Cochrane · systematic review · CD007337

Intraperitoneal local anaesthetic instillation versus no intraperitoneal local anaesthetic instillation for laparoscopic cholecystectomy

Rutherford, D, Massie, EM, Worsley, C, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Hepato-Biliary2 versionsAMSTAR 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
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 3 · 42.9%Low 2 · 28.6%Moderate 1 · 14.3%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

Show all 2 versions

Summary of findings table ‐ Intraperitoneal local anaesthetic compared to control for patients undergoing laparoscopic cholecystectomy

Population: patients undergoing laparoscopic cholecystectomy
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
Summary of findings table ‐ Intraperitoneal local anaesthetic vs control
no estimate extracted8 studies · 446 participantsVery low
Downgraded: risk of bias, imprecision
Serious adverse events
Summary of findings table ‐ Intraperitoneal local anaesthetic vs control
RR 1.07 [0.49, 2.34]13 studies · 988 participantsVery low
Downgraded: risk of bias, imprecision
Health related quality of life ‐ not measured
Summary of findings table ‐ Intraperitoneal local anaesthetic vs control
no estimate extractedNRNo studies
Hospital stay
Summary of findings table ‐ Intraperitoneal local anaesthetic vs control
no estimate extracted12 studies · 936 participantsModerate
Downgraded: risk of bias
Proportion discharged as day surgery
Summary of findings table ‐ Intraperitoneal local anaesthetic vs control
RR 1.43 [0.64, 3.2]3 studies · 242 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Pain (4 to 8 hours)Scale from: 1 to 10
Summary of findings table ‐ Intraperitoneal local anaesthetic vs control
no estimate extracted57 studies · 4046 participantsLow
Downgraded: risk of bias, inconsistency
Pain (9 to 24 hours)Scale from: 1 to 10
Summary of findings table ‐ Intraperitoneal local anaesthetic vs control
no estimate extracted52 studies · 3588 participantsLow
Downgraded: risk of bias, inconsistency