Cochrane · systematic review · CD005440
Early versus delayed laparoscopic cholecystectomy for people with acute cholecystitis
Gurusamy, KS, Davidson, C, Gluud, C, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library
Hepato-BiliaryAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 71.4%Low 0 · 0%Moderate 2 · 28.6%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Early versus delayed laparoscopic cholecystectomy for acute cholecystitis
Population: people with acute cholecystitis.
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Early vs delayed laparoscopic cholecystectomy | no estimate extracted | 5 studies · 438 participants | Very low Downgraded: risk of bias |
Bile duct injury Early vs delayed laparoscopic cholecystectomy | Peto OR 0.49 [0.05, 4.72] | 5 studies · 438 participants | Very low Downgraded: risk of bias, imprecision |
Other serious complications Early vs delayed laparoscopic cholecystectomy | RR 1.29 [0.61, 2.72] | 5 studies · 438 participants | Very low Downgraded: risk of bias, imprecision |
Conversion to open cholecystectomy Early vs delayed laparoscopic cholecystectomy | RR 0.89 [0.63, 1.25] | 6 studies · 488 participants | Very low Downgraded: risk of bias, imprecision |
Hospital stay Early vs delayed laparoscopic cholecystectomy | no estimate extracted | 4 studies · 373 participants | Moderate Downgraded: risk of bias |
Operating time Early vs delayed laparoscopic cholecystectomy | no estimate extracted | 6 studies · 488 participants | Moderate Downgraded: risk of bias |
Return to work Early vs delayed laparoscopic cholecystectomy | no estimate extracted | 1 study · 36 participants | Very low Downgraded: risk of bias, inconsistency |