Sara Flod (London / GB), Athanasius Ishak (London / GB), Maryam Alfa-Wali (London / GB), Paraskevas Paraskeva (London / GB), Sanjay Purkayastha (London / GB), Daniel Frith (London / GB), Christos Tsironis (London / GB)
Abstract text (incl. references and figure legends)
Introduction:
Laparoscopic surgery is now commonplace in both elective and emergency general surgery. However, the role of laparoscopy in trauma surgery is yet to be fully evaluated.
Methods:
This is a retrospective study between 2017-2022, including patients who underwent laparoscopic surgery for abdominal trauma. Patients were identified from a local prospectively maintained database and the Trauma Audit and Research Network (TARN). Baseline demographic and clinical data were collected, including age, gender, co-morbidities, type of injury, injury severity score (ISS), radiological findings, intraoperative findings, complications, mortality and length of stay.
Results:
A total number of 146 patients were included in the study, 90% (n=131) of which were males with an average age of 28 (21-44) years. The majority of patients (n =108) had penetrating injuries (mainly stabbings), and the remaining (n=38) had blunt injuries (mainly road traffic accidents). Intraoperatively, 93 patients had visceral injuries, 8 had vascular injuries, and 50 patients had no significant intra-abdominal injuries. The mortality rate was seen to be 1.4%. Complications were found in 39 patients, ranging between Clavien-Dindo ≤2 to 3b. The average length of stay was 6 days (4-11), where non-medical reasons were seen to be the reason for the increased length of stay in 10 patients.
Conclusions:
Laparoscopic surgery is a viable management option in selected patients following abdominal trauma with no initial haemodynamic abnormality. It is safe and offers the benefit of avoiding a laparotomy.
References:
Di Saverio et al. Trauma laparoscopy and the six w's: Why, where, who, when, what, and how? J Trauma Acute Care Surg. 2019:344-367
Vargas et al. Fully therapeutic laparoscopy for penetrating abdominal trauma in stable patients. Am J Surg. 2022:206-207
Koto et al. The Role of Laparoscopy in Penetrating Abdominal Trauma: Our Initial Experience. J Laparoendosc Adv Surg Tech A. 2015:730-6
Disclosure: Do you have a significant financial interest, consultancy or other relationship with products, manufacturer(s) of products or providers of services related to this abstract? (If not, please enter "No" in the text field.)
No