The role of laparoscopy in abdominal trauma: a comprehensive diagnostic and therapeutic approach
Authors' conclusion
In patient with abdominal trauma who are hemodynamically stable, laparoscopy is a minimally invasive, safe, effective, feasible, and reliable technique.
Study context
- Population
- Patients with abdominal trauma undergoing surgery, Shanghai East Hospital and Affiliated Taishan Medical College Hospital, January 2010 to May 2019
- Participants
- 65 consecutive patients
- Exposure
- Direct laparotomy vs Diagnostic laparoscopy
- Direct laparotomyn = 5
- Diagnostic laparoscopyn = 60
- Outcome
- Outcomes of diagnostic laparoscopy
Methodological detailsconsecutive patients, two-centre
- Consecutive patients
- Two-centre
Main finding
As reported in the abstract
No injury found at laparoscopy
23
38.33%
Injury treated laparoscopically
27
45.00%
Converted to laparotomy
10
16.66%
Total laparotomies (direct + converted)
15 of 65
23.07%
Observational data: associations, not effects.
Further findings
Discharge and follow-up · median follow-up 10 months (range 2-48)
- All patients discharged successfully; no complications or reoperation during follow-up
Safety
Postoperative complications (surgical site infection and subphrenic abscess)
- Postoperative complications
- 2 (3.08%)
Original publication
The role of laparoscopy in abdominal trauma: a comprehensive diagnostic and therapeutic approach. Perioper Med (Lond). Published 20 April 2026. doi:10.
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