The management of penetrating abdominal trauma by diagnostic laparoscopy: a prospective non-randomized study

被引:20
作者
Karateke, Faruk [1 ]
Ozdogan, Mehmet [1 ]
Ozyazici, Sefa [1 ]
Das, Koray [1 ]
Menekse, Ebru [1 ]
Gulnerman, Yusuf Can [1 ]
Bali, Ilhan [1 ]
Onel, Safa [1 ]
Gokler, Cihan [1 ]
机构
[1] Adana Numune Egitim & Arastirma Hastanesi, Gen Cerrahi Klin, Adana, Turkey
来源
ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY | 2013年 / 19卷 / 01期
关键词
Exploratory laparotomy; diagnostic laparoscopy; penetrating abdominal trauma; STAB WOUNDS; LAPAROTOMY;
D O I
10.5505/tjtes.2013.40799
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
BACKGROUND Penetrating abdominal trauma (PAT) has been traditionally treated by exploratory laparotomy (EL). The aim of our study was to examine the use of diagnostic laparoscopy (DL) in the management of hemodynamically stable patients with PAT. METHODS A prospective study was performed to compare the outcomes of hemodynamically stable patients with suspected intra-abdominal injuries due to abdominal stab wounds who underwent either EL or DL. Data extracted for analysis included demographic information, operative findings, rates of non-therapeutic laparotomy, operation time, length of hospital stay, mortality, and postoperative complications. RESULTS Fifty-two hemodynamically stable patients were admitted to the trauma service. There were 45 male (86.5%) and 7 female (13.5%) patients. The average age was 34.5 years-old (18-60). 26 (50%) patients underwent EL, and 26 (50%) patients underwent DL. Re-exploration by laparotomy was required in 9 of the 26 cases (34.6%). Patients who underwent DL had significantly shorter hospital stays (1.82 +/- 0.63 days vs. 5.4 +/- 2.1 days, p<0.05) and shorter operation time (17.9 +/- 6.38 vs. 68.4 +/- 33.2 min, p<0.05) than patients who underwent EL. CONCLUSION Selective use of DL in the hemodinamically stable penetrating trauma patients effectively decreased the rate of negative laparotomies, minimized morbidity, and decreased hospital stay.
引用
收藏
页码:53 / 57
页数:5
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