Der Stellenwert der Laparoskopie beim Abdominaltrauma

Zusammenfassung

Ziel der Untersuchung war es, den Stellenwert der Laparoskopie im Versorgungsablauf des Bauchverletzten zu bestimmen. Dazu wurde das Krankengut der Chirurgischen Klinik des Carl-Thiem-Klinikum Cottbus aus den Jahren 1998 bis 2000 retrospektiv analysiert. In diesem Zeitraum wurden 53 Patienten wegen eines Bauchtraumas operativ versorgt, davon 20 (37,7 %) primär laparoskopiert. In 11 Fällen wurde der abdominelle Eingriff ohne Konversion laparoskopisch beendet, bei 8 Patienten dabei intraabdominelle Verletzungen laparoskopisch versorgt. Die Rate der so genannten „negativen” Laparotomien lag bei 13,2 %. Damit sollte die Laparoskopie unserer Meinung nach einen festen Platz im diagnostischen und gegebenenfalls therapeutischen Procedere beim Bauchtrauma einnehmen.

Abstract

The importance of laparoscopy in the management of blunt abdominal trauma should be evaluated. Therefore we retrospectively analysed all patients with blunt abdominal trauma treated in the Department of Surgery at the Carl-Thiem-Hospital Cottbus between 1998 and 2000. Within this period a total number of 53 patients with blunt abdominal trauma underwent operative treatment, 20 (37.7 %) of them had primary laparoscopy. Of the 11 cases where laparoscopic operation could be completed without conversion to exploratory laparotomy, 8 patients had intra-abdominal injuries and underwent sufficient laparoscopic treatment. The percentage of so called “negative” exploratory laparotomies within this study was 13.2 %. Our analysis suggests that laparoscopy should become firmly established in the diagnostic management and, if indicated, in the treatment of blunt abdominal trauma as well.

Schlüsselwörter

Bauchtrauma - Diagnostische Laparoskopie - Laparoskopische Therapie

Key words

Blunt abdominal trauma - Diagnostic laparoscopy - Laparoscopic treatment

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