Therapeutic laparoscopy for pediatric abdominal trauma
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In brief
In brief
Multi-registry study (393 institutional + 11,399 NTDB patients, 2005-2017) evaluating laparoscopic versus open surgery for pediatric abdominal trauma requiring celiotomy. Laparoscopy was used in 16-22% of cases, more commonly in younger patients with hollow viscus injuries, offering a less morbid alternative to open exploration in selected cases.
Written by the GCMD Library team from the article.
Background
For the surgical treatment of traumatic hollow viscus injuries, laparoscopy offers a potentially less morbid approach to open exploration among appropriately selected patients. This study aimed to evaluate utilization trends and efficacy of laparoscopy in the management of pediatric abdominal trauma.
Study design
To gain both study granularity and power, our institutional trauma registry (2005–2017) and the National Trauma Data Bank (NTDB; 2010–2015) identified patients ≤18 years who required celiotomy for abdominal trauma. Injury mechanisms, patient characteristics, and hospital courses were compared between open and laparoscopic approaches. Unadjusted and adjusted statistical analyses were performed.
Results
Overall, data were similar among 393 institutional and 11,399 NTDB patients undergoing laparoscopic (n = 88, 22%; n = 1663, 16%) or open (n = 305, 78%; n = 9736, 85%) surgery for abdominal trauma. In both registries, laparoscopy was more commonly employed in younger (institutional p = 0.026; NTDB p