The Role of Laparoscopy in Closed Abdominal Injury

Overview

Journal Heliyon

Specialty Social Sciences

Date 2023 Oct 20

PMID 37860552

Authors

Jing-Nan Fu

Li Zhou

Tao Ma

Affiliations

Soon will be listed here.

Abstract

Objective: To investigate the effect of laparoscopy on the diagnosis and treatment of closed abdominal injury.

Methods: A total of 26 patients with closed abdominal injury admitted to our hospital from January 2016 to January 2019 were searched. All patients were treated by laparoscopy. All patient reports were made with the informed consent of the patients.

Results: All patients were diagnosed clearly during operation. Among them, there were 3 cases of gastric perforation, 2 cases of liver rupture, 13 cases of spleen rupture, 3 cases of small intestine rupture, 1 case of liver round ligament laceration, 2 cases of small mesenteric vascular laceration, 1 case of colon liver mesenteric laceration, and 1 case of retroperitoneal hematoma. Of the 26 patients in this group, 23 (88.5%) completed laparoscopically or laparoscopically assisted; 5 cases (19.3%) only performed laparoscopic exploration without special treatment, and 3 cases (11.5%) switched to laparotomy. The blood loss was 50-2000 ml (mean 500 ml), and the operative time was 60-180min (mean 128min). The length of hospital stay was 3-21 d (mean 9 d). There were no complications or deaths related to laparoscopy in the whole group. Conclusion Laparoscopic technique has the advantages of less trauma, high diagnosis rate and fast recovery. It can also be used for surgical treatment in the diagnosis and treatment of closed abdominal injury, so as to achieve the purpose of comprehensive diagnosis and treatment. The limitations of laparoscopy should also be noted.

References

Furtado R, Yoshino O, Muralidharan V, Perini M, Wigmore S . Hepatectomy after bile duct injury: a systematic review. HPB (Oxford). 2021; 24(2):161-168. DOI: 10.1016/j.hpb.2021.09.012. View

Koto M, Matsevych O, Aldous C . Laparoscopic-Assisted Approach for Penetrating Abdominal Trauma: An Underutilized Technique. J Laparoendosc Adv Surg Tech A. 2016; 27(10):1065-1068. DOI: 10.1089/lap.2016.0368. View

Moore E, Cogbill T, Jurkovich G, Shackford S, Malangoni M, Champion H . Organ injury scaling: spleen and liver (1994 revision). J Trauma. 1995; 38(3):323-4. DOI: 10.1097/00005373-199503000-00001. View

Damaskos C, Garmpis N, Psilopatis I, Dimitroulis D . Natural Ending or Surgical Complication: Is It the Time to Reconsider the Clavien-Dindo Classification System?. Maedica (Bucur). 2023; 17(4):939-947. PMC: 9923058. DOI: 10.26574/maedica.2022.17.4.939. View

Manatakis D, Antonopoulou M, Tasis N, Agalianos C, Tsouknidas I, Korkolis D . Critical View of Safety in Laparoscopic Cholecystectomy: A Systematic Review of Current Evidence and Future Perspectives. World J Surg. 2022; 47(3):640-648. DOI: 10.1007/s00268-022-06842-0. View

Cirocchi R, Birindelli A, Inaba K, Mandrioli M, Piccinini A, Tabola R . Laparoscopy for Trauma and the Changes in its Use From 1990 to 2016: A Current Systematic Review and Meta-Analysis. Surg Laparosc Endosc Percutan Tech. 2017; 28(1):1-12. DOI: 10.1097/SLE.0000000000000466. View

Reitano E, Cioffi S, Airoldi C, Chiara O, La Greca G, Cimbanassi S . Current trends in the diagnosis and management of traumatic diaphragmatic injuries: A systematic review and a diagnostic accuracy meta-analysis of blunt trauma. Injury. 2022; 53(11):3586-3595. DOI: 10.1016/j.injury.2022.07.002. View

