Findings

What do systematic reviews say?

77 questions · 93 findings · 12 reviews · Colorectal

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No studies found 9 · 9.7%GRADE not reported 0 · 0%Very low 27 · 29%Low 25 · 26.9%Moderate 29 · 31.2%High 3 · 3.2%

Laparoscopic vs open appendectomy

Return to normal activity · patients with suspected appendicitis

2 findings from 1 review

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

Quality of life Scale used: Gastro‐intestinal Quality of Life Index · patients with suspected appendicitis

1 finding from 1 review

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

Laparoscopic vs open appendectomy

Quality of life Scale used: 1) Gastro‐intestinal Quality of Life Index 2) SF‐36 questionnaire · patients with suspected appendicitis

1 finding from 1 review

Laparoscopic versus open surgery for suspected appendicitis 2018 · Cochrane Headline outcomes only
2
2009 participants
Low

Laparoscopic vs open appendectomy

Pain (unpleasantness/intensity/palpation) · patients with suspected appendicitis

1 finding from 1 review

Laparoscopic versus open surgery for suspected appendicitis 2018 · Cochrane Headline outcomes only
no estimate extracted
1 study · 61 participants
Low

Laparoscopic vs open appendectomy

Surgical complications ‐ wound infection · patients with suspected appendicitis

Laparoscopic probably leads to lower wound infections (rate) compared with open appendectomy (moderate certainty).

1 finding from 1 review

Laparoscopic versus open surgery for suspected appendicitis 2018 · Cochrane Headline outcomes only
Peto OR 0.25 [0.15, 0.42]
10 studies · 1245 participants
Moderate

Laparoscopic vs open surgery

Length of hospital stay · patients with sigmoid diverticulitis

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
no estimate extracted
3 studies · 360 participants
Low

Laparoscopic vs open surgery

Intraoperative blood loss (mL) · patients with sigmoid diverticulitis

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
no estimate extracted
1 study · 104 participants
Very low

Laparoscopic vs open surgery

Postoperative pain (at day 4) · patients with sigmoid diverticulitis

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 250 participants
Very low

Laparoscopic vs open surgery

Postoperative time to liquid diets (days) · patients with sigmoid diverticulitis

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 247 participants
Very low

Laparoscopic vs open surgery

Postoperative time to solid diets (days) · patients with sigmoid diverticulitis

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
no estimate extracted
2 studies · 247 participants
Very low

Laparoscopic vs open surgery

Reoperation rate due to anastomotic leak ( · patients with sigmoid diverticulitis

Laparoscopic showed no clear difference in reoperation rate due to anastomotic leak ( compared with open surgery (low certainty).

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
RR 0.75 [0.29, 1.95]
3 studies · 349 participants
Low

Laparoscopic vs open surgery

Anastomotic stricture ( · patients with sigmoid diverticulitis

It is very uncertain whether laparoscopic changes anastomotic stricture ( compared with open surgery (very low certainty).

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
RR 1 [0.06, 15.57]
1 study · 104 participants
Very low

Laparoscopic vs open surgery

Small‐bowel obstruction ( · patients with sigmoid diverticulitis

It is very uncertain whether laparoscopic changes small‐bowel obstruction ( compared with open surgery (very low certainty).

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
RR 0.25 [0.03, 2.16]
1 study · 104 participants
Very low

Laparoscopic vs open surgery

QoL · patients with sigmoid diverticulitis

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
no estimate extracted
2011 participants
Low

Laparoscopic vs open surgery

Recurrent diverticulitis rate ( · patients with sigmoid diverticulitis

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
no estimate extracted
2010 participants
Very low

Laparoscopic vs open surgery

30‐Day postoperative mortality · patients with sigmoid diverticulitis

Laparoscopic showed no clear difference in 30‐Day postoperative mortality compared with open surgery (low certainty).

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
RR 0.24 [0.03, 2.07]
3 studies · 360 participants
Low

Laparoscopic vs open surgery

Overall rate of surgical complications · patients with sigmoid diverticulitis

Laparoscopic showed no clear difference in overall surgical complications ( compared with open surgery (low certainty).

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
RR 0.84 [0.6, 1.19]
3 studies · 360 participants
Low

Laparoscopic vs open surgery

Early overall morbidity (30 postoperative days) · patients with sigmoid diverticulitis

It is very uncertain whether laparoscopic changes early overall morbidity (30 postoperative days) compared with open surgery (very low certainty).

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
RR 1.46 [0.51, 4.2]
1 study · 113 participants
Very low

Laparoscopic vs open surgery

Late overall morbidity (after the first 30 postoperative days: within 6 months) · patients with sigmoid diverticulitis

It is very uncertain whether laparoscopic changes late overall morbidity (after the first 30 postoperative days:… compared with open surgery (very low certainty).

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
RR 0.6 [0.26, 1.38]
1 study · 93 participants
Very low

Laparoscopic vs open surgery

Late overall mortality (after the first 30 postoperative days) · patients with sigmoid diverticulitis

It is very uncertain whether laparoscopic changes late overall mortality (after the first 30 postoperative days) compared with open surgery (very low certainty).

1 finding from 1 review

Laparoscopic versus open resection for sigmoid diverticulitis 2017 · Cochrane Headline outcomes only
RR 2.04 [0.19, 21.77]
1 study · 93 participants
Very low