Value of diagnostic and therapeutic laparoscopy for patients with blunt abdominal trauma: A 10-year medical center experience

PloS One
Heng-Fu LinShyr-Chyr Chen

Abstract

Laparoscopy has been used for the diagnosis and treatment for hemodynamically stable patients with penetrating abdominal trauma. This study evaluated whether diagnostic and therapeutic laparoscopy can be used as effectively in select patients with blunt abdominal trauma. All hemodynamically stable patients undergoing operations for blunt abdominal trauma over a 10-year period (2006-2015) at a tertiary medical center were included. Patients undergoing laparotomy were categorized as group A. Patients who underwent laparoscopy were categorized as group B. The clinical outcomes of the 2 groups were compared. There were 139 patients in group A and 126 patients in group B. Group A patients were more severely injured (mean injury severity score of 23.3 vs. 18.9, P < .001) and had a higher frequency of traumatic brain injuries (25.2% vs. 14.3%, P = .039). The sensitivity and specificity of diagnostic laparoscopy for patients in group B was 99.1% and 100.0%, respectively. No non-therapeutic laparotomies were performed in group B, and the success rate of therapeutic laparoscopy was 92.0% (103/112) for patients with significant intra-abdominal injuries. Patients in the 2 groups had similar perioperative and postoperative outcomes in terms...Continue Reading

References

Dec 1, 1995·American Journal of Surgery·R S SmithC H Organ
Jun 1, 1994·The Journal of Trauma·L G JosephsE F Hirsch
Jun 1, 1993·The Journal of Trauma·R R IvaturyW M Stahl
Nov 29, 2002·Surgical Endoscopy·Y B Chol, K S Lim
Aug 13, 2003·Archives of Surgery·George C VelmahosDemetrios Demetriades
Jul 26, 2005·Journal of the American College of Surgeons·Naveed AhmedRaphael Chung
Sep 11, 2009·The Journal of Trauma·Nilton Tokio KawaharaDario Birolini
Feb 19, 2010·World Journal of Surgery·Heng-Fu LinHsin-Chin Shih
Oct 12, 2012·World Journal of Surgery·Eimer O'MalleyStewart R Walsh
Dec 3, 2014·World Journal of Surgery·Selman UranuesRudolph Schrittwieser
Feb 11, 2015·American Journal of Surgery·Syed N ZafarDaniel D Tran
Jun 10, 2015·World Journal of Emergency Surgery : WJES·Kyoung Hoon LimSung Soo Kim
Jul 8, 2015·The Journal of Trauma and Acute Care Surgery·Paul J ChestovichJohn J Fildes
Aug 12, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Modise Z KotoSooraj R Motilall

❮ Previous
Next ❯

Citations

Oct 10, 2018·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Natalie KuchenOthmar Schoeb
Dec 18, 2019·Anaesthesia Critical Care & Pain Medicine·Pierre BouzatEmmanuel Weiss
Nov 17, 2020·International Journal of Surgery Case Reports·Giuseppe Di BuonoAntonino Agrusa
Jul 28, 2019·Journal of Pediatric Surgery·Parker T EvansHarold N Lovvorn

❮ Previous
Next ❯

Methods Mentioned

BETA
ISS
pancreatectomies

Software Mentioned

SPSS

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.