Cochrane · systematic review · CD007109
Fewer‐than‐four ports versus four ports for laparoscopic cholecystectomy
Gurusamy, KS, Vaughan, J, Rossi, M, et al. · Cochrane Database of Systematic Reviews · 2014 · 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
10
current version
GRADE rated
10
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 10 · 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
Fewer‐than‐four ports compared with four ports for laparoscopic cholecystectomy
Population: people undergoing laparoscopic cholecystectomy.
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Fewer‐than‐four ports vs four ports | no estimate extracted | 7 studies · 634 participants | Very low Downgraded: risk of bias |
Serious adverse events Fewer‐than‐four ports vs four ports | RR 3.93 [0.86, 18.04] | 7 studies · 634 participants | Very low Downgraded: risk of bias |
Quality of life Fewer‐than‐four ports vs four ports | no estimate extracted | 4 studies · 510 participants | Very low Downgraded: risk of bias |
Conversion to open cholecystectomy Fewer‐than‐four ports vs four ports | RR 0.68 [0.19, 2.35] | 5 studies · 581 participants | Very low Downgraded: risk of bias |
Operating time Fewer‐than‐four ports vs four ports | no estimate extracted | 9 studies · 855 participants | Very low Downgraded: risk of bias, inconsistency |
Hospital stay Fewer‐than‐four ports vs four ports | no estimate extracted | 6 studies · 731 participants | Very low Downgraded: risk of bias, inconsistency |
Proportion discharged as day surgery Fewer‐than‐four ports vs four ports | RR 0.92 [0.7, 1.22] | 1 study · 50 participants | Very low Downgraded: risk of bias |
Return to normal activity Fewer‐than‐four ports vs four ports | no estimate extracted | 2 studies · 325 participants | Very low Downgraded: risk of bias |
Return to work Fewer‐than‐four ports vs four ports | no estimate extracted | 1 study · 150 participants | Very low Downgraded: risk of bias |
Cosmetic score Fewer‐than‐four ports vs four ports | no estimate extracted | 2 studies · 317 participants | Very low |