Table 1.
Main characteristics of the eligible studies.
| Study | Country | Study Design | Study Period | Type of Trauma | Anatomic Location of Trauma | Comparison | Number of Participants | Hemodynamic Status | Exclusion Criteria of Laparoscopy | |
|---|---|---|---|---|---|---|---|---|---|---|
| Author | Year | |||||||||
| Fabian [6] | 1993 | United States | Observational, Single center | 1990–1991 | Blunt, penetrating | liver, spleen, stomach, small intestine, colon, mesentery, diaphragm, pancreas, duodenum, gall bladder, bladder, vascular | Blunt | 17 | Stable | Hemodynamic instability |
| Stab, Gunshot | 165 | |||||||||
| Townsend [7] | 1993 | United States | Observational, Single center | 1991–1992 | Blunt | liver, spleen | None | 15 | Stable | Hemodynamic instability, peritonitis, head injury, <18 years, pregnancy, previous abdominal surgery |
| Taner [8] | 2001 | Turkey | Observational, Single center | 1995–1999 | Blunt, penetrating | General abdominal trauma | Blunt | 28 | Stable | Hemodynamic instability, peritonitis, head injury, <18 years, pregnancy, previous abdominal surgery |
| Penetrating | 71 | |||||||||
| Mathonnet [9] | 2003 | France | Observational, Single center | 1985–2001 | Blunt | small intestine | None | 15 | Non-descriptive | Non-descriptive |
| Omori [10] | 2003 | Japan | Observational, Single center | 1993–1997 | Blunt | small intestine, colon | Laparoscopy | 13 | Stable | Hemodynamic instability |
| Laparotomy | 11 | Stable | ||||||||
| Mitsuhide [11] | 2005 | Japan | Observational, Single center | 1994–2002 | Blunt | stomach, small intestine, colon | None | 18 | Stable | Hemodynamic instability, massive hemoperitomeum, injuries to abdominal organ other than bowel |
| Huscher [12] | 2006 | Italy | Observational, Single center | 2000–2004 | Blunt | Spleen | None | 11 | Stable | Non-descriptive |
| Kaban [13] | 2008 | United States | Observational, Single center | 2001–2004 | Blunt, penetrating | General abdominal trauma | laparoscopy | 18 | Stable | Non-descriptive |
| laparotomy | 25 | |||||||||
| Mallat [14] | 2008 | United States | Observational, Single center | 1996–2006 | Blunt, penetrating | General abdominal trauma | Blunt | 22 | Stable | Non-descriptive |
| Stab, Gunshot | 80 | |||||||||
| Shah [15] | 2011 | India | Observational, Single center | 2004–2008 | Blunt | liver, spleen, stomach, small intestine, colon, kidney | None | 25 | Stable | Hemodynamic instability, severe head injury, sever chest injury, compound fracture, spine fracture, anticipated difficult endotracheal intubation, pregnancy |
| Johnson [16] | 2013 | United States | Observational, Single center | 2001–2010 | Blunt, penetrating | General abdominal trauma | Blunt | 22 | Stable | Non-descriptive |
| Penetrating | 109 | |||||||||
| Memon [18] | 2013 | Pakistan | Observational, Single center | 2010–2012 | Blunt | General abdominal trauma | None | 32 | Stable | Hemodynamic instability, severe internal bleeding, established peritonitis |
| Khubutiya [17] | 2013 | Russia | Observational, Single center | 2000–2011 | Blunt, penetrating | liver, spleen, stomach, small intestine, colon | Laparoscopy | 155 | stable | Hemodynamic instability, peritonitis, ongoing bleeding |
| Laparotomy | 106 | unstable | ||||||||
| Huang [19] | 2017 | United States | Observational, Single center | 2011–2014 | Blunt | spleen | Laparoscopy | 11 | stable | <18 years old |
| Laparotomy | 41 | stable | ||||||||
| Koto [23] | 2018 | South Africa | Observational, Single center | 2012–2015 | Blunt | Hollow viscus organ | Laparoscopy | 27 | stable | <12 years old |
| Converted to laparotomy | 8 | |||||||||
| Parajuli [22] | 2017 | India | Observational, Single center | 2008–2013 | Blunt, penetrating | liver, spleen, stomach, small intestine, colon, mesentery, diaphragm | Blunt | 48 | stable | Hemodynamic instability, evisceration, gunshot wound |
| Penetrating | 71 | stable | ||||||||
| Lin [20] | 2018 | Taiwan | Observational, Single center | 2006–2015 | Blunt | liver, spleen, stomach, small intestine, colon, mesentery, diaphragm, pancreas, duodenum, gall bladder, bladder | Laparoscopy | 126 | stable | Hemodynamic instability, FAST positive, attending surgeon’s decision |
| Laparotomy | 139 | stable | ||||||||
| Matsevych [21] | 2018 | South Africa | Observational, Single center | 2012–2015 | Blunt, penetrating | General abdominal trauma | Blunt | 8 | stable | Non-descriptive |
| Penetrating | 33 | stable | ||||||||
| Nicolau [24] | 2019 | Romania | Observational, Single center | 2006–2016 | Blunt, penetrating | liver, spleen, small intestine, colon, mesentery, diaphragm | Blunt | 30 | stable | Hemodynamic instability, <GCS 12; decompensated heart, lung or liver disease; major hemorrhage, organ evisceration, multiple major injuries, scarred abdomen |
| Penetrating | 20 | stable |
FAST, focused assessment with sonography for trauma; GCS, Glasgow coma scale.