Smith J, Caldwell E, DAmours S, Jalaludin B, Sugrue M . Abdominal trauma: a disease in evolution. ANZ J Surg. 2005; 75(9):790-4. DOI: 10.1111/j.1445-2197.2005.03524.x. View

Virdis F, Podda M, Di Saverio S, Kumar J, Bini R, Pilasi C . Clinical outcomes of non-operative management and clinical observation in non-angioembolised hepatic trauma: A systematic review of the literature. Chin J Traumatol. 2022; 25(5):257-263. PMC: 9458985. DOI: 10.1016/j.cjtee.2022.04.004. View

10.

Riemma G, De Franciscis P, La Verde M, Ravo M, Fumiento P, Fasulo D . Impact of the hemostatic approach after laparoscopic endometrioma excision on ovarian reserve: Systematic review and network meta-analysis of randomized controlled trials. Int J Gynaecol Obstet. 2022; 162(1):222-232. DOI: 10.1002/ijgo.14621. View

11.

Ahmad G, Baker J, Finnerty J, Phillips K, Watson A . Laparoscopic entry techniques. Cochrane Database Syst Rev. 2019; 1:CD006583. PMC: 6353066. DOI: 10.1002/14651858.CD006583.pub5. View

12.

Sido B, Grenacher L, Friess H, Buchler M . [Abdominal trauma]. Orthopade. 2005; 34(9):880-8. DOI: 10.1007/s00132-005-0846-1. View

13.

Cengiz H, Dagdeviren H, Kanawati A, Kaya C, Ekin M . Is gynaecological laparoscopic surgery safe for elderly women? A comparison study. J Obstet Gynaecol. 2014; 34(7):616-9. DOI: 10.3109/01443615.2014.919575. View

14.

Velotti N, Manigrasso M, Di Lauro K, Vertaldi S, Anoldo P, Vitiello A . Barbed suture in gastro-intestinal surgery: A review with a meta-analysis. Surgeon. 2021; 20(2):115-122. DOI: 10.1016/j.surge.2021.02.011. View

15.

Braschi C, Liu J, Moazzez A, Petrie B . Is laparoscopic surgery safe for elderly patients with diverticulitis? A national database study. Langenbecks Arch Surg. 2022; 407(8):3599-3606. DOI: 10.1007/s00423-022-02695-2. View

16.

Lamb T, Lenet T, Zahrai A, Shaw J, McLarty R, Shorr R . Timing of pharmacologic venous thromboembolism prophylaxis initiation for trauma patients with nonoperatively managed blunt abdominal solid organ injury: a systematic review and meta-analysis. World J Emerg Surg. 2022; 17(1):19. PMC: 9036793. DOI: 10.1186/s13017-022-00423-1. View

17.

Wang J, Cheng L, Liu J, Zhang B, Wang W, Zhu W . Laparoscopy vs. Laparotomy for the Management of Abdominal Trauma: A Systematic Review and Meta-Analysis. Front Surg. 2022; 9:817134. PMC: 8957831. DOI: 10.3389/fsurg.2022.817134. View

18.

Cengiz H, Kaya C, Ekin M, Karakas S, Yasar L . Is laparoscopic surgery safe in patients with an elevated shock index due to ruptured ectopic pregnancy?. Clin Exp Obstet Gynecol. 2013; 40(3):418-20. View

19.

Han N, Sung D, Park B, Kim M, Bum Cho S, Kim Y . Imaging of complications associated with port access of abdominal laparoscopic surgery. Abdom Imaging. 2013; 39(2):398-410. DOI: 10.1007/s00261-013-0060-2. View

20.

El-Bendary Y, Al-Adawi J, Al-Qadhi H . The Use of Laparoscopy in the Management of Trauma Patients: Brief review. Sultan Qaboos Univ Med J. 2016; 16(1):e9-e14. PMC: 4746051. DOI: 10.18295/squmj.2016.16.01.003. View