ArticleSurgical endoscopy2018
Trauma laparoscopy: when to start and when to convert?
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Laparoscopy vs. Laparotomy for the Management of Abdominal Trauma: A Systematic Review and Meta-Analysis.Frontiers in surgery · 2022Pooled it
- [Value of laparoscopy in blunt and penetrating abdominal trauma-a systematic review].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Pooled it
- The Analysis of Risk Factors in the Conversion from Laparoscopic to Open Cholecystectomy.International journal of environmental research and public health · 2020Trial
- Laparoscopy as the initial approach for hemodynamically stable abdominal stab wounds requiring exploration: a South African single-center experience.Surgical endoscopy · 2026Article
- Quantifying lens obstructions in minimally invasive surgery: the impact on performance and outcomes.Frontiers in surgery · 2025Review
- Role of laparoscopic surgery in managing hemodynamically stable abdominal trauma patients: a single level I trauma center, propensity score matching study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Can Hemogram Parameters and Derived Ratios Predict Conversion From Laparoscopic to Open Cholecystectomy?Cureus · 2024Article
- Lean Six Sigma Approach to Improve the Management of Patients Undergoing Laparoscopic Cholecystectomy.Healthcare (Basel, Switzerland) · 2024Article
- Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma.World journal of emergency surgery : WJES · 2023Article
- Factors associated with conversion in laparoscopic surgery in a low-resource setting: a single-center prospective study.Surgical endoscopy · 2023Article
- Introduction of Laparoscopy in an Urban High-Volume Sub-Saharan Trauma Centre.World journal of surgery · 2023Review
- The Association of Polish Surgeons (APS) clinical guidelines for the use of laparoscopy in the management of abdominal emergencies. Part I.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Article
- Laparoscopy in Trauma: Can Brazil fit into the global trend?Revista do Colegio Brasileiro de Cirurgioes · 2023Article
- Laparoscopy has better performance than laparotomy in the treatment of stable penetrating abdominal trauma: A retrospective cross-sectional study in a trauma referral hospital in Colombia.Health science reports · 2022Article
- The Efficacy and Safety of Laparoscopy for Blunt Abdominal Trauma: A Systematic Review and Meta-Analysis.Journal of clinical medicine · 2021Article
- Are we doing too many non-therapeutic laparotomies in trauma? An analysis of the National Trauma Data Bank.Surgical endoscopy · 2020Article
- Laparoscopy in penetrating abdominal trauma is a safe and effective alternative to laparotomy.Surgical endoscopy · 2019Observational
- Laparoscopic splenectomy after trauma: Who, when and how. A systematic review.Journal of minimal access surgeryReview
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of laparoscopy for stable patients with abdominal trauma is increasing and its accuracy is nearly 100%. However, indications for laparoscopy and for conversion differ among centers. The aim of this study was to investigate indications for trauma laparoscopy and for conversion to laparotomy.
methodsAll trauma patients managed with laparoscopy over a 4-year period were retrospectively analyzed. Indications for laparoscopy, morbidity, and reasons for conversion were investigated and predictors of morbidity and conversion were sought. The management algorithm of trauma patients was reviewed and updated.
resultsLaparoscopy was used in 318 stable trauma patients. Thirty-five patients presented with blunt and 283 with penetrating abdominal injuries. The conversion rate was 11.7% for penetrating and 22.9% for blunt abdominal trauma patients. The most common reason for conversion was continuous intraabdominal bleeding that could not be controlled quickly. It was followed by multiple complex injuries, hemodynamic instability, and intraoperative visualization problems. Diagnostic laparoscopy was performed in 45%, and therapeutic laparoscopy in 55% of cases. There were no missed injuries. Complications occurred in 21.2% in the converted group and in 9.6% in the laparoscopic group. Among initial systolic blood pressure, pulse, hemoglobin, lactate, and base deficit levels, only lower pH was associated with conversion.
conclusionThe management of all stable trauma patients with laparoscopy appears to be a safe approach. The use of sound laparoscopic equipment by a well-coordinated trauma team with adequate expertise in laparoscopy, adherence to the algorithm, and strict compliance with predetermined procedural steps are fundamental to success. Continuous intraoperative bleeding, complexity of injuries, deterioration of the patient, poor visibility, and equipment failure are indications for conversion.
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28799045What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.