Diagnostic Laparoscopy in Trauma Patients: Do We Need to Open and See if We Can See Without Opening?

Diagnostic laparoscopy (DL) has been advocated to reduce the incidence of nontherapeutic laparotomies (NL) among stable trauma patients. This study aimed to compare the outcomes of hemodynamically stable trauma patients undergoing DL versus NL. This is a retrospective analysis of the American Colleg...

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Bibliographic Details
Published in:The Journal of surgical research 2024-11, Vol.303, p.14-21
Main Authors: Hage, Kati, Nelson, Adam, Khurshid, Muhammad Haris, Stewart, Collin, Hosseinpour, Hamidreza, Okosun, Stanley, Hejazi, Omar, Magnotti, Louis J., Bhogadi, Sai Krishna, Joseph, Bellal
Format: Article
Language:English
Subjects:
Abdominal Injuries - diagnosis
Abdominal Injuries - mortality
Abdominal Injuries - surgery
Adult
Blunt and penetrating injuries
Complications
Diagnostic laparoscopy
Female
Humans
Injury Severity Score
Laparoscopy - statistics & numerical data
Laparotomy
Length of Stay - statistics & numerical data
Male
Middle Aged
Mortality
Non-therapeutic laparotomy
Postoperative Complications - diagnosis
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Retrospective Studies
Trauma
Wounds, Nonpenetrating - diagnosis
Wounds, Nonpenetrating - mortality
Wounds, Nonpenetrating - surgery
Wounds, Penetrating - diagnosis
Wounds, Penetrating - mortality
Wounds, Penetrating - surgery
Young Adult
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Summary:Diagnostic laparoscopy (DL) has been advocated to reduce the incidence of nontherapeutic laparotomies (NL) among stable trauma patients. This study aimed to compare the outcomes of hemodynamically stable trauma patients undergoing DL versus NL. This is a retrospective analysis of the American College of Surgeons Trauma Quality Improvement Program database over 4 y (2017-2020). Hemodynamically stable (systolic blood pressure >90 & heart rate
ISSN:0022-4804
1095-8673
1095-8673
DOI:10.1016/j.jss.2024.08.014