Videolaparoscopy (VL) contributes as safe diagnostic and therapeutic method
in the evaluation and / or treatment of patients suffering from abdominal trauma, both
blunt and in penetrating trauma, resulting in improved quality of care, rapid recovery
of patients, less cost to the hospital and more quickly return of the trauma patient, to
their occupations. These aspects justify a detailed analysis of the results obtained in
a Metropolitan Hospital of Urgency and Emergency throughout their incipient
experience in this type of procedure. The aim of this paper is to present the results of
videolaparoscopic procedures obtained in a series of trauma abdominal cases
performed in the Metropolitan Hospital of Urgency and Emergency of Belém-Pará Brazil during the period June 2006 to June 2010. Data were collected from medical
records of patients, who were managed initially by video surgery during the period in
question, totalizing 34 (100%) records. In 94% of cases, the VL was indicated for
diagnosis. Of all patients undergoing VL, in 29.4% of surgeries, there was conversion
to laparotomy, while 70.6% were in exclusive management by laparoscopic surgery.
Of the total cases handled exclusively by VL, 14 (58.4%) resulted in therapeutic
videolaparoscopies (TVL), 6 (25%) negative videolaparoscopies (NVL) and in 4
(16.6%) in nontherapeutic videolaparoscopies (VLNT). 70.6% of laparotomies were
avoided. Finally, VL when well-indicated, may be used as diagnostic and/or
therapeutic method, being able to avoid unnecessary laparotomy. It is necessary
prospective randomized trials and determination of a standardization of procedures
and videosurgery techniques, to optimize the management of this method in the
approach of abdominal trauma.
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