\u20131308","journal-title":"Surg Endosc"},{"issue":"7","key":"12814_CR3","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1001\/archsurg.2012.127","volume":"147","author":"S Paul","year":"2012","unstructured":"Paul S, Nasar A, Port JL et al (2012) Comparative analysis of diaphragmatic hernia repair outcomes using the nationwide inpatient sample database. Arch Surg 147(7):607\u2013612","journal-title":"Arch Surg"},{"issue":"1-2","key":"12814_CR4","doi-asserted-by":"publisher","first-page":"105","DOI":"10.9738\/INTSURG-D-17-00123.1","volume":"103","author":"I Braghetto","year":"2018","unstructured":"Braghetto I, Lanzarini E, Musleh M, Korn O, Lasnibat JP (2018) Thinking about hiatal hernia recurrence after laparoscopic repair: when should it be considered a true recurrence? a different point of view. Int Surg 103(1\u20132):105\u2013115","journal-title":"Int Surg"},{"issue":"1","key":"12814_CR5","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1016\/j.athoracsur.2005.02.019","volume":"80","author":"DE Low","year":"2005","unstructured":"Low DE, Unger T (2005) Open repair of paraesophageal hernia: reassessment of subjective and objective outcomes. Ann Thorac Surg 80(1):287\u2013294","journal-title":"Ann Thorac Surg"},{"issue":"12","key":"12814_CR6","doi-asserted-by":"publisher","first-page":"4409","DOI":"10.1007\/s00464-013-3173-3","volume":"27","author":"GP Kohn","year":"2013","unstructured":"Kohn GP, Price RR, DeMeester SR et al (2013) Guidelines for the management of hiatal hernia. Surg Endosc 27(12):4409\u20134428","journal-title":"Surg Endosc"},{"key":"12814_CR7","unstructured":"Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors) (2021) Cochrane handbook for systematic reviews of interventions version 6.2 (updated February 2021). Cochrane, www.training.cochrane.org\/handbook."},{"issue":"15","key":"12814_CR8","doi-asserted-by":"publisher","first-page":"2008","DOI":"10.1001\/jama.283.15.2008","volume":"283","author":"DF Stroup","year":"2000","unstructured":"Stroup DF, Berlin JA, Morton SC et al (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of observational studies in epidemiology (MOOSE) group. Jama 283(15):2008\u20132012","journal-title":"Jama"},{"key":"12814_CR9","unstructured":"Wells G, Shea B, O\u2019Connell D, Peterson J, Welch V, Losos M, Tugwell P. (2013) The Newcastle-Ottawa scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. http:\/\/www.ohri.ca\/programs\/clinical_epidemiology\/oxford.asp."},{"key":"12814_CR10","unstructured":"Sch\u00fcnemann H, Bro\u017cek J, Guyatt G, Oxman A, editors. (2013) GRADE handbook for grading quality of evidence and strength of recommendations. The GRADE Working Group"},{"issue":"2","key":"12814_CR11","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1002\/jrsm.12","volume":"1","author":"M Borenstein","year":"2010","unstructured":"Borenstein M, Hedges LV, Higgins JP, Rothstein HR (2010) A basic introduction to fixed-effect and random-effects models for meta-analysis. Res Synth Methods 1(2):97\u2013111","journal-title":"Res Synth Methods"},{"issue":"5","key":"12814_CR12","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1007\/s00423-012-0982-0","volume":"398","author":"T Gehrig","year":"2013","unstructured":"Gehrig T, Mehrabi A, Fischer L et al (2013) Robotic-assisted paraesophageal hernia repair\u2013a case-control study. Langenbecks Arch Surg 398(5):691\u2013696","journal-title":"Langenbecks Arch Surg"},{"issue":"3","key":"12814_CR13","first-page":"466","volume":"14","author":"RB Beretar","year":"2019","unstructured":"Beretar RB, Siyukhov R, Durleshter VM, Svechkar I, Bykov MI (2019) Surgical treatment of hiatal hernia by routine and laparoscopic methods. Med News North Caucas 14(3):466\u2013468","journal-title":"Med News North Caucas"},{"issue":"4","key":"12814_CR14","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1089\/lps.1993.3.331","volume":"3","author":"GGR K\u00fcster","year":"1993","unstructured":"K\u00fcster GGR, Gilroy S (1993) Laparoscopic technique for repair of paraesophageal hiatal hernias. J Laparoendosc Surg 3(4):331\u2013338","journal-title":"J Laparoendosc Surg"},{"issue":"4","key":"12814_CR15","doi-asserted-by":"publisher","first-page":"1137","DOI":"10.1093\/ejcts\/ezv280","volume":"49","author":"M Lugaresi","year":"2016","unstructured":"Lugaresi M, Mattioli B, Daddi N, Di Simone MP, Perrone O, Mattioli S (2016) Surgery for Type III-IV