{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T23:40:34Z","timestamp":1784590834688,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T00:00:00Z","timestamp":1689033600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T00:00:00Z","timestamp":1689033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T00:00:00Z","timestamp":1689033600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>We aimed to identify factors related to delayed intervention in abdominal trauma patients who underwent diagnostic laparoscopy using a nationwide databank.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From 2017 to 2019, abdominal trauma patients who underwent diagnostic laparoscopy were retrospectively evaluated using the Trauma Quality Improvement Program. Patients who underwent delayed interventions after a primary diagnostic laparoscopy were compared with those who did not. Factors associated with poor outcomes that are usually correlated with overlooked injuries and delayed interventions were also analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 5221 studied patients, 4682 (89.7%) underwent inspection without any intervention. Only 48 (0.9%) patients underwent delayed interventions after primary laparoscopy. Compared with patients receiving immediate interventions during primary diagnostic laparoscopy, patients receiving delayed interventions were more likely to have small intestine injuries (58.3% vs. 28.3%, <jats:italic>p<\/jats:italic> &lt; 0.001). Among patients with hollow viscus injuries, a significantly higher probability of overlooked injuries that required delayed intervention was observed in patients with small intestine injuries (small intestine injury: 16.8%; gastric injury: 2.5%; large intestine injury: 5.2%). However, delayed small intestine repair did not significantly affect the risk of surgical site infection (SSI) (<jats:italic>p<\/jats:italic> = 0.249), acute kidney injury (AKI) (<jats:italic>p<\/jats:italic> = 0.998), or hospital length of stay (LOS) (<jats:italic>p<\/jats:italic> = 0.053). In contrast, significantly positive relationships between delayed large intestine repair and poor outcomes were observed (SSI, odds ratio = 19.544, <jats:italic>p<\/jats:italic> = 0.021; AKI, odds ratio = 27.368, <jats:italic>p<\/jats:italic> &lt; 0.001; LOS, \u03b2 = 13.541, <jats:italic>p<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most examinations and interventions (near 90%) were successful during primary laparoscopy for abdominal trauma patients. Small intestine injuries were easily overlooked. Delayed small intestine repair\u2010related poor outcomes were not observed.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-023-07113-2","type":"journal-article","created":{"date-parts":[[2023,7,11]],"date-time":"2023-07-11T19:01:26Z","timestamp":1689102086000},"page":"2357-2366","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Role of Diagnostic Laparoscopy in the Evaluation of Abdominal Trauma Patients: A Trauma Quality Improvement Program Study"],"prefix":"10.1002","volume":"47","author":[{"given":"Han\u2010Hsi","family":"Chiu","sequence":"first","affiliation":[{"name":"Department of Trauma and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University 5, Fu\u2010Hsing Street, Kwei Shan Township, Taibei Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu\u2010San","family":"Tee","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University 5, Fu\u2010Hsing Street, