Safety and efficiency of gasless laparoscopy: a systematic review protocol

Area of Science:

• Minimally invasive surgery
• Surgical techniques
• Health economics

Background:

• Gasless laparoscopy, developed in the 1990s, offers an alternative to traditional laparoscopic surgery by avoiding pneumoperitoneum and general anesthesia.
• It has applications in general surgery and gynecology, including diagnostic procedures.
• Evidence suggests its utility in resource-limited settings and potential cost savings for hospitals.

Purpose of the Study:

• To systematically review the safety and efficiency of gasless laparoscopy.
• To compare gasless laparoscopy with conventional laparoscopy and open surgery.
• To analyze the benefits of gasless laparoscopy for hospitals in low-resource settings.

Main Methods:

• Systematic review protocol following PRISMA-P guidelines.
• Comprehensive literature search across multiple databases (MEDLINE, Embase, Web of Science, Cochrane Central, Global Index Medicus, NIH Clinical Trials).
• Quality and risk of bias assessment using GRADE, Cochrane Risk of Bias tool, RoB II, and ROBINS I.

Main Results:

• The study will provide a comprehensive review of published articles on gasless laparoscopy.
• Outcomes will focus on the safety and efficiency of gasless laparoscopy.
• Comparisons will be made against conventional laparoscopy and laparotomy.

Conclusions:

• The systematic review will elucidate the comparative safety and efficiency of gasless laparoscopy.
• Findings will inform the adoption of gasless laparoscopy, especially in resource-limited environments.
• The study aims to highlight the clinical and economic advantages of this surgical approach.