[Minimally invasive technologies in the treatment of patients with blunt abdominal trauma: a systematic review and meta-analysis. Part II: secondary endpoint - complications].

OBJECTIVE

To compare the effectiveness of various treatment options (percutaneous or transluminal methods, laparoscopic, robotic and open interventions) for blunt abdominal trauma.

MATERIAL AND

METHODS

A systematic review was performed in accordance with PRISMA (2020) and AMSTAR (2017) guidelines. We analyzed non-randomized studies between January 1, 2016 (randomized ones without time limits) and September 10, 2024 in the eLibrary, PubMed and Cochrane library databases.

RESULTS

Laparoscopic interventions in stable/stabilized patients with blunt abdominal injuries are accompanied by significantly fewer complications compared to laparotomy. At the same time, there are still insufficient data regarding the advantages of laparoscopy in hemodynamically stable /stabilized patients with spleen injuries. Well-planned researches are needed for other organs. There are insufficient data on percutaneous, transluminal and robotic techniques, as well as results of laparoscopy in hemodynamically unstable patients.

CONCLUSION

Laparoscopic interventions in stable/stabilized patients with blunt abdominal injuries are accompanied by significantly fewer complications compared to laparotomy. Further systematic reviews and meta-analyses based on randomized clinical trials are necessary to obtain higher level of evidence and class of recommendations.