Cochrane · systematic review · CD010373

Retroperitoneal versus transperitoneal approach for elective open abdominal aortic aneurysm repair

Mei, F, Hu, K, Zhao, B, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Vascular2 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

current version

GRADE rated

No studies

Included studies

No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 77.8%Low 2 · 22.2%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

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Retroperitoneal approach compared with transperitoneal approach for elective open AAA repair

Population: people with AAA

7 questions

Outcome	Effect	Evidence	Status / GRADE
Mortality Retroperitoneal approach vs transperitoneal approach	OR 0.32 [0.01, 8.25]	3 studies · 110 participants	Very low Downgraded: risk of bias, imprecision
Complications: hematoma Retroperitoneal approach vs transperitoneal approach	OR 0.9 [0.13, 6.48]	2 studies · 75 participants	Very low Downgraded: risk of bias, imprecision
Complications: abdominal wall hernia Retroperitoneal approach vs transperitoneal approach	OR 10.76 [0.55, 211.78]	1 study · 48 participants	Very low Downgraded: risk of bias, imprecision
Complications: chronic wound pain Retroperitoneal approach vs transperitoneal approach	OR 2.2 [0.36, 13.34]	1 study · 48 participants	Very low Downgraded: risk of bias, imprecision
ICU stay (hrs) recorded at end of ICU stay Retroperitoneal approach vs transperitoneal approach	no estimate extracted	3 studies · 106 participants	Low Downgraded: risk of bias, imprecision
Hospital stay (days) recorded at end of hospital stay Retroperitoneal approach vs transperitoneal approach	no estimate extracted	5 studies · 152 participants	Low Downgraded: risk of bias, inconsistency
Blood loss (mL) recorded after operation Retroperitoneal approach vs transperitoneal approach	no estimate extracted	4 studies · 129 participants	Very low Downgraded: risk of bias, imprecision, inconsistency

Retroperitoneal approach compared with transperitoneal approach for elective open AAA repair (additional secondary outcomes)

Population: people with AAA

2 questions

Outcome	Effect	Evidence	Status / GRADE
Aortic cross‐clamp time (minutes) recorded after operation Retroperitoneal approach vs transperitoneal approach	no estimate extracted	4 studies · 129 participants	Very low Downgraded: risk of bias, imprecision, inconsistency
Operating time (minutes) recorded after operation Retroperitoneal approach vs transperitoneal approach	no estimate extracted	4 studies · 129 participants	Very low Downgraded: risk of bias, imprecision, inconsistency