Cochrane · systematic review · CD011670

Early versus delayed appendicectomy for appendiceal phlegmon or abscess

Zhou, S, Cheng, Y, Cheng, N, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library

Colorectal2 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 5 · 35.7%Ungraded 0 · 0%Very low 9 · 64.3%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

Show all 2 versions

Early versus delayed open or laparoscopic appendicectomy for appendiceal phlegmon

Population: paediatric and adult participants with appendiceal phlegmon

7 questions

Outcome	Effect	Evidence	Status / GRADE
Overall morbidity Median Early vs delayed open or laparoscopic appendicectomy	RR 0.74 [0.19, 2.86]	3 studies · 146 participants	Very low Downgraded: risk of bias, imprecision, inconsistency
Wound infection Median Early vs delayed open or laparoscopic appendicectomy	RR 0.99 [0.48, 2.02]	7 studies · 788 participants	Very low Downgraded: risk of bias, imprecision, inconsistency
Abdominal abscess Median Early vs delayed open or laparoscopic appendicectomy	RR 0.26 [0.08, 0.8]	4 studies · 626 participants	Very low Downgraded: risk of bias, imprecision
Faecal fistula Median Early vs delayed open or laparoscopic appendicectomy	RR 1.75 [0.36, 8.49]	5 studies · 388 participants	Very low Downgraded: risk of bias, imprecision
Mortality Median Early vs delayed open or laparoscopic appendicectomy	no estimate extracted	7 studies · 788 participants	Very low Downgraded: risk of bias, imprecision
Total length of hospital stay (days) Early vs delayed open or laparoscopic appendicectomy	no estimate extracted	5 studies · 680 participants	Very low Downgraded: risk of bias, inconsistency
Time away from normal activities (days) Median Early vs delayed open or laparoscopic appendicectomy	MD 5 [1.52, 8.48]	1 study · 40 participants	Very low Downgraded: risk of bias, imprecision

Early versus delayed laparoscopic appendicectomy for appendiceal abscess

Population: paediatric participants with appendiceal abscess

7 questions

Outcome	Effect	Evidence	Status / GRADE
Overall morbidity Early vs delayed laparoscopic appendicectomy	no estimate extracted	NR	No studies
Wound infection Early vs delayed laparoscopic appendicectomy	no estimate extracted	NR	No studies
Abdominal abscess Early vs delayed laparoscopic appendicectomy	no estimate extracted	NR	No studies
Faecal fistula Early vs delayed laparoscopic appendicectomy	no estimate extracted	NR	No studies
Mortality Early vs delayed laparoscopic appendicectomy	no estimate extracted	1 study · 40 participants	Very low Downgraded: risk of bias, imprecision
Total length of hospital stay (days) Early vs delayed laparoscopic appendicectomy	no estimate extracted	1 study · 40 participants	Very low Downgraded: risk of bias, imprecision
Time away from normal activities (days) Early vs delayed laparoscopic appendicectomy	no estimate extracted	NR	No studies