Hand‐assisted laparoscopic repair compared to EVAR for elective abdominal aortic aneurysm repair

Patient or population: People undergoing elective abdominal aortic aneurysm repair
Setting: Hospital
Intervention: Hand‐assisted laparoscopic AAA repair
Comparison: EVAR

In‐hospital mortality

Not estimable

100
(1 RCT)

⊕⊕⊝⊝
LOW ^{1 2}

0 participants died while in hospital in this study

Operative time (minutes)

‐

100
(1 RCT)

⊕⊕⊝⊝
LOW ^{1 2}

Major complications ‐ lower limb ischaemia (up to 12 months)

RR 0.50
(0.05 to 5.34)

100
(1 RCT)

⊕⊕⊝⊝
LOW ^{1 2}

Long‐term complications (12 months or longer if reported)

outcome not reported

All‐cause mortality/survival (> 30 days)

outcome not reported

Length of ICU stay (days)

outcome not reported

Overall length of hospital stay (days)

Not estimable

100
(1 RCT)

⊕⊕⊝⊝
LOW ^{1 2}

Standard deviations around the mean length of hospital stay were not reported

*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).

CI: confidence interval; EVAR: endovascular repair; ICU: intensive care unit; RR: risk ratio

GRADE Working Group grades of evidence
High quality: we are very confident that the true effect lies close to that of the estimate of the effect
Moderate quality: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
Low quality: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect
Very low quality: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect