EVALUATION OF LAPAROSCOPY AS A TREATMENT METHOD FOR ABDOMINAL TRAUMA

Аннотация

This study evaluates the effectiveness of laparoscopy in the diagnosis and treatment of closed abdominal trauma (CAT) among hemodynamically stable patients. A total of 320 patients were retrospectively analyzed, comparing outcomes between traditional laparotomy and diagnostic laparoscopy. The research emphasizes the importance of selecting appropriate candidates based on ultrasound assessment of intra-abdominal fluid volume. Results show that laparoscopic interventions, when guided by a structured algorithm, reduce unnecessary laparotomies, lower complication rates, and shorten hospital stays. These findings support expanding indications for laparoscopy in abdominal trauma management, especially for patients with less than 500mlof free intra-abdominal fluid. Keywords: laparoscopy, abdominal trauma, diagnostic surgery, hemodynamic stability, minimallyinvasivetechniques.