What do systematic reviews say?

Laparoscopic hysterectomy vs vaginal hysterectomy

Laparoscopic hysterectomy showed no clear difference in long‐term complications (dichotomous) compared with vaginal hysterectomy (low certainty).

• Surgical approach to hysterectomy for benign gynaecological disease 2023 · Cochrane Headline outcomes only
  OR 1 [0.25, 4.07]
  3 studies · 248 participants
  Low

Laparoscopic hysterectomy vs vaginal hysterectomy

Laparoscopic hysterectomy showed no clear difference in intra‐operative visceral injury (dichotomous) compared with vaginal hysterectomy (low certainty).

• Surgical approach to hysterectomy for benign gynaecological disease 2023 · Cochrane Headline outcomes only
  OR 0.93 [0.37, 2.33]
  10 studies · 1237 participants
  Low

Laparoscopic hysterectomy vs vaginal hysterectomy

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

• Surgical approach to hysterectomy for benign gynaecological disease 2023 · Cochrane Headline outcomes only
  OR 0.98 [0.22, 4.39]
  4 studies · 276 participants
  Low

Laparoscopic hysterectomy vs abdominal hysterectomy

• Surgical approach to hysterectomy for benign gynaecological disease 2023 · Cochrane Headline outcomes only
  no estimate extracted
  7 studies · 618 participants
  Low

Laparoscopic hysterectomy vs abdominal hysterectomy

It is very uncertain whether laparoscopic hysterectomy changes long‐term outcomes compared with abdominal hysterectomy (very low certainty).

• Surgical approach to hysterectomy for benign gynaecological disease 2023 · Cochrane Headline outcomes only
  OR 0.65 [0.32, 1.3]
  1 study · 166 participants
  Very low

Laparoscopic hysterectomy vs abdominal hysterectomy

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

• Surgical approach to hysterectomy for benign gynaecological disease 2023 · Cochrane Headline outcomes only
  OR 0.94 [0.49, 1.82]
  3 studies · 343 participants
  Low

Laparoscopic hysterectomy vs abdominal hysterectomy

Laparoscopic hysterectomy showed no clear difference in intra‐operative visceral injury(dichotomous) compared with abdominal hysterectomy (low certainty).

• Surgical approach to hysterectomy for benign gynaecological disease 2023 · Cochrane Headline outcomes only
  OR 1.68 [0.88, 3.22]
  15 studies · 2298 participants
  Low

Robotic‐assisted laparoscopic vs open radical cystectomy

Robotic‐assisted laparoscopic showed no clear difference in time to recurrence (here: recurrence rate at 5 years) compared with open radical cystectomy (low certainty).

• Robotic versus open radical cystectomy for bladder cancer in adults 2019 · Cochrane Headline outcomes only
  HR 1.05 [0.77, 1.43]
  2 studies · 277 participants
  Low

Robotic‐assisted laparoscopic vs open radical cystectomy

Robotic‐assisted laparoscopic showed no clear difference in major postoperative complications compared with open radical cystectomy (low certainty).

• Robotic versus open radical cystectomy for bladder cancer in adults 2019 · Cochrane Headline outcomes only
  RR 1.06 [0.76, 1.48]
  5 studies · 541 participants
  Low

Robotic‐assisted laparoscopic vs open radical cystectomy

It is very uncertain whether robotic‐assisted laparoscopic changes minor postoperative complications compared with open radical cystectomy (very low certainty).

• Robotic versus open radical cystectomy for bladder cancer in adults 2019 · Cochrane Headline outcomes only
  RR 0.82 [0.58, 1.17]
  4 studies · 423 participants
  Very low

Robotic‐assisted laparoscopic vs open radical cystectomy

Robotic‐assisted laparoscopic probably leads to lower transfusion rate compared with open radical cystectomy (moderate certainty).

• Robotic versus open radical cystectomy for bladder cancer in adults 2019 · Cochrane Headline outcomes only
  RR 0.58 [0.43, 0.8]
  2 studies · 326 participants
  Moderate

Robotic‐assisted laparoscopic vs open radical cystectomy

• Robotic versus open radical cystectomy for bladder cancer in adults 2019 · Cochrane Headline outcomes only
  no estimate extracted
  5 studies · 541 participants
  Low

Robotic‐assisted laparoscopic vs open radical cystectomy

• Robotic versus open radical cystectomy for bladder cancer in adults 2019 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 270 participants
  Low

Robotic‐assisted laparoscopic vs open radical cystectomy

Robotic‐assisted laparoscopic showed no clear difference in positive margins assessed through pathological evaluation of… compared with open radical cystectomy (low certainty).

• Robotic versus open radical cystectomy for bladder cancer in adults 2019 · Cochrane Headline outcomes only
  RR 1.16 [0.56, 2.4]
  5 studies · 541 participants
  Low

Sacral colpopexy: laparoscopic vs alternative approach

Sacral colpopexy: laparoscopic showed no clear difference in surgery for recurrent prolapse compared with alternative approach (moderate certainty).

• Surgery for women with apical vaginal prolapse 2023 · Cochrane Headline outcomes only
  RR 0.77 [0.26, 2.31]
  3 studies · 208 participants
  Moderate

Sacral colpopexy: laparoscopic vs alternative approach

Sacral colpopexy: laparoscopic showed no clear difference in prolapse on examination (Stage 2 or more): Any recurrent prolapse compared with alternative approach (low certainty).

• Surgery for women with apical vaginal prolapse 2023 · Cochrane Headline outcomes only
  RR 1.29 [0.64, 2.56]
  3 studies · 225 participants
  Low

Sacral colpopexy: laparoscopic vs alternative approach

It is very uncertain whether sacral colpopexy: laparoscopic changes any complications (Clavien‐Dindo > 3) compared with alternative approach (very low certainty).

• Surgery for women with apical vaginal prolapse 2023 · Cochrane Headline outcomes only
  RR 1.26 [0.17, 9.44]
  2 studies · 193 participants
  Very low

Sacral colpopexy: laparoscopic vs alternative approach

• Surgery for women with apical vaginal prolapse 2023 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 241 participants
  Very low

Sacral colpopexy: laparoscopic vs alternative approach

• Surgery for women with apical vaginal prolapse 2023 · Cochrane Headline outcomes only
  no estimate extracted
  3 studies · 246 participants
  Low

Laparaoscopic radical prostatectomy and robotic‐assisted laparoscopic radical prostatectomy vs open radical prostatectomy

The review found no eligible studies for this question.

• Laparoscopic and robotic‐assisted versus open radical prostatectomy for the treatment of localised prostate cancer 2017 · Cochrane Headline outcomes only
  no estimate extracted
  Studies not reported
  No studies found