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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Veröffentlicht in:	The Journal of surgical research 2024-11, Vol.303, p.14-21
Hauptverfasser:	Hage, Kati, Nelson, Adam, Khurshid, Muhammad Haris, Stewart, Collin, Hosseinpour, Hamidreza, Okosun, Stanley, Hejazi, Omar, Magnotti, Louis J., Bhogadi, Sai Krishna, Joseph, Bellal
Format:	Artikel
Sprache:	eng
Schlagworte:	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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Zusammenfassung:	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