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Surg Laparosc Endosc Percutan Tech · Dec 2013
Comparative StudyLaparoscopy in blunt and penetrating abdominal trauma.
- Mogeli Sh Khubutiya, Peter A Yartsev, Andrey A Guliaev, Vladislav D Levitsky, and Margarita A Tlibekova.
- Department of Urgent Surgical Gastroenterology, Sklifosovsky Clinical and Research Institute for Emergency Medicine, Healthcare Department for the City of Moscow, Moscow, Russia.
- Surg Laparosc Endosc Percutan Tech. 2013 Dec 1; 23 (6): 507-12.
AbstractThe objective of our study was to assess the abilities and limitations of laparoscopy and evaluate its role in examination and treatment of patients with abdominal trauma. A total of 628 patients with blunt and penetrating abdominal trauma were included in this retrospective 12-year survey (2000 to 2011). All patients in the study underwent either laparotomy (280 patients) or urgent laparoscopy (348 patients). There was no difference in the demographic data and trauma severity between the 2 groups. Conversion to open surgery was performed in 130 cases (37.3%). Diagnostic laparoscopy without therapeutic manipulations was used in 160 patients (46%) and therapeutic laparoscopy was carried out in 58 patients (16.7%). Quicker recovery time, less pain, shorter hospital stay, and lower complication rate were observed in patients after laparoscopic surgery compared with patients after open surgery. No missed abdominal organs injuries were revealed after laparoscopic examination of abdominal cavity.
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