Cochrane · systematic review · CD012827
Open versus laparoscopic pyloromyotomy for pyloric stenosis
Staerkle, RF, Lunger, F, Fink, L, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
GutAMSTAR 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 5 · 71.4%Low 2 · 28.6%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 pyloromyotomy compared to open pyloromyotomy for pyloric stenosis
Population: infants (< 1 year of age) with hypertrophic pyloric stenosis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mucosal perforation Laparoscopic pyloromyotomy vs open pyloromyotomy | RR 1.6 [0.49, 5.26] | 7 studies · 720 participants | Low Downgraded: risk of bias, imprecision |
Incomplete pyloromyotomy Laparoscopic pyloromyotomy vs open pyloromyotomy | RR 7.37 [0.92, 59.11] | 4 studies · 502 participants | Low Downgraded: risk of bias, imprecision |
Postoperative wound infection or abscess formation Laparoscopic pyloromyotomy vs open pyloromyotomy | RR 0.59 [0.24, 1.45] | 7 studies · 720 participants | Very low Downgraded: risk of bias, imprecision |
Postoperative incisional hernia Laparoscopic pyloromyotomy vs open pyloromyotomy | RR 1.01 [0.11, 9.53] | 4 studies · 382 participants | Very low Downgraded: risk of bias, imprecision |
Length of hospital stay Laparoscopic pyloromyotomy vs open pyloromyotomy | no estimate extracted | 5 studies · 562 participants | Very low Downgraded: risk of bias, imprecision |
Time to full feeds Laparoscopic pyloromyotomy vs open pyloromyotomy | no estimate extracted | 6 studies · 622 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Operating time Laparoscopic pyloromyotomy vs open pyloromyotomy | no estimate extracted | 6 studies · 622 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |