evidence/gaps
Cochrane · systematic review · CD010507

Laparoscopic‐endoscopic rendezvous versus preoperative endoscopic sphincterotomy in people undergoing laparoscopic cholecystectomy for stones in the gallbladder and bile duct

Vettoretto, N, Arezzo, A, Famiglietti, F, et al. · Cochrane Database of Systematic Reviews · 2018 · 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 33.3%Low 4 · 66.7%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

Summary of findings in the analysed outcomes

Population: patients with stones in the gallbladder and common bile duct undergoing laparoscopic cholecystectomy
6 questions
OutcomeEffectEvidenceStatus / GRADE
Overall mortality (30‐day postoperative; procedure‐ and non‐procedure related)
no estimate extracted5 studies · 516 participantsLow
Downgraded: risk of bias, imprecision
Overall morbidity (30‐day postoperative; procedure‐ and non‐procedure related)
RR 0.59 [0.29, 1.2]4 studies · 433 participantsLow
Downgraded: risk of bias, imprecision
Failure of primary clearance
RR 0.55 [0.22, 1.38]5 studies · 516 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Clinical postoperative pancreatitis
RR 0.31 [0.09, 1.14]5 studies · 516 participantsLow
Downgraded: risk of bias, imprecision
Operative time
MD 34.07 [11.41, 56.74]3 studies · 313 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Length of hospital stay
no estimate extracted5 studies · 515 participantsLow
Downgraded: risk of bias, imprecision