hiatal hernia: anatomical recurrence and global results after elective treatment of short oesophagus with open and minimally invasive surgery. Eur J Cardiothorac Surg 49(4):1137\u20131143","journal-title":"Eur J Cardiothorac Surg"},{"issue":"1","key":"12814_CR16","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1007\/s00464-018-6304-z","volume":"33","author":"AW Al Hashmi","year":"2019","unstructured":"Al Hashmi AW, Pineton de Chambrun G, Souche R et al (2019) A retrospective multicenter analysis on redo-laparoscopic anti-reflux surgery: conservative or conversion fundoplication? Surg Endosc 33(1):243\u2013251","journal-title":"Surg Endosc"},{"issue":"2","key":"12814_CR17","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1007\/s00464-008-0190-8","volume":"23","author":"M Bawahab","year":"2009","unstructured":"Bawahab M, Mitchell P, Church N, Debru E (2009) Management of acute paraesophageal hernia. Surg Endosc 23(2):255\u2013259","journal-title":"Surg Endosc"},{"key":"12814_CR18","first-page":"706","volume":"101","author":"MD Tabernilla","year":"2009","unstructured":"Tabernilla MD, Ruiz-Tovar J, Marino R et al (2009) Paraesophageal hiatal hernia. open vs. laparoscopic surgery. Rev Esp Enferm Dig 101:706\u2013711","journal-title":"Rev Esp Enferm Dig"},{"issue":"10","key":"12814_CR19","doi-asserted-by":"publisher","first-page":"1189","DOI":"10.1177\/000313481908501025","volume":"85","author":"ED Dubina","year":"2019","unstructured":"Dubina ED, Moazzez A, Park H, Shover A, Kim DY, Simms ER (2019) Predictors of morbidity and mortality in complex paraesophageal hernia repair: a NSQIP analysis. Am Surg 85(10):1189\u20131193","journal-title":"Am Surg"},{"issue":"1","key":"12814_CR20","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1007\/s00464-004-8903-0","volume":"19","author":"LE Ferri","year":"2005","unstructured":"Ferri LE, Feldman LS, Stanbridge D, Mayrand S, Stein L, Fried GM (2005) Should laparoscopic paraesophageal hernia repair be abandoned in favor of the open approach? Surg Endosc 19(1):4\u20138","journal-title":"Surg Endosc"},{"issue":"5","key":"12814_CR21","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1016\/S1072-7515(00)00260-X","volume":"190","author":"M Hashemi","year":"2000","unstructured":"Hashemi M, Peters JH, DeMeester TR et al (2000) Laparoscopic repair of large type III hiatal hernia: objective followup reveals high recurrence rate. J Am Coll Surg. 190(5):553\u2013560","journal-title":"J Am Coll Surg."},{"issue":"1","key":"12814_CR22","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1111\/j.1442-2050.2007.00740.x","volume":"21","author":"S Karmali","year":"2008","unstructured":"Karmali S, McFadden S, Mitchell P et al (2008) Primary laparoscopic and open repair of paraesophageal hernias: a comparison of short-term outcomes. Dis Esophagus 21(1):63\u201368","journal-title":"Dis Esophagus"},{"issue":"5","key":"12814_CR23","doi-asserted-by":"publisher","first-page":"1790","DOI":"10.1007\/s00464-015-4447-8","volume":"30","author":"M Klinginsmith","year":"2016","unstructured":"Klinginsmith M, Jolley J, Lomelin D, Krause C, Heiden J, Oleynikov D (2016) Paraesophageal hernia repair in the emergency setting: is laparoscopy with the addition of a fundoplication the new gold standard? Surg Endosc 30(5):1790\u20131795","journal-title":"Surg Endosc"},{"issue":"12","key":"12814_CR24","doi-asserted-by":"publisher","first-page":"669","DOI":"10.11622\/smedj.2016018","volume":"57","author":"YX Koh","year":"2016","unstructured":"Koh YX, Ong LW, Lee J, Wong AS (2016) Para-oesophageal and parahiatal hernias in an Asian acute care tertiary hospital: an underappreciated surgical condition. Singapore Med J 57(12):669\u2013675","journal-title":"Singapore Med J"},{"issue":"12","key":"12814_CR25","doi-asserted-by":"publisher","first-page":"1176","DOI":"10.1001\/jamasurg.2017.2868","volume":"152","author":"PJ McLaren","year":"2017","unstructured":"McLaren PJ, Hart KD, Hunter JG, Dolan JP (2017) Paraesophageal hernia repair outcomes using minimally invasive approaches. JAMA Surg 152(12):1176\u20131178","journal-title":"JAMA Surg"},{"issue":"2","key":"12814_CR26","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1016\/j.jamcollsurg.2014.02.030","volume":"219","author":"B Mungo","year":"2014","unstructured":"Mungo B, Molena D, Stem M, Feinberg RL, Lidor AO (2014) Thirty-day outcomes of paraesophageal hernia repair using the NSQIP database: should laparoscopy be the standard of care? J Am Coll Surg 219(2):229\u2013236","journal-title":"J Am Coll Surg"},{"issue":"10","key":"12814_CR27","doi-asserted-by":"publisher","first-page":"1353","DOI":"10.1177\/000313481107701018","volume":"77","author":"NT Nguyen","year":"2011","unstructured":"Nguyen NT, Christie C, Masoomi H, Matin T, Laugenour K, Hohmann S (2011) Utilization and outcomes of laparoscopic versus open paraesophageal hernia repair. Am Surg 77(10):1353\u20131357","journal-title":"Am Surg"},{"issue":"2","key":"12814_CR28","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1007\/s10029-016-1486-6","volume":"21","author":"P Priego","year":"2017","unstructured":"Priego P, Perez de Oteyza J, Galindo J et al (2017) Long-term results and complications related to crurasoft((R)) mesh repair for paraesophageal hiatal hernias. Hernia. 21(2):291\u2013298","journal-title":"Hernia."},{"issue":"6","key":"12814_CR29","doi-asserted-by":"publisher","first-page":"659","DOI":"10.1016\/S0002-9610(98)00272-4","volume":"176","author":"PR Schauer","year":"1998","unstructured":"Schauer PR, Ikramuddin S, McLaughlin RH et al (1998) Comparison of laparoscopic versus open repair of paraesophageal hernia. Am J Surg 176(6):659\u2013665","journal-title":"Am J Surg"},{"issue":"8","key":"12814_CR30","doi-asserted-by":"publisher","first-page":"3675","DOI":"10.1007\/s00464-018-6102-7","volume":"32","author":"F Schlottmann","year":"2018","unstructured":"Schlottmann F, Strassle PD, Patti MG (2018) Surgery for benign esophageal disorders in the US: risk factors for complications and trends of morbidity. Surg Endosc 32(8):3675\u20133682","journal-title":"Surg Endosc"},{"issue":"2","key":"12814_CR31","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1089\/lap.2012.0199","volume":"23","author":"I Shaikh","year":"2013","unstructured":"Shaikh I, Macklin P, Driscoll P, de Beaux A, Couper G, Paterson-Brown S (2013) Surgical management of emergency and elective giant paraesophageal hiatus hernias. J Laparoendosc Adv Surg Tech A 23(2):100\u2013105","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"5","key":"12814_CR32","doi-asserted-by":"publisher","first-page":"813","DOI":"10.1016\/j.jamcollsurg.2011.01.060","volume":"212","author":"J Zehetner","year":"2011","unstructured":"Zehetner J, Demeester SR, Ayazi S et al (2011) Laparoscopic versus open repair of paraesophageal hernia: the second decade. J Am Coll Surg 212(5):813\u2013820","journal-title":"J Am Coll Surg"},{"issue":"11","key":"12814_CR33","doi-asserted-by":"publisher","first-page":"544","DOI":"10.1177\/014107680309601107","volume":"96","author":"R Agha","year":"2003","unstructured":"Agha R, Muir G (2003) Does laparoscopic surgery spell the end of the open surgeon? J R Soc Med 96(11):544\u2013546","journal-title":"J R Soc Med"},{"issue":"6","key":"12814_CR34","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1159\/000050189","volume":"18","author":"V Velanovich","year":"2001","unstructured":"Velanovich V, Karmy-Jones R (2001) Surgical management of paraesophageal hernias: outcome and quality of life analysis. Dig Surg 18(6):432\u2013437 (discussion 437-438)","journal-title":"Dig Surg"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-026-12814-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-026-12814-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-026-12814-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T22:41:27Z","timestamp":1782859287000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-026-12814-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,14]]},"references-count":34,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["12814"],"URL":"https:\/\/doi.org\/10.1007\/s00464-026-12814-5","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,14]]},"assertion":[{"value":"29 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Andrew Giles reports receiving honoraria from Merck, AstraZeneca, and BMS for lectures\/presentations, as well as travel support from Merck. Robert Bechara reports consulting fees from Vantage Endoscopy and Olympus. Boris Zevin reports travel support from J&J MedTech for a professional development activity and from Stryker for the iSPIES course. Jessica Nguyen, Ken R. Reid, Vanessa Ha, Wiley Chung, Veronica Pentland, and Aayush R. Malhotra have no conflicts to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}