Cochrane · systematic review · CD011668

Transperitoneal versus retroperitoneal laparoscopic adrenalectomy for adrenal tumours in adults

Arezzo, A, Bullano, A, Cochetti, G, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Metabolic and Endocrine DisordersAMSTAR 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
5
current version
GRADE rated
4
No studies
1
Included studies
NR
No studies 1 · 20%Ungraded 0 · 0%Very low 3 · 60%Low 1 · 20%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

Laparoscopic retroperitoneal adrenalectomy compared to laparoscopic transperitoneal adrenalectomy for adrenal tumours in adults

5 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
Laparoscopic retroperitoneal adrenalectomy vs laparoscopic transperitoneal adrenalectomy
no estimate extracted3 studies · 164 participantsLow
Downgraded: risk of bias, imprecision
Early morbidity (any complication during the first 30 to 60 days following surgery)
Laparoscopic retroperitoneal adrenalectomy vs laparoscopic transperitoneal adrenalectomy
RR 0.56 [0.27, 1.16]5 studies · 244 participantsVery low
Downgraded: risk of bias, imprecision
Late morbidity (any complication following surgery at latest available
Laparoscopic retroperitoneal adrenalectomy vs laparoscopic transperitoneal adrenalectomy
RR 0.12 [0.01, 0.92]3 studies · 146 participantsVery low
Downgraded: risk of bias, imprecision
Health‐related quality of life
Laparoscopic retroperitoneal adrenalectomy vs laparoscopic transperitoneal adrenalectomy
no estimate extractedNRNo studies
Socioeconomic effects a. Time to return to normal activities b. Time to ambulation c. Length of hospital stay
Laparoscopic retroperitoneal adrenalectomy vs laparoscopic transperitoneal adrenalectomy
no estimate extracted3 studies · 102 participantsVery low
Downgraded: risk of bias, imprecision