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. Author manuscript; available in PMC: 2021 Jul 1.
Published in final edited form as: J Pediatr Surg. 2019 Jul 15;55(7):1211–1218. doi: 10.1016/j.jpedsurg.2019.07.001

Table 2.

Injury and Operative Data (Institutional)

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