Cochrane · systematic review · CD009814
Trocar types in laparoscopy
la Chapelle, CF, Swank, HA, Wessels, ME, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
Gynaecology and FertilityAMSTAR 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
16
current version
GRADE rated
15
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 6.3%Very low 15 · 93.8%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
Radially expanding trocars compared to cutting trocars for laparoscopy
Population: people undergoing laparoscopy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Visceral injury Radially expanding trocars vs cutting trocars | OR 0.95 [0.06, 15.32] | 4 studies · 473 participants | Very low Downgraded: risk of bias, imprecision |
Vascular injury Radially expanding trocars vs cutting trocars | OR 0.14 [0, 7.16] | 4 studies · 473 participants | Very low Downgraded: risk of bias, imprecision |
Trocar site herniation Radially expanding trocars vs cutting trocars | no estimate extracted | 4 studies · 463 participants | Very low Downgraded: risk of bias, imprecision |
Trocar site bleeding Radially expanding trocars vs cutting trocars | OR 0.28 [0.14, 0.54] | 5 studies · 553 participants | Very low Downgraded: risk of bias, imprecision |
Trocar site haematoma5 Radially expanding trocars vs cutting trocars | no estimate extracted | 2 studies · 238 participants | Very low Downgraded: risk of bias, imprecision |
Postoperative pain6 Radially expanding trocars vs cutting trocars | no estimate extracted | 4 studies · 306 participants | Ungraded |
Conical blunt‐tipped trocar compared to cutting trocar for laparoscopy
Population: people undergoing laparoscopy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Visceral injury Conical blunt‐tipped trocar vs cutting trocar | no estimate extracted | 1 study · 42 participants | Very low Downgraded: risk of bias, imprecision |
Vascular injury Conical blunt‐tipped trocar vs cutting trocar | no estimate extracted | 1 study · 42 participants | Very low Downgraded: risk of bias, imprecision |
Trocar site bleeding Conical blunt‐tipped trocar vs cutting trocar | OR 0.13 [0.01, 2.12] | 1 study · 30 participants | Very low Downgraded: risk of bias, imprecision |
Postoperative pain5 Conical blunt‐tipped trocar vs cutting trocar | no estimate extracted | 1 study · 42 participants | Very low Downgraded: risk of bias, imprecision |
Radially expanding trocar compared to conical blunt‐tipped trocar for laparoscopy
Population: people undergoing laparoscopy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Visceral injury Radially expanding trocar vs conical blunt‐tipped trocar | no estimate extracted | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision |
Vascular injury Radially expanding trocar vs conical blunt‐tipped trocar | no estimate extracted | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision |
Trocar site herniation Radially expanding trocar vs conical blunt‐tipped trocar | no estimate extracted | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision |
Single‐bladed trocar compared to pyramidal‐bladed trocar for laparoscopy
Population: people undergoing laparoscopy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Visceral injury Single‐bladed trocar vs pyramidal‐bladed trocar | no estimate extracted | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision |
Vascular injury Single‐bladed trocar vs pyramidal‐bladed trocar | no estimate extracted | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision |
Trocar site herniation Single‐bladed trocar vs pyramidal‐bladed trocar | no estimate extracted | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision |