Objective: To study the clinical value of laparoscopy in the detection and treatment of closed abdominal trauma.
Methods: A retrospective analysis was conducted in 39 patients with closed abdominal trauma detected and treated laparoscopically.
Results: All the injuries were successfully diagnosed with laparoscopy, and surgical treatment was performed under laparoscope or with the assistance of laparoscopy in 35 cases, with the other 4 cases requiring conventional laparotomy. All the patients recovered smoothly without operative complications.
Conclusions: Laparoscopy may reach definite diagnosis with avoidance of negative exploratory laparotomy, and laparoscopic surgery is possible to replace conventional therapeutic laparotomy for these injuries. With minimum invasion and small incisions, laparoscopy facilitates rapid postoperative recovery at the minimal risk of operative injuries.
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