Table 1.
Characteristics of included studies
| IAP (mmHg) | Number of patients | |||||||
|---|---|---|---|---|---|---|---|---|
| References | Low | Standard | Deep NMB | Total number of patients | Low | Standard | Type of procedure | Poor qualitya |
| Aditianingsih et al. 24 | 8 | 12 | No | 44 | 22 | 22 | LDN | |
| Akkoc et al. 25 | 10/12/14 | Unknown | 76 | 24/25/27 | UL | Yes | ||
| Albers et al. 26 | 8 | 12 | Yesb | 178 | 89 | 89 | LC | |
| Ali et al. 27 | 10/>10 | Unknown | 160 | 80/80 | LChol | Yes | ||
| Anwaar et al. 28 | 7–10 | 12–16 | Unknown | 100 | 50 | 50 | LChol | Yes |
| Aydin et al. 29 | 8 | 12 | Unknown | 60 | 30 | 30 | LChol | |
| Barczynski et al. 30 | 7 | 12 | Unknown | 148 | 74 | 74 | LChol | |
| Barrio et al. 31 | 8 | 12 | Yesc | 90 | 60 | 30 | LChol | |
| Basgul et al. 32 | 10/14–15 | Unknown | 22 | 11 | 11 | LChol | Yes | |
| Bhattacharjee et al. 33 | 9–10 | 14 | Unknown | 80 | 40 | 40 | LChol | |
| Bogani et al. 34 | 8 | 12 | Unknown | 42 | 20 | 22 | LH | |
| Budhiraja et al. 35 | 7 | 12 | Unknown | 100 | 50 | 50 | LChol | Yes |
| Cai et al. 36 | 10/12/15 | Unknown | 66 | 22/22/22 | LC | |||
| Celarier et al. 37 | 7 | 12 | Yesd | 127 | 62 | 65 | LC | |
| Celik et al. 38 | 8 | 12/14 | Unknown | 60 | 20 | 20/20 | LChol | |
| Chang et al. 39 | 6–8/9–11 | 12–14 | Unknown | 150 | 50/50 | 50 | LChol | |
| Chok et al. 40 | 7 | 12 | Unknown | 40 | 20 | 20 | LChol | |
| de’Angelis et al. 41 | 8 | 12 | Unknown | 161 | 35 | 126 | LChol | Yes |
| Dexter et al. 42 | 7 | 15 | Unknown | 20 | 10 | 10 | LChol | Yes |
| Diaz-Cambronero et al. 43 | 8 | 12 | Yesb | 166 | 85 | 81 | LC | |
| Doğan et al. 44 | 7 | 10/13 | Unknown | 90 | 30 | 30/30 | LChol | |
| Donmez et al. 45 | 10/14 | Unknown | 50 | 25/25 | LChol | |||
| Ekici et al. 46 | 7 | 15 | Unknown | 52 | 20 | 32 | LChol | |
| Eryilmaz et al. 47 | 10/14 | Unknown | 43 | 20/23 | LChol | |||
| Esmat et al. 48 | 10/14 | Unknown | 71 | 34/37 | LChol | Yes | ||
| Gin et al. 49 | 8 | 12 | No | 100 | 51 | 49 | LChol | |
| Goel et al. 50 | 7–10 | 12–14 | Unknown | 60 | 30 | 30 | LChol | Yes |
| Gupta et al. 51 | 8 | 14 | Unknown | 101 | 50 | 51 | LChol | |
| Hasukić et al. 52 | 7 | 14 | Unknown | 50 | 25 | 25 | LChol | |
| Ibraheim et al. 53 | 6–8 | 12–14 | No | 20 | 10 | 10 | LChol | Yes |
| Joshipura et al. 54 | 8 | 12 | Unknown | 26 | 14 | 12 | LChol | |
| Kandil et al. 55 | 8 | 10/12/14 | Unknown | 100 | 25 | 25/25/25 | LChol | Yes |
| Kanwer et al. 56 | 7–10 | 12–14 | Unknown | 60 | 30 | 30 | LChol | Yes |
| Karagulle et al. 57 | 8 | 12/15 | No | 45 | 15 | 15/15 | LChol | Yes |
| Kendir et al. 58 | 10/14 | Unknown | 40 | 20/20 | LChol | Yes | ||
| Khan et al. 59 | 8 | 14 | Unknown | 214 | 107 | 107 | LChol | |
| Kim et al. 60 | 8 | 13 | No | 46 | 23 | 23 | GL | |
| Kim et al. 61 | 8 | 12 | Yesb | 74 | 37 | 37 | GL | |
| Koc et al. 62 | 10/15 | Unknown | 50 | 25/25 | LChol | |||
| Ko-Iam et al. 63 | 7 | 14 | Unknown | 120 | 60 | 60 | LChol | |
| Kundu et al. 64 | 8 | 10/12/15 | Unknown | 360 | 62 | 102/123/73 | GL | |
| Luo et al. 65 | 10/15 | Unknown | 102 | 51/51 | RL | Yes | ||
| Madsen et al. 66 | 8 | 12 | Yese | 28 | 14 | 14 | GL | |
| Madsen et al. 67 | 8 | 12 | Yesb | 99 | 49 | 50 | LH | |
| Madsen et al. 68 | 8 | 12 | Yesb | 110 | 55 | 55 | LH | |
| Marton Filho et al. 69 | 6–8 | 10–12 | Yesd | 64 | 31 | 33 | LChol | |
| Matsuzaki et al. 70 | 8 | 12 | Unknown | 68 | 32 | 36 | LH | Yes |
| Matsuzaki et al. 71 | 8 | 12 | No | 82 | 41 | 41 | LH | |
| Mohammadzade et al. 72 | 7–10 | 12–14 | Unknown | 60 | 30 | 30 | LChol | Yes |
| Moro et al. 73 | 10/14 | Yesd | 80 | 40/40 | LChol | |||
| Murtaza et al. 74 | 8 | 12 | Unknown | 80 | 40 | 40 | LChol | Yes |
| Nasajiyan et al. 75 | 7–9 | 14–15 | Unknown | 50 | 25 | 25 | LChol | |
| Nematihonar et al. 76 | 6–8 | 12–14 | Unknown | 202 | 101 | 101 | LChol | Yes |
| Neogi et al. 77 | 7 | 14 | Unknown | 80 | 32 | 48 | LChol | |
| Nuna et al. 78 | 8–10 | 12–14 | Unknown | 50 | 25 | 25 | LChol | Yes |
| O et al. 79 | 7/9 | 12 | No | 54 | 20/21 | 13 | LChol | Yes |
| Özdemir-van Brunschot et al. 80 | 6 | 12 | Yesd | 63 | 33 | 30 | LDN | |
| Perrakis et al. 81 | 8 | 15 | Unknown | 40 | 20 | 20 | LChol | |
| Pulle et al. 82 | 8–10 | 13–15 | Unknown | 194 | 94 | 100 | LChol | |
| Radosa et al. 83 | 8 | 15 | Unknown | 178 | 91 | 87 | LH | |
| Rehman et al. 84 | 7 | 14 | Unknown | 60 | 30 | 30 | LChol | Yes |
| Rohloff et al. 85 | 8 | 12 | Unknown | 201 | 96 | 105 | RALP | |
| Rosenberg et al. 86 | 8 | 12 | Yesf | 127 | 60 | 67 | LChol | |
| Sandhu et al. 87 | 7 | 14 | Unknown | 140 | 70 | 70 | LChol | Yes |
| Sandoval-Jiménez et al. 88 | 7 | 12–15 | Unknown | 68 | 34 | 34 | LChol | |
| Sarli et al. 89 | 9 | 13 | Unknown | 90 | 46 | 44 | LChol | |
| Sattar et al. 90 | <12/12–16 | Unknown | 180 | 90 | 90 | LChol | Yes | |
| Schietroma et al. 91 | 6–8 | 12–14 | Unknown | 68 | 33 | 35 | LNF | Yes |
| Schietroma et al. 92 | 6–8 | 12–14 | Unknown | 51 | 25 | 26 | LA | |
| Sefr et al. 93 | 10/14 | Unknown | 32 | 10/22 | LChol | |||
| Sharma et al. 94 | 8 | 14 | Unknown | 50 | 25 | 25 | LChol | |
| Shoar et al. 95 | 8 | 12 | Unknown | 50 | 25 | 25 | LChol | |
| Singla et al. 96 | 7–8 | 12–14 | No | 100 | 50 | 50 | LChol | |
| Song et al. 97 | 10/11–12/13–14/15–16 | Unknown | 118 | 35/31 /28/24 | GL | Yes | ||
| Sood et al. 98 | 8–10 | 15 | Yesd | 9 | 5 | 4 | LA | |
| Sroussi et al. 99 | 7 | 15 | Unknown | 60 | 30 | 30 | GL | |
| Topal et al. 100 | 10/13/16 | Unknown | 60 | 20/20/20 | LChol | |||
| Topçu et al. 101 | 8 | 12/15 | Unknown | 150 | 54 | 48/48 | GL | |
| Torres et al. 102 | 6–8 | 12–14 | Unknown | 40 | 20 | 20 | LChol | Yes |
| Vijayaraghavan et al. 103 | 8 | 12 | No | 43 | 22 | 21 | LChol | |
| Wallace et al. 104 | 7.5 | 15 | Unknown | 40 | 20 | 20 | LChol | |
| Warlé et al. 105 | 7–9 | 12–16 | No | 20 | 10 | 10 | LDN | |
| Xiao et al. 106 | 7–9 | 11–13 | Unknown | 96 | 48 | 48 | LChol | Yes |
| Yasir et al. 107 | 8 | 14 | Unknown | 100 | 50 | 50 | LChol | Yes |
| Zaman et al. 108 | 7–8 | 12–14 | Unknown | 50 | 25 | 25 | LChol | Yes |
GL, gynecological laparoscopy; IAP, intra-abdominal pressure; LA, laparoscopic adrenalectomy; LC, laparoscopic colorectal surgery; LChol, laparoscopic cholecystectomy; LDN, laparoscopic donor nephrectomy; LH, (mini-) laparoscopic hysterectomy; LNF, laparoscopic Nissen fundoplication; NMB, neuromuscular block; RALP, robot-assisted laparoscopic prostatectomy; RL, retroperitoneal laparoscopic surgery; UL, urinary tract laparoscopy.
Assessed according to the Cochrane risk of bias Tool; three or more bias items scored ‘unclear bias’ or ‘high risk’.
Deep NMB with low IAP and moderate NMB with standard IAP.
Deep and moderate NMB in low group.
Deep NMB in both groups.
Deep NMB and no NMB in both groups.
Deep and moderate in both groups.