Online ISSN: 3007-0244,
Print ISSN:  2410-4280
Introduction. In patients, abdominal injuries are associated with serious complications leading to death. The incidence of penetrating trauma varies greatly around the world. Similarly, worldwide experience with laparoscopy in trauma patients varies. Researchers have proven that laparoscopy is playing an increasingly important role in patients with abdominal trauma. Aim. To analyze the literature reflecting current information on diagnostic and therapeutic laparoscopy for abdominal injuries. Search strategy. This study included publications, preferably in English, taken for analysis from the most relevant databases, such as: PubMed, Embase, Scopus, Web of Science Core Collection. Key queries included the following terms: diagnostic laparoscopy, therapeutic laparoscopy, diagnostic laparoscopy for abdominal trauma, therapeutic laparoscopy for abdominal trauma, then approaches to abdominal trauma and comparison of laparotomy and laparoscopic surgery for abdominal trauma. The depth of the search was mainly up to 30 years, since the topic is rare, there are not many sources from recent years, so works from earlier years that have significant scientific value were also considered. 102 articles were found, of which 71 articles were selected for analysis. Results and conclusions. The literature review highlights modern issues of laparoscopy for abdominal trauma. The approaches and strategy for choosing between laparoscopy and laparotomy are discussed. The diagnostic and therapeutic value of laparoscopy is presented in the form of various clinical results. Comparison of treatment results between laparoscopy and laparotomy in the postoperative period for a number of indicators - mortality, complications, hospital stay. In this review, laparoscopy has become the method of choice for many acute surgical conditions. Over the years, the number and importance of laparoscopic operations has increased. However, more carefully designed randomized clinical trials are needed to confirm the value of laparoscopy in the diagnosis and treatment of abdominal trauma.
Marina A. Semikina1, Talgat A. Kusainov1, Arip S. Salykov1, Marat K. Syzdykbaev2, 1 Ekibastuz city hospital, Ekibastuz, the Republic of Kazakhstan; 2 NJSC «Semey Medical University», Semey, the Republic of Kazakhstan.
1. Ahmed N., Whelan J., Brownlee J., Chari V., Chung R. The contribution of laparoscopy in evaluation of penetrating abdominal wounds // J Am Coll Surg. 2005. 201(2):213-6. 2. Aitchison L.P., Cui C.K., Arnold A., Nesbitt-Hawes E., Abbott J. The ergonomics of laparoscopic surgery: a quantitative study of the time and motion of laparoscopic surgeons in live surgical environments // Surg Endosc. 2016. 30(11):5068-76. 3. Al Rawahi A.N., Al Hinai F.A., Boyd J.M., Doig C.J., Ball C.G., Velmahos G.C., et al. Outcomes of selective nonoperative management of civilian abdominal gunshot wounds: a systematic review and meta-analysis // World J Emerg Surg. 2018. 13:55. 4. Aldemir M., Tacyildiz I., Girgin S. Predicting factors for mortality in the penetrating abdominal trauma // Acta Chir Belg. 2004;104(4):429-34. 5. Birindelli A., Martin M., Khan M., Gallo G., Segalini E., Gori A., et al. Laparoscopic splenectomy as a definitive management option for high-grade traumatic splenic injury when non operative management is not feasible or failed: a 5-year experience from a level one trauma center with minimally invasive surgery expertise // Updates Surg. 2021;73(4):1515-31. 6. Blackbourne L.H., Soffer D., McKenney M., Amortegui J., Schulman C.I., Crookes B., et al. Secondary ultrasound examination increases the sensitivity of the FAST exam in blunt trauma // J Trauma. 2004;57(5):934-8. 7. Carrillo E.H., Reed D.N., Jr., Gordon L., Spain D.A., Richardson J.D. Delayed laparoscopy facilitates the management of biliary peritonitis in patients with complex liver injuries // Surg Endosc. 2001;15(3):319-22. 8. Chakravartty S., Sarma D.R., Noor M., Panagiotopoulos S., Patel A.G. Laparoscopy has a therapeutic role in the management of abdominal trauma: A matched-pair analysis // Int J Surg. 2017;44:21-5. 9. Cherkasov M., Sitnikov V., Sarkisyan B., Degtirev O., Turbin M., Yakuba A. Laparoscopy versus laparotomy in management of abdominal trauma // Surg Endosc. 2008;22(1):228-31. 10. Chestovich P.J., Browder T.D., Morrissey S.L., Fraser D.R., Ingalls N.K., Fildes J.J. Minimally invasive is maximally effective: Diagnostic and therapeutic laparoscopy for penetrating abdominal injuries // J Trauma Acute Care Surg. 2015;78(6):1076-83; discussion 83-5. 11. Chol Y.B., Lim K.S. Therapeutic laparoscopy for abdominal trauma // Surg Endosc. 2003;17(3):421-7. 12. Cocco A.M., Bhagvan S., Bouffler C., Hsu J. Diagnostic laparoscopy in penetrating abdominal trauma // ANZ J Surg. 2019;89(4):353-6. 13. Dammers D., El Moumni M., Hoogland, II, Veeger N., Ter Avest E. Should we perform a FAST exam in haemodynamically stable patients presenting after blunt abdominal injury: a retrospective cohort study // Scand J Trauma Resusc Emerg Med. 2017;25(1):1. 14. Dayananda K., Kong V.Y., Bruce J.L., Oosthuizen G.V., Laing G.L., Clarke D.L. Selective non-operative management of abdominal stab wounds is a safe and cost effective strategy: A South African experience // Ann R Coll Surg Engl. 2017;99(6):490-6. 15. DeMaria E.J., Dalton J.M., Gore D.C., Kellum J.M., Sugerman H.J. Complementary roles of laparoscopic abdominal exploration and diagnostic peritoneal lavage for evaluating abdominal stab wounds: a prospective study // J Laparoendosc Adv Surg Tech A. 2000;10(3):131-6. 16. Elkbuli A., Ehrhardt J.D., Jr., McKenney M., Boneva D. Successful utilization of angioembolization and delayed laparoscopy in the management of grade 5 hepatic laceration: Case report and literature review // Int J Surg Case Rep. 2019;59:19-22. 17. Ertekin C., Onaran Y., Guloglu R., Gunay K., Taviloglu K. The use of laparoscopy as a primary diagnostic and therapeutic method in penetrating wounds of lower thoracal region // Surg Laparosc Endosc. 1998;8(1):26-9. 18. Fabiani P., Iannelli A., Mazza D., Bartels A.M., Venissac N., Baque P., et al. Diagnostic and therapeutic laparoscopy for stab wounds of the anterior abdomen // J Laparoendosc Adv Surg Tech A. 2003;13(5):309-12. 19. Franklin G.A., Richardson J.D., Brown A.L., Christmas A.B., Miller F.B., Harbrecht B.G., et al. Prevention of bile peritonitis by laparoscopic evacuation and lavage after nonoperative treatment of liver injuries // Am Surg. 2007;73(6):611-6; discussion 6-7. 20. Frerichs L., Smith N.R., Lich K.H., BenDor T.K., Evenson K.R. A scoping review of simulation modeling in built environment and physical activity research: Current status, gaps, and future directions for improving translation // Health Place. 2019;57:122-30. 21. Friese R.S., Coln C.E., Gentilello L.M. Laparoscopy is sufficient to exclude occult diaphragm injury after penetrating abdominal trauma // J Trauma. 2005;58(4):789-92. 22. Gad M.A., Saber A., Farrag S., Shams M.E., Ellabban G.M. Incidence, patterns, and factors predicting mortality of abdominal injuries in trauma patients // N Am J Med Sci. 2012;4(3):129-34. 23. Gao Y., Li S., Xi H., Bian S., Zhang K., Cui J., et al. Laparoscopy versus conventional laparotomy in the management of abdominal trauma: a multi-institutional matched-pair study // Surg Endosc. 2020;34(5):2237-42. 24. Gomez E.J.I., Vargas L.F.C., Lozada-Martinez I.D., Reyes M., Pedraza M., Forero N., et al. Laparoscopy has better performance than laparotomy in the treatment of stable penetrating abdominal trauma: A retrospective cross-sectional study in a trauma referral hospital in Colombia // Health Sci Rep. 2022;5(3):e640. 25. Guillen B., Cassaro S. Traumatic Open Abdomen. StatPearls. Treasure Island (FL)2022. 26. Huang G.S., Chance E.A., Hileman B.M., Emerick E.S., Gianetti E.A. Laparoscopic Splenectomy in Hemodynamically Stable Blunt Trauma // JSLS. 2017;21(2). 27. Johnson J.J., Garwe T., Raines A.R., Thurman J.B., Carter S., Bender J.S., et al. The use of laparoscopy in the diagnosis and treatment of blunt and penetrating abdominal injuries: 10-year experience at a level 1 trauma center // Am J Surg. 2013;205(3):317-20; discussion 21. 28. Kaban G.K., Novitsky Y.W., Perugini R.A., Haveran L., Czerniach D., Kelly J.J., et al. Use of laparoscopy in evaluation and treatment of penetrating and blunt abdominal injuries // Surg Innov. 2008;15(1):26-31. 29. Karateke F., Ozdogan M., Ozyazici S., Das K., Menekse E., Gulnerman Y.C., et al. The management of penetrating abdominal trauma by diagnostic laparoscopy: a prospective non-randomized study // Ulus Travma Acil Cerrahi Derg. 2013;19(1):53-7. 30. Kaur S., Bagaria D., Kumar A., Priyadarshini P., Choudhary N., Sagar S., et al. Contrast-enhanced computed tomography abdomen versus diagnostic laparoscopy-based management in patients with penetrating abdominal trauma: a randomised controlled trial // Eur J Trauma Emerg Surg. 2022:1-10. 31. Koto M.Z., Matsevych O.Y., Aldous C. Diagnostic Laparoscopy for Trauma: How Not to Miss Injuries // J Laparoendosc Adv Surg Tech A. 2018;28(5):506-13. 32. Koto M.Z., Matsevych O.Y., Motilall S.R. The Role of Laparoscopy in Penetrating Abdominal Trauma: Our Initial Experience // J Laparoendosc Adv Surg Tech A. 2015;25(9):730-6. 33. Lee P.C., Lo C., Wu J.M., Lin K.L., Lin H.F., Ko W.J. Laparoscopy decreases the laparotomy rate in hemodynamically stable patients with blunt abdominal trauma // Surg Innov. 2014;21(2):155-65. 34. Leppaniemi A., Haapiainen R. Diagnostic laparoscopy in abdominal stab wounds: a prospective, randomized study // J Trauma. 2003;55(4):636-45. 35. Letoublon C., Chen Y., Arvieux C., Voirin D., Morra I., Broux C., et al. Delayed celiotomy or laparoscopy as part of the nonoperative management of blunt hepatic trauma // World J Surg. 2008;32(6):1189-93. 36. Liao C.H., Kuo I.M., Fu C.Y., Chen C.C., Yang S.J., Ouyang C.H., et al. Gasless laparoscopic assisted surgery for abdominal trauma // Injury. 2014;45(5):850-4. 37. Lim K.H., Chung B.S., Kim J.Y., Kim S.S. Laparoscopic surgery in abdominal trauma: a single center review of a 7-year experience // World J Emerg Surg. 2015;10:16. 38. Lin H.F., Chen Y.D., Chen S.C. Value of diagnostic and therapeutic laparoscopy for patients with blunt abdominal trauma: A 10-year medical center experience // PLoS One. 2018;13(2):e0193379. 39. Lin H.F., Wu J.M., Tu C.C., Chen H.A., Shih H.C. Value of diagnostic and therapeutic laparoscopy for abdominal stab wounds // World J Surg. 2010;34(7):1653-62. 40. Lin P., Chen Y., Su S., Nan W., Zhou L., Zhou Y., et al. Diagnostic value of metagenomic next-generation sequencing of bronchoalveolar lavage fluid for the diagnosis of suspected pneumonia in immunocompromised patients // BMC Infect Dis. 2022;22(1):416. 41. Mahajna A., Mitkal S., Bahuth H., Krausz M.M. Diagnostic laparoscopy for penetrating injuries in the thoracoabdominal region // Surg Endosc. 2004;18(10):1485-7. 42. Marks J.M., Youngelman D.F., Berk T. Cost analysis of diagnostic laparoscopy vs laparotomy in the evaluation of penetrating abdominal trauma // Surg Endosc. 1997;11(3):272-6. 43. Martin M.J., Brown C.V.R., Shatz D.V., Alam H.B., Brasel K.J., Hauser C.J., et al. Evaluation and management of abdominal stab wounds: A Western Trauma Association critical decisions algorithm // J Trauma Acute Care Surg. 2018;85(5):1007-15. 44. Matern U. Ergonomic deficiencies in the operating room: examples from minimally invasive surgery // Work. 2009;33(2):165-8. 45. Miles E.J., Dunn E., Howard D., Mangram A. The role of laparoscopy in penetrating abdominal trauma // JSLS. 2004;8(4):304-9. 46. Mnguni M.N., Muckart D.J., Madiba T.E. Abdominal trauma in durban, South Africa: factors influencing outcome // Int Surg. 2012;97(2):161-8. 47. Moore E.E., Moore J.B., Van Duzer-Moore S., Thompson J.S. Mandatory laparotomy for gunshot wounds penetrating the abdomen // Am J Surg. 1980;140(6):847-51. 48. Muckart D.J., Meumann C., Botha J.B. The changing pattern of penetrating torso trauma in KwaZulu / Natal--a clinical and pathological review // S Afr Med J. 1995;85(11):1172-4. 49. Navsaria P.H., Berli J.U., Edu S., Nicol A.J. Non-operative management of abdominal stab wounds--an analysis of 186 patients // S Afr J Surg. 2007;45(4):128-30, 32. 50. Nicholas J.M., Rix E.P., Easley K.A., Feliciano D.V., Cava R.A., Ingram W.L., et al. Changing patterns in the management of penetrating abdominal trauma: the more things change, the more they stay the same // J Trauma. 2003;55(6):1095-108; discussion 108-10. 51. O'Malley E., Boyle E., O'Callaghan A., Coffey J.C., Walsh S.R. Role of laparoscopy in penetrating abdominal trauma: a systematic review // World J Surg. 2013;37(1):113-22. 52. Obaid O., Hammad A., Bible L., Ditillo M., Castanon L., Douglas M., et al. Open Versus Laparoscopic Repair of Traumatic Diaphragmatic Injury: A Nationwide Propensity-Matched Analysis // J Surg Res. 2021;268:452-8. 53. Patel A.N., Brennig C., Cotner J., Lovitt M.A., Foreman M.L., Wood R.E., et al. Successful diagnosis of penetrating cardiac injury using surgeon-performed sonography // Ann Thorac Surg. 2003 76(6):2043-6; discussion 6-7. 54. Pfeifer R., Pape H.C. Missed injuries in trauma patients: A literature review // Patient Saf Surg. 2008;2:20. 55. Quinn A.C., Sinert R. What is the utility of the Focused Assessment with Sonography in Trauma (FAST) exam in penetrating torso trauma? // Injury. 2011;42(5):482-7. 56. Renz B.M., Feliciano D.V. Unnecessary laparotomies for trauma: a prospective study of morbidity // J Trauma. 1995;38(3):350-6. 57. Rozen W.M., Ma E.H., Jones I.T., Judson R.T. Emerging epidemic in Australia: abdominal stab wounds. Twenty-four months at a major trauma centre // Emerg Med Australas. 2007;19(3):262-8. 58. Rozycki G.S., Feliciano D.V., Ochsner M.G., Knudson M.M., Hoyt D.B., Davis F., et al. The role of ultrasound in patients with possible penetrating cardiac wounds: a prospective multicenter study // J Trauma. 1999;46(4):543-51; discussion 51-2. 59. Salen P.N., Melanson S.W., Heller M.B. The focused abdominal sonography for trauma (FAST) examination: considerations and recommendations for training physicians in the use of a new clinical tool // Acad Emerg Med. 2000;7(2):162-8. 60. Sangrasi A.K., Talpu K.A., Kella N., Laghari A.A., Rehman Abbasi M., Naeem Qureshi J. Role of laparoscopy in peritonitis // Pak J Med Sci. 2013;29(4):1028-32. 61. Saribeyoglu K., Pekmezci S., Baca B., Zengin K., Karatas A., Erenler Kilic I., et al. Laparoscopy offers diagnosis and treatment in abdominal stab injuries // Surg Laparosc Endosc Percutan Tech. 2007;17(5):396-401. 62. Shah M., Galante J.M., Scherer L.A., Utter G.H. The utility of laparoscopic evaluation of the parietal peritoneum in the management of anterior abdominal stab wounds // Injury. 2014;45(1):128-33. 63. Sosa J.L., Arrillaga A., Puente I., Sleeman D., Ginzburg E., Martin L. Laparoscopy in 121 consecutive patients with abdominal gunshot wounds // J Trauma. 1995;39(3):501-4; discussion 4-6. 64. Streith L., Silverberg J., Kirkpatrick A.W., Hameed S.M., Bathe O.F., Ball C.G. Optimal treatments for hepato-pancreato-biliary trauma in severely injured patients: a narrative scoping review // Can J Surg. 2020;63(5):E431-E4. 65. Trejo-Avila M.E., Valenzuela-Salazar C., Betancourt-Ferreyra J., Fernandez-Enriquez E., Romero-Loera S., Moreno-Portillo M. Laparoscopic Versus Open Surgery for Abdominal Trauma: A Case-Matched Study // J Laparoendosc Adv Surg Tech A. 2017;27(4):383-7. 66. Velidedeoglu E., Ozdemir A., Ozenc A., Onat D., Sanac Y. Factors affecting postoperative mortality in abdominal trauma // Int Surg. 1992;77(3):198-202. 67. Waes O.V., Lieshout E.V., Silfhout D.V., Halm J.A., Wijffels M., Vledder M.V., et al. Selective non-operative management for penetrating abdominal injury in a Dutch trauma centre // Ann R Coll Surg Engl. 2020;102(5):375-82. 68. Wang J., Cheng L., Liu J., Zhang B., Wang W., Zhu W., et al. Laparoscopy vs. Laparotomy for the Management of Abdominal Trauma: A Systematic Review and Meta-Analysis // Front Surg. 2022;9:817134. 69. Weale R., Kong V., Manchev V., Bekker W., Oosthuizen G., Brysiewicz P., et al. Management of intra-abdominal vascular injury in trauma laparotomy: a South African experience // Can J Surg. 2018;61(3):158-64. 70. Weigelt J.A., Kingman R.G. Complications of negative laparotomy for trauma // Am J Surg. 1988;156(6):544-7. 71. Yang Z., Sun F., Ai S., Wang J., Guan W., Liu S. Meta-analysis of studies comparing conservative treatment with antibiotics and appendectomy for acute appendicitis in the adult // BMC Surg. 2019;19(1):110.
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Semikina M.A., Kusainov T.A., Salykov A.S., Syzdykbaev M.K. Diagnostic and therapeutic laparoscopy for abdominal injuries. Review // Nauka i Zdravookhranenie [Science & Healthcare]. 2024, (Vol.26) 1, pp. 201-209. doi 10.34689/SH.2024.26.1.024

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