What do systematic reviews say?

Stapler vs scalpel resection followed by hand‐sewn closure of the pancreatic remnant

Stapler showed no clear difference in postoperative Pancreatic Fistula compared with scalpel resection followed by hand‐sewn closure of the pancreatic… (moderate certainty).

• Stapler versus scalpel resection followed by hand‐sewn closure of the pancreatic remnant for distal pancreatectomy 2015 · Cochrane Headline outcomes only
  RR 0.9 [0.55, 1.45]
  2 studies · 381 participants
  Moderate

Stapler vs scalpel resection followed by hand‐sewn closure of the pancreatic remnant

Stapler showed no clear difference in mortality compared with scalpel resection followed by hand‐sewn closure of the pancreatic… (moderate certainty).

• Stapler versus scalpel resection followed by hand‐sewn closure of the pancreatic remnant for distal pancreatectomy 2015 · Cochrane Headline outcomes only
  RR 0.49 [0.05, 5.4]
  2 studies · 381 participants
  Moderate

Stapler vs scalpel resection followed by hand‐sewn closure of the pancreatic remnant

Stapler showed no clear difference in operation Time compared with scalpel resection followed by hand‐sewn closure of the pancreatic… (moderate certainty).

• Stapler versus scalpel resection followed by hand‐sewn closure of the pancreatic remnant for distal pancreatectomy 2015 · Cochrane Headline outcomes only
  no estimate extracted
  2 studies · 381 participants
  Moderate

Endoscopic stapler vs ligature

It is very uncertain whether endoscopic stapler changes intraoperative complications compared with ligature (very low certainty).

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  OR 1.06 [0.17, 6.7]
  3 studies · 327 participants
  Very low

Endoscopic stapler vs ligature

It is very uncertain whether endoscopic stapler changes postoperative complications compared with ligature (very low certainty).

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  OR 0.2 [0.09, 0.44]
  3 studies · 327 participants
  Very low

Endoscopic stapler vs ligature

It is very uncertain whether endoscopic stapler changes postoperative superficial infections compared with ligature (very low certainty).

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  OR 0.1 [0.01, 0.84]
  3 studies · 327 participants
  Very low

Endoscopic stapler vs ligature

It is very uncertain whether endoscopic stapler changes postoperative ileus compared with ligature (very low certainty).

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  OR 0.37 [0.13, 1.07]
  3 studies · 327 participants
  Very low

Endoscopic stapler vs ligature

It is very uncertain whether endoscopic stapler changes postoperative deep infections compared with ligature (very low certainty).

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  OR 0.45 [0.1, 2.08]
  3 studies · 327 participants
  Very low

Endoscopic stapler vs ligature

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 327 participants
  Very low

Endoscopic stapler vs ligature

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 327 participants
  Very low

Endoscopic stapler vs clip

It is very uncertain whether endoscopic stapler changes total complications compared with clips (very low certainty).

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  OR 1 [0.13, 7.6]
  1 study · 60 participants
  Very low

Endoscopic stapler vs clip

It is very uncertain whether endoscopic stapler changes intraoperative complications compared with clips (very low certainty).

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  OR 1 [0.13, 7.6]
  1 study · 60 participants
  Very low

Endoscopic stapler vs clip

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 60 participants
  Very low

Endoscopic stapler vs clip

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 60 participants
  Very low

Endoscopic stapler vs clip

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 60 participants
  Very low

Endoscopic stapler vs clip

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 60 participants
  Very low

Endoscopic stapler vs clip

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 60 participants
  Very low

Endoscopic stapler vs clip

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 60 participants
  Very low

Endoscopic stapler vs ligature

It is very uncertain whether endoscopic stapler changes total complications compared with ligature (very low certainty).

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  OR 0.34 [0.05, 2.41]
  3 studies · 327 participants
  Very low