SynthesisFrontiers in surgery2022
Laparoscopy vs. Laparotomy for the Management of Abdominal Trauma: A Systematic Review and Meta-Analysis.
Synthesis in Frontiers in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- Minimally Invasive Versus Open Parastomal Hernia Repair: A Comprehensive Systematic Review and Meta-Analysis.World journal of surgery · 2025Pooled it
- Laparoscopy as the initial approach for hemodynamically stable abdominal stab wounds requiring exploration: a South African single-center experience.Surgical endoscopy · 2026Article
- An exsanguinating arterial-vesical injury after a gunshot wound to the lower extremity: a case report.Journal of trauma and injury · 2026Article
- Triple impalement by fishing spears ('teta'): Surgical decision-making and multisite management in a resource-limited setting - A case report.Trauma case reports · 2026Article
- Diagnostic Challenges and Management of Blunt Traumatic Duodenal Diverticulum Perforation: A Systematic Review.Journal of clinical medicine · 2026Review
- Laparoscopic-first approach for treating a small bowel injury in a patient stabilized after initial hemodynamic shock: a case report and video.International journal of surgery case reports · 2026Article
- Laparoscopic Versus Open Surgery for Penetrating and Blunt Abdominal Trauma: A Systematic Review and Meta-Analysis.Cureus · 2026Review
- Nationwide analysis of minimally invasive surgical approach in patients with penetrating abdominal trauma.Surgical endoscopy · 2026Article
- Emergency surgical conditions in geriatric patients: current research landscape.International journal of emergency medicine · 2025Review
- Minimally invasive management of penetrating thoracic and abdominal injuries: a case series.International journal of emergency medicine · 2025Article
- Retrospective cohort study of perioperative factors and outcomes in emergency laparotomy in Palestine.BMC surgery · 2025Article
- Laparoscopic primary suture repair of sigmoid perforation due to a chicken bone: a case report.Journal of surgical case reports · 2025Article
- Article
- Enhanced facial grimacing when laparotomy involves cutaneous and visceral tissue injury.Pain reports · 2025Article
- Single-Incision Laparoscopy in Abdominal Trauma: Current Evidence, Clinical Applications, and Evolving Role-A Narrative Review.Journal of clinical medicine · 2025Review
- Updates on Laparoscopy Versus Laparotomy in the Management of Penetrating Abdominal Trauma: A Systematic Review.Cureus · 2025Review
- Role of laparoscopic surgery in blunt abdominal trauma; retrospective analysis in a tertiary trauma center.BMC surgery · 2025Article
- Characterizing Research Hotspots and Trends in Simulation-Based Training in Obstetrics and Gynecology 1961-2024: A Bibliometric Analysis.Journal of multidisciplinary healthcare · 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
- Acute care nurses' experience in providing evidence-based care for patients with laparotomy wounds: A scoping review.International wound journal · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: There is still no consensus regarding the role of laparoscopy in trauma cases. The purpose of this paper is to assess the value of diagnostic and therapeutic laparoscopy for patients with blunt or penetrating abdominal trauma by performing a systematic review and meta-analysis. Methods: PubMed, Embase, and the Cochrane library were systemically searched for the randomized controlled trials (RCTs) and non-RCT comparative studies on effectiveness and safety of laparoscopy vs. laparotomy for the two authors independently performed the search, data extraction, and quality assessment. Results: A total of 5,517 patients were enrolled in 23 eligible studies that were published in English. Meta-analysis results suggest that there is no significant difference in the incidence of missed injury and mortality between abdominal trauma patients receiving laparoscopy and those receiving laparotomy. Concerning postoperative complications, compared with patients in the open surgery group, those in the laparoscopy group are at a similar risk of intra-abdominal abscesses, thromboembolism, and ileus, while there is a decreased incidence of wound infection and pneumonia. Besides, patients in the laparoscopy group experience shorter hospitalization times and procedure times. For most outcomes, the sensitivity analysis yielded similar results to the primary analysis. Conclusion: Laparoscopic surgery is a practical alternative to laparotomy for appropriate patients. The decision to perform laparoscopy should be based on the experience of the surgeon and the resources available.
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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.