Retrospective Cohort Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2023; 15(12): 2739-2746
Published online Dec 27, 2023. doi: 10.4240/wjgs.v15.i12.2739
Determining the need for a thoracoscopic approach to treat a giant hiatal hernia when abdominal access is poor
Francisco Javier Pérez Lara, Rogelio Zubizarreta Jimenez, Tatiana Prieto-Puga Arjona, Pilar Gutierrez Delgado, Juan Manuel Hernández Carmona, Jose Manuel Hernández Gonzalez, Maria Pitarch Martinez
Francisco Javier Pérez Lara, Tatiana Prieto-Puga Arjona, Juan Manuel Hernández Carmona, Jose Manuel Hernández Gonzalez, Maria Pitarch Martinez, Department of Surgery, Hopital de Antequera, Antequera 29200, Spain
Rogelio Zubizarreta Jimenez, DOXA, Microfluidics, Rincon de la Victoria 29730, Spain
Pilar Gutierrez Delgado, Department of Surgery, HRU Carlos Haya, Unidad Cirugia Hepatobiliopancreat & Trasplantes, Malaga 29200, Spain
Author contributions: Pérez Lara FJ made a substantial contribution to the concept and design; Pérez Lara FJ and Zubizarreta Jimenez R drafted the article or revised it critically for important intellectual content; and all authors approved the version to be published.
Institutional review board statement: The study was followed our hospital’s ethical committee for human studies.
Informed consent statement: All patients signed the informed consent statement.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: We consent sharing the full data sets underlying the results in our article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Francisco Javier Pérez Lara, PhD, Chief Physician, Doctor, Surgeon, Department of Surgery, Hopital de Antequera, Avda. Poeta Muñoz Rojas, Antequera 29200, Spain. javinewyork@hotmail.com
Received: September 28, 2023
Peer-review started: September 28, 2023
First decision: November 1, 2023
Revised: November 9, 2023
Accepted: December 6, 2023
Article in press: December 6, 2023
Published online: December 27, 2023
Processing time: 89 Days and 17 Hours
Core Tip

Core Tip: In a previous study, we presented a series of mathematical formulas that can be used to assess the accessibility of large hiatal hernias to a laparoscopic approach, concluding that for some patients this technique was not viable. In the present retrospective study, we examine whether outcomes are poorer among patients whose hiatal hernias are deemed inaccessible to laparoscopy (according to the mathematical formulation applied to the preoperative imaging results).