Table 2.
Combined (N = 393) | Laparotomy (N = 305) | Laparoscopy (N = 64) | Conversion (N = 24) | Binary p-value** | Overall p-value | |
---|---|---|---|---|---|---|
CT performed pre-op | ||||||
No | 75 (19%) | 61 (20%) | 14 (22%) | 0 (0%) | 0.735 | 0.046 |
Yes | 318 (81%) | 244 (80%) | 50 (78%) | 24 (100%) | ||
Indication* | ||||||
Intra-abdominal free fluid (imaging) | 176 (45%) | 137 (45%) | 28 (44%) | 11 (46%) | 0.864 | 0.980 |
Intra-abdominal free air (imaging) | 67 (17%) | 50 (16%) | 11 (17%) | 6 (25%) | 0.876 | 0.558 |
Intra-abdominal injury (imaging) | 175 (45%) | 141 (46%) | 24 (38%) | 10 (42%) | 0.202 | 0.424 |
Concern for intra-abdominal injury | 84 (21%) | 68 (22%) | 12 (19%) | 4 (17%) | 0.531 | 0.693 |
Other | 5 (1%) | 3 (1%) | 2 (3%) | 0 (0%) | 0.178 | 0.323 |
Procedures performed* | ||||||
Small bowel repair | 135 (34%) | 111 (36%) | 8 (13%) | 16 (67%) | <0.001 | < 0.001 |
Large bowel repair | 93 (24%) | 76 (25%) | 9 (14%) | 8 (33%) | 0.061 | 0.092 |
Splenorrhaphy/splenectomy | 69 (18%) | 68 (22%) | 1 (2%) | 0 (0%) | <0.001 | < 0.001 |
Chest tube | 37 (9%) | 36 (12%) | 0 (0%) | 1 (4%) | 0.004 | 0.009 |
Hepatorrhaphy | 36 (9%) | 36 (12%) | 0 (0%) | 0 (0%) | 0.004 | 0.003 |
Gastrorrhaphy | 29 (7%) | 25 (8%) | 3 (5%) | 1 (4%) | 0.335 | 0.512 |
Vascular repair | 27 (7%) | 26 (9%) | 1 (2%) | 0 (0%) | 0.052 | 0.053 |
Partial pancreatectomy | 22 (6%) | 21 (7%) | 1 (2%) | 0 (0%) | 0.102 | 0.114 |
Mesenteric repair | 20 (5%) | 15 (5%) | 2 (3%) | 3 (13%) | 0.534 | 0.196 |
Diaphragmatic repair | 20 (5%) | 17 (6%) | 3 (5%) | 0 (0%) | 0.776 | 0.483 |
Kidney repair/nephrectomy | 14 (4%) | 14 (5%) | 0 (0%) | 0 (0%) | 0.081 | 0.123 |
Bladder repair | 14 (4%) | 12 (4%) | 2 (3%) | 0 (0%) | 0.758 | 0.593 |
Cholecystectomy | 6 (2%) | 6 (2%) | 0 (0%) | 0 (0%) | 0.258 | 0.415 |
Appendectomy | 5 (1%) | 5 (2%) | 0 (0%) | 0 (0%) | 0.302 | 0.482 |
Salpingo/oophorectomy | 1 (0%) | 1 (0%) | 0 (0%) | 0 (0%) | 0.646 | 0.865 |
Other | 126 (32%) | 96 (31%) | 25 (39%) | 5 (21%) | 0.240 | 0.237 |
Indication for conversion | ||||||
Injury repair | -- | -- | -- | 15 (63%) | -- | -- |
Inadequate visualization | -- | -- | -- | 8 (33%) | ||
Both | -- | -- | -- | 1 (4%) |
Some patients had multiple indications or procedures performed
Binary p-value compares laparotomy vs. laparoscopy