Cochrane · systematic review · CD006437
Closure methods of the appendix stump for complications during laparoscopic appendectomy
Mannu, GS, Sudul, MK, Bettencourt‐Silva, JH, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
ColorectalAMSTAR 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
32
current version
GRADE rated
32
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 32 · 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
Mechanical devices versus ligature for appendix stump closure during laparoscopic appendectomy
Population: patients undergoing appendix stump closure during laparoscopic appendectomy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total complications Mechanical devices vs ligature | OR 0.97 [0.27, 3.5] | 8 studies · 850 participants | Very low Downgraded: inconsistency |
Intraoperative complications Mechanical devices vs ligature | OR 0.93 [0.34, 2.55] | 8 studies · 850 participants | Very low Downgraded: inconsistency |
Postoperative complications Mechanical devices vs ligature | OR 0.8 [0.21, 3.13] | 8 studies · 850 participants | Very low Downgraded: inconsistency |
Postoperative superficial infections Mechanical devices vs ligature | OR 0.58 [0.18, 1.93] | 8 studies · 850 participants | Very low Downgraded: inconsistency |
Postoperative ileus Mechanical devices vs ligature | OR 0.47 [0.19, 1.18] | 8 studies · 850 participants | Very low Downgraded: inconsistency |
Postoperative deep infections Mechanical devices vs ligature | OR 0.79 [0.24, 2.53] | 8 studies · 850 participants | Very low Downgraded: inconsistency |
Operative time (minutes) Mechanical devices vs ligature | no estimate extracted | 8 studies · 850 participants | Very low Downgraded: inconsistency |
Hospital stay (days) Mechanical devices vs ligature | no estimate extracted | 8 studies · 850 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Endoscopic stapler versus ligature for appendix stump closure during laparoscopic appendectomy
Population: patients undergoing appendix stump closure during laparoscopic appendectomy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total complications Endoscopic stapler vs ligature | OR 0.34 [0.05, 2.41] | 3 studies · 327 participants | Very low Downgraded: inconsistency |
Intraoperative complications Endoscopic stapler vs ligature | OR 1.06 [0.17, 6.7] | 3 studies · 327 participants | Very low Downgraded: inconsistency |
Postoperative complications Endoscopic stapler vs ligature | OR 0.2 [0.09, 0.44] | 3 studies · 327 participants | Very low Downgraded: inconsistency |
Postoperative superficial infections Endoscopic stapler vs ligature | OR 0.1 [0.01, 0.84] | 3 studies · 327 participants | Very low Downgraded: inconsistency |
Postoperative ileus Endoscopic stapler vs ligature | OR 0.37 [0.13, 1.07] | 3 studies · 327 participants | Very low Downgraded: inconsistency |
Postoperative deep infections Endoscopic stapler vs ligature | OR 0.45 [0.1, 2.08] | 3 studies · 327 participants | Very low Downgraded: inconsistency |
Operative time (minutes) Endoscopic stapler vs ligature | no estimate extracted | 3 studies · 327 participants | Very low Downgraded: inconsistency |
Hospital stay (days) Endoscopic stapler vs ligature | no estimate extracted | 3 studies · 327 participants | Very low Downgraded: inconsistency |
Clips versus ligature for appendix stump closure during laparoscopic appendectomy
Population: patients undergoing appendix stump closure during laparoscopic appendectomy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total complications Clips vs ligature | OR 2.03 [0.71, 5.84] | 6 studies · 553 participants | Very low Downgraded: inconsistency |
Intraoperative complications Clips vs ligature | OR 1.74 [0.33, 9.04] | 6 studies · 553 participants | Very low Downgraded: inconsistency |
Postoperative complications Clips vs ligature | OR 1.88 [0.63, 5.64] | 6 studies · 553 participants | Very low Downgraded: inconsistency |
Postoperative superficial infections Clips vs ligature | OR 1.25 [0.32, 4.9] | 6 studies · 553 participants | Very low Downgraded: inconsistency |
Postoperative ileus Clips vs ligature | OR 0.92 [0.15, 5.64] | 6 studies · 553 participants | Very low Downgraded: inconsistency |
Postoperative deep infections Clips vs ligature | OR 1.75 [0.28, 10.93] | 6 studies · 553 participants | Very low Downgraded: inconsistency |
Operative time (minutes) Clips vs ligature | no estimate extracted | 6 studies · 553 participants | Very low Downgraded: inconsistency |
Hospital stay (days) Clips vs ligature | no estimate extracted | 6 studies · 553 participants | Very low Downgraded: inconsistency |
Endoscopic stapler versus clips for appendix stump closure during laparoscopic appendectomy
Population: patients undergoing appendix stump closure during laparoscopic appendectomy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Total complications Endoscopic stapler vs clips | OR 1 [0.13, 7.6] | 1 study · 60 participants | Very low Downgraded: imprecision |
Intraoperative complications Endoscopic stapler vs clips | OR 1 [0.13, 7.6] | 1 study · 60 participants | Very low Downgraded: imprecision |
Postoperative complications Endoscopic stapler vs clips | no estimate extracted | 1 study · 60 participants | Very low Downgraded: imprecision |
Postoperative superficial infections Endoscopic stapler vs clips | no estimate extracted | 1 study · 60 participants | Very low Downgraded: imprecision |
Postoperative ileus Endoscopic stapler vs clips | no estimate extracted | 1 study · 60 participants | Very low Downgraded: imprecision |
Postoperative deep infections Endoscopic stapler vs clips | no estimate extracted | 1 study · 60 participants | Very low Downgraded: imprecision |
Operative time (minutes) Endoscopic stapler vs clips | no estimate extracted | 1 study · 60 participants | Very low Downgraded: imprecision |
Hospital stay (days) Endoscopic stapler vs clips | no estimate extracted | 1 study · 60 participants | Very low Downgraded: imprecision |