A Comparison of Laparoscopy and Laparotomy for the Management of Abdominal Trauma: A Systematic Review and Meta-analysis

World Journal of Surgery
Yueli LiYafei Li

Abstract

This study aimed to systematically review and compare the perioperative outcomes of laparoscopy with laparotomy for abdominal trauma patients. We conducted a systematic review and meta-analysis comparing the perioperative outcomes of laparoscopy with laparotomy for abdominal trauma patients. Clinical endpoints included length of hospital stay, operation time, amount of intraoperative blood loss, time to postoperative exhaust, time to regular diet, time to out of bed, duration of postoperative pain, postoperative complications, perioperative mortality rate, length of intensive care unit (ICU) stay, missed injuries, conversions to laparotomy, and cure rate. Sixty-four studies including 9058 patients with abdominal trauma were included. In these studies, laparoscopy was used as a screening, diagnostic, or therapeutic tool. Meta-analysis showed significant reductions in the incidence of postoperative complications (relative risk [RR] [95 % confidence interval (CI)] 0.37 [0.29-0.46]), perioperative mortality rate (RR 0.64; 95 % CI 0.52-0.80), operation time (mean difference [MD] [95 % CI] -19.93 min [-34.43 to 5.43]), length of hospital stay (MD -5.15 days; 95 % CI -6.80 to 3.50), amount of intraoperative blood loss (MD -141.33 ml; ...Continue Reading

References

Sep 1, 1995·The Journal of Trauma·J L SosaL Martin
Jun 1, 1993·The Journal of Trauma·R R IvaturyW M Stahl
Oct 6, 1997·BMJ : British Medical Journal·M EggerC Minder
Nov 29, 2002·Surgical Endoscopy·Y B Chol, K S Lim
Oct 21, 2003·The Journal of Trauma·Ari Leppäniemi, Reijo Haapiainen
Feb 17, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Robert A CherryPhilip S Barie
Jul 26, 2005·Journal of the American College of Surgeons·Naveed AhmedRaphael Chung
Jan 18, 2006·Journal of Pediatric Surgery·Alexander FelizBarbara A Gaines
Nov 15, 2006·Journal of Pediatric Surgery·Christian J StreckHarold N Lovvorn
Aug 28, 2007·Surgical Endoscopy·Mechail CherkasovAbdulkadir Yakuba
Dec 1, 2007·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Kaya SaribeyogluFeridun Sirin
Mar 3, 2009·Seminars in Dialysis·Juan F Navarro-GonzálezJavier García-Pérez
Sep 11, 2009·The Journal of Trauma·Nilton Tokio KawaharaDario Birolini
Oct 8, 2009·Journal of Palliative Medicine·Wendy G AndersonRobert M Arnold
Feb 19, 2010·World Journal of Surgery·Heng-Fu LinHsin-Chin Shih
Feb 23, 2010·International Journal of Surgery·David MoherUNKNOWN PRISMA Group
Oct 20, 2011·BMJ : British Medical Journal·Julian P T HigginsUNKNOWN Cochrane Statistical Methods Group
Jun 26, 2012·Journal of Neurosurgery. Pediatrics·Farideh Nejat, Mostafa El Khashab
Oct 12, 2012·World Journal of Surgery·Eimer O'MalleyStewart R Walsh
Apr 17, 2013·Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES·Faruk KaratekeCihan Gökler
Nov 26, 2013·Injury·Chien-Hung LiaoShih-Ching Kang
Dec 5, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Mogeli Sh KhubutiyaMargarita A Tlibekova

❮ Previous
Next ❯

Citations

Jan 13, 2016·World Journal of Surgery·Monika Puzianowska-KuznickaEdward Franek
Jun 11, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jun GaoWenbing Sun
Oct 21, 2016·International Journal of Surgery·Shahin HajibandehChee Siong Wong
Mar 3, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mario E Trejo-ÁvilaMucio Moreno-Portillo
Dec 29, 2017·The Journal of Trauma and Acute Care Surgery·Lauren ColemanNova Szoka
Sep 16, 2017·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Roberto CirocchiSalomone Di Saverio
Mar 10, 2017·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Purushottam ParajuliMahesh C Misra
Aug 12, 2017·Surgical Endoscopy·Oleh MatsevychColleen Aldous
Dec 14, 2018·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·M Z KotoM Balabyeki
Oct 22, 2020·International Journal of Environmental Research and Public Health·Łukasz WarchałowskiRobert Podlasek
Nov 4, 2020·Journal of Pediatric Surgery·Elissa K ButlerFrederick P Rivara
Mar 23, 2020·The Journal of Surgical Research·Elissa K ButlerFrederick P Rivara
Mar 24, 2021·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Muhammad Abdelhafez MahmoudKhaled Zamel Aldaraan
May 26, 2021·Journal of Psychosomatic Research·Xi-Rong LiJian-Xiong An

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.