Laparoscopy decreases the laparotomy rate for hemodynamically stable patients with blunt hollow viscus and mesenteric injuries

Abstract Background The aim of this study was to evaluate the effect of laparoscopy on patients with blunt hollow viscus and mesenteric injuries (BHVMIs). Methods Hemodynamically stable patients with BHVMIs were diagnosed using computed tomography and serial examinations. Patients admitted from July...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of surgery 2015-08, Vol.210 (2), p.326-333
Main Authors: Lin, Heng-Fu, M.D, Chen, Ying-Da, M.D, Lin, Keng-Li, M.D, Wu, Meng Che, M.D, Wu, Cheng Yi, M.D, Chen, Shyr-Chyr, M.D., E.M.B.A
Format: Article
Language:English
Subjects:
Abdomen
Adult
Antibiotics
Blood pressure
Blunt hollow viscus and mesenteric injuries
Diagnostic laparoscopy
Female
Hemodynamics
Hospitals
Humans
Injuries
Intervention
Laparoscopy
Laparotomy
Laparotomy - statistics & numerical data
Male
Medical diagnosis
Medical imaging
Mesentery - injuries
Mortality
Ostomy
Patients
Postoperative period
Retrospective Studies
Surgery
Therapeutic laparoscopy
Viscera - injuries
Wounds, Nonpenetrating - diagnosis
Wounds, Nonpenetrating - physiopathology
Wounds, Nonpenetrating - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Background The aim of this study was to evaluate the effect of laparoscopy on patients with blunt hollow viscus and mesenteric injuries (BHVMIs). Methods Hemodynamically stable patients with BHVMIs were diagnosed using computed tomography and serial examinations. Patients admitted from July 1, 1999 to June 30, 2006 underwent exploratory laparotomy (group A), and those admitted from January 1, 2007 to December 31, 2013 received laparoscopy (group B). Results There were 62 patients in group A, and 59 patients in group B. There were no significant differences in demographic characteristics, injury severity score, and injuries requiring surgical intervention between the groups (all, P > .05). Patients in group B had a shorter hospital stay (mean 11.0 vs 17.6 days, P < .001) and lower wound infection rate (mean 5.1% vs 16.1%, P = .049). The conversion rate of laparoscopy to laparotomy in group B was 8.5%, compared with a 100% laparotomy rate in group A ( P < .001). There was no difference in the complication rate between groups. Conclusion Laparoscopy is feasible and safe for hemodynamically stable patients with BHVMIs.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2014.11.009