Cochrane · systematic review · CD009060

Methods of intraperitoneal local anaesthetic instillation for laparoscopic cholecystectomy

Gurusamy, KS, Nagendran, M, Toon, CD, 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
7
current version
GRADE rated
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 6 · 85.7%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

Methods of intraperitoneal local anaesthetic instillation for laparoscopic cholecystectomy

Population: people undergoing laparoscopic cholecystectomy
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
no estimate extracted1 study · 206 participantsVery low
Downgraded: risk of bias
Morbidity
no estimate extracted1 study · 206 participantsVery low
Downgraded: risk of bias
Just after creation of pneumoperitoneum versus end of surgery
RR 0.98 [0.65, 1.5]1 study · 33 participantsVery low
Downgraded: risk of bias
Subdiaphragmatic instillation versus gallbladder bed instillation
RR 1.56 [0.76, 3.19]1 study · 82 participantsVery low
Downgraded: risk of bias
Hospital stay
no estimate extractedNRNo studies
Bupivacaine versus lignocaine
no estimate extracted1 study · 206 participantsVery low
Downgraded: risk of bias
Aerosol versus liquid
no estimate extracted1 study · 60 participantsVery low
Downgraded: risk of bias