Observational studySurgical endoscopy2019
Laparoscopy in penetrating abdominal trauma is a safe and effective alternative to laparotomy.
Observational study in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
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
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- [Value of laparoscopy in blunt and penetrating abdominal trauma-a systematic review].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Pooled it
- Laparoscopy as the initial approach for hemodynamically stable abdominal stab wounds requiring exploration: a South African single-center experience.Surgical endoscopy · 2026Article
- The role of laparoscopy in abdominal trauma: a comprehensive diagnostic and therapeutic approach.Perioperative medicine (London, England) · 2026Article
- Nationwide analysis of minimally invasive surgical approach in patients with penetrating abdominal trauma.Surgical endoscopy · 2026Article
- Single-Incision Laparoscopy in Abdominal Trauma: Current Evidence, Clinical Applications, and Evolving Role-A Narrative Review.Journal of clinical medicine · 2025Review
- Role of laparoscopic surgery in blunt abdominal trauma; retrospective analysis in a tertiary trauma center.BMC surgery · 2025Article
- 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
- Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma.World journal of emergency surgery : WJES · 2023Article
- Role of laparoscopy in management of patients with anterior abdominal stab wounds.Surgical endoscopy · 2023Article
- The Association of Polish Surgeons (APS) clinical guidelines for the use of laparoscopy in the management of abdominal emergencies. Part II.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Article
- Clinical decision making for abdominal stab wounds in high resourced but low volume centres require structured guidelines to be effective.Surgery in practice and science · 2022Article
- Penetrating liver injury caused by a metal fragment from a blast accident in a factory: a case report.Journal of trauma and injury · 2022Article
- Evaluation of diagnostic laparoscopy for penetrating abdominal injuries: About 131 anterior abdominal stab wound.Surgical endoscopy · 2022Article
- 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
- WSES guidelines on blunt and penetrating bowel injury: diagnosis, investigations, and treatment.World journal of emergency surgery : WJES · 2022Review
- Laparoscopy versus conventional laparotomy in the management of abdominal trauma: a multi-institutional matched-pair study.Surgical endoscopy · 2020Article
- Suprapubic penetrating abdominal trauma - defining peritoneal breach and choices in operative intervention.Journal of surgical case reports · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDiagnostic laparoscopy (DL) is an increasingly used modality when approaching penetrating abdominal trauma (PAT). Trauma surgeons can utilize this minimally invasive technique to quickly assess for injury in hemodynamically stable patients. DL with a confirmed injury can be repaired through therapeutic laparoscopy (TL) or conversion to exploratory laparotomy (EL). This study analyzes the use of laparoscopy as a first-line therapy for hemodynamically stable patients with PAT.
methodsData were reviewed of patients presenting with PAT between December 2006 and September 2016. A retrospective analysis was conducted to analyze demographics, baseline presentations, treatment protocols and outcomes.
resultsA total of 56 patients with PAT were initially treated with laparoscopy. Injuries included stab wounds (n = 48) and gunshot wounds (n = 8). Patients were divided into three groups: DL, DL to TL, and DL to EL. Ten patients (17.9%) required conversion to laparotomy (DL to EL). Of the 46 patients who did not require conversion, 33 patients (71.7%) underwent DL, while 13 patients (28.3%) required TL (DL to TL). There were no differences in postoperative complication rates between the groups (p = 0.565). The mean lengths of hospital stay for DL, DL to TL, and DL to EL were 3.1, 2.7, and 8.1 days, respectively (p = 0.038). No missed injuries or mortalities occurred in any of the groups.
conclusionLaparoscopy can be utilized for hemodynamically stable patients with PAT. DL can be converted to TL in the hands of a skilled laparoscopist. In this study, we analyze the use of DL over a 10-year period in patients who presented to our level 1 trauma center with PAT. We also provide a comprehensive review of literature to create clear definitions, and to clarify a systematic stepwise approach of how to effectively perform DL and TL. This study adds to the body of literature supporting the role of laparoscopy in PAT, and advances the discussion regarding management.
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Registered trials
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