What do systematic reviews say?

Summary of findings table ‐ Laparoscopic vs hand‐assisted

Summary of findings table ‐ Laparoscopic showed no clear difference in one‐year graft loss compared with hand‐assisted (low certainty).

• Robotic versus laparoscopic versus open nephrectomy for live kidney donors 2024 · Cochrane Headline outcomes only
  RR 1.31 [0.51, 3.37]
  2 studies · 230 participants
  Low

Laparoscopic myomectomy vs myomectomy by laparotomy or mini‐laparotomy

It is very uncertain whether laparoscopic myomectomy changes live birth rate compared with myomectomy by laparotomy or mini‐laparotomy (very low certainty).

• Surgical treatment of fibroids for subfertility 2020 · Cochrane Headline outcomes only
  OR 0.8 [0.42, 1.5]
  2 studies · 177 participants
  Very low

Laparoscopic myomectomy vs myomectomy by laparotomy or mini‐laparotomy

It is very uncertain whether laparoscopic myomectomy changes preterm delivery rate compared with myomectomy by laparotomy or mini‐laparotomy (very low certainty).

• Surgical treatment of fibroids for subfertility 2020 · Cochrane Headline outcomes only
  OR 0.7 [0.11, 4.29]
  2 studies · 177 participants
  Very low

Laparoscopic myomectomy vs myomectomy by laparotomy or mini‐laparotomy

It is very uncertain whether laparoscopic myomectomy changes clinical pregnancy rate compared with myomectomy by laparotomy or mini‐laparotomy (very low certainty).

• Surgical treatment of fibroids for subfertility 2020 · Cochrane Headline outcomes only
  OR 0.96 [0.52, 1.78]
  2 studies · 177 participants
  Very low

Laparoscopic myomectomy vs myomectomy by laparotomy or mini‐laparotomy

It is very uncertain whether laparoscopic myomectomy changes ongoing pregnancy rate compared with myomectomy by laparotomy or mini‐laparotomy (very low certainty).

• Surgical treatment of fibroids for subfertility 2020 · Cochrane Headline outcomes only
  OR 1.61 [0.26, 10.04]
  1 study · 115 participants
  Very low

Laparoscopic myomectomy vs myomectomy by laparotomy or mini‐laparotomy

It is very uncertain whether laparoscopic myomectomy changes miscarriage Rate compared with myomectomy by laparotomy or mini‐laparotomy (very low certainty).

• Surgical treatment of fibroids for subfertility 2020 · Cochrane Headline outcomes only
  OR 1.25 [0.4, 3.89]
  2 studies · 177 participants
  Very low

Laparoscopic myomectomy vs myomectomy by laparotomy or mini‐laparotomy

It is very uncertain whether laparoscopic myomectomy changes caesarean section rate compared with myomectomy by laparotomy or mini‐laparotomy (very low certainty).

• Surgical treatment of fibroids for subfertility 2020 · Cochrane Headline outcomes only
  OR 0.69 [0.34, 1.39]
  2 studies · 177 participants
  Very low

Laparoscopic myomectomy vs open myomectomy (all types)

• Minimally invasive surgical techniques versus open myomectomy for uterine fibroids 2014 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 148 participants
  Moderate

Laparoscopic myomectomy vs open myomectomy (all types)

• Minimally invasive surgical techniques versus open myomectomy for uterine fibroids 2014 · Cochrane Headline outcomes only
  no estimate extracted
  4 studies · 232 participants
  Moderate

Laparoscopic myomectomy vs open myomectomy (all types)

• Minimally invasive surgical techniques versus open myomectomy for uterine fibroids 2014 · Cochrane Headline outcomes only
  no estimate extracted
  2 studies · 80 participants
  Moderate

Laparoscopic myomectomy vs open myomectomy (all types)

Laparoscopic myomectomy showed no clear difference in perioperative in‐hospital adverse events; unscheduled return to… compared with open myomectomy (all types) (low certainty).

• Minimally invasive surgical techniques versus open myomectomy for uterine fibroids 2014 · Cochrane Headline outcomes only
  OR 3.04 [0.12, 75.86]
  2 studies · 188 participants
  Low

Laparoscopic myomectomy vs open myomectomy (all types)

Laparoscopic myomectomy showed no clear difference in perioperative in‐hospital adverse events; laparoconversion compared with open myomectomy (all types) (moderate certainty).

• Minimally invasive surgical techniques versus open myomectomy for uterine fibroids 2014 · Cochrane Headline outcomes only
  OR 1.11 [0.44, 2.83]
  8 studies · 756 participants
  Moderate

Laparoscopic myomectomy vs open myomectomy (all types)

Laparoscopic myomectomy showed no clear difference in perioperative in‐hospital adverse events; injury to pelvic organs compared with open myomectomy (all types) (moderate certainty).

• Minimally invasive surgical techniques versus open myomectomy for uterine fibroids 2014 · Cochrane Headline outcomes only
  OR 3.04 [0.12, 75.86]
  1 study · 148 participants
  Moderate

Laparoscopic myomectomy vs open myomectomy (all types)

Laparoscopic myomectomy probably leads to lower in‐hospital adverse events; postoperative fever compared with open myomectomy (all types) (moderate certainty).

• Minimally invasive surgical techniques versus open myomectomy for uterine fibroids 2014 · Cochrane Headline outcomes only
  OR 0.44 [0.26, 0.77]
  6 studies · 635 participants
  Moderate

Laparoscopic ablation and uterine nerve transaction vs diagnostic laparoscopy

Laparoscopic ablation and uterine nerve transaction showed no clear difference in adverse events compared with diagnostic laparoscopy (low certainty).

• Laparoscopic surgery for endometriosis 2020 · Cochrane Headline outcomes only
  OR 0.33 [0.01, 8.32]
  1 study · 141 participants
  Low

Laparoscopic vs open appendectomy

• Laparoscopic versus open surgery for suspected appendicitis 2018 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 380 participants
  Very low
• Laparoscopic versus open surgery for suspected appendicitis 2018 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 383 participants
  Moderate

Laparoscopic vs open appendectomy

• Laparoscopic versus open surgery for suspected appendicitis 2018 · Cochrane Headline outcomes only
  no estimate extracted
  2009 participants
  Low

Laparoscopic hysterectomy vs abdominal hysterectomy

Laparoscopic hysterectomy showed no clear difference in major short‐term complications (dichotomous) compared with abdominal hysterectomy (low certainty).

• Surgical approach to hysterectomy for benign gynaecological disease 2023 · Cochrane Headline outcomes only
  OR 1.43 [0.67, 3.04]
  9 studies · 852 participants
  Low

Laparoscopic hysterectomy vs vaginal hysterectomy

• Surgical approach to hysterectomy for benign gynaecological disease 2023 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 238 participants
  Low

Laparoscopic hysterectomy vs vaginal hysterectomy

The review found no eligible studies for this question.

• Surgical approach to hysterectomy for benign gynaecological disease 2023 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found