The Place of Minimally Invasive Technologies in the Treatment of Patients With Blunt Abdominal Trauma: a Systematic Review and Meta-Analysis. Secondary Control Points

Introduction. The development of minimally invasive technologies in medicine is fast, but their role and place in surgery of blunt abdominal trauma have not yet been definitively determined.

Aim of the study to compare the effectiveness of various treatment options (non-operative with percutaneous or transluminal methods, laparoscopic, robotic and laparotomic) in patients with blunt abdominal trauma.

Material and methods. A systematic literature search was conducted in accordance with the recommendations of PRISMA (2020) and AMSTAR (2017). The analysis of non-randomized studies from January 1, 2016, and randomized ones — without time limits, to September 10, 2024 from the electronic databases eLibrary, PubMed, Cochrane library was carried out.

Results. Laparoscopic interventions in hemodynamically stable/stabilized patients with abdominal trauma are less prolonged than laparotomic, but no significant differences were obtained with blunt abdominal trauma. Laparoscopy helps to reduce the time spent in hospital in hemodynamically stable patients with both abdominal injuries in general and with blunt abdominal trauma. According to percutaneous, transluminal and robotic methods, there is insufficient data for meta-analysis.

Conclusion. Laparoscopy is a safe technique for the treatment of hemodynamically stable patients with blunt ab-dominal trauma and has a number of advantages over open interventions. 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.

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