Cochrane · systematic review · CD005640

T‐tube drainage versus primary closure after open common bile duct exploration

Gurusamy, KS, Koti, R, Davidson, BR · 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
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 100%Low 0 · 0%Moderate 0 · 0%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

T‐tube drainage compared with primary closure for patients undergoing open common bile duct exploration

Population: patients undergoing open common bile duct exploration.
5 questions
OutcomeEffectEvidenceStatus / GRADE
Peri‐operative mortality
T‐tube drainage vs primary closure
RR 2.25 [0.55, 9.25]6 studies · 359 participantsVery low
Downgraded: risk of bias
Serious morbidity (rate)
T‐tube drainage vs primary closure
Rate ratio 2.19 [0.98, 4.91]4 studies · 272 participantsVery low
Downgraded: risk of bias
Serious morbidity (proportion)
T‐tube drainage vs primary closure
RR 2.53 [0.29, 21.98]1 study · 35 participantsVery low
Downgraded: risk of bias, inconsistency
Operating time
T‐tube drainage vs primary closure
no estimate extracted1 study · 40 participantsVery low
Downgraded: risk of bias, inconsistency
Hospital stay
T‐tube drainage vs primary closure
no estimate extracted5 studies · 333 participantsVery low
Downgraded: risk of bias, inconsistency