Diagnostic and therapeutic possibilities of laparoscopic and robotic technologies in blunt abdominal trauma (systematic review of the literature)

Abstract

INTRODUCTION. The development of laparoscopic and robotic surgery in medicine is happening rapidly, but their role and place in the surgery of blunt abdominal trauma are not yet fully defined, the range of diagnostic capabilities and performed operations is constantly expanding, contraindications are decreasing.The OBJECTIVE was to conduct systematic review based on modern data from Russian and foreign literature to determine the role and place of laparoscopic and robotic technologies in the diagnosis and treatment of patients with blunt abdominal trauma. The systematic literature search was conducted from January 2015 to August 23, 2021.Laparoscopy reduces the duration of inpatient treatment, the percentage of postoperative complications and mortality in hemodynamically stable patients with blunt abdominal trauma compared to laparotomy.CONCLUSION. To obtain data of a higher Level of Evidence and Grade of Recommendations, it is necessary to further conduct systematic reviews and meta-analyses based on randomized clinical trials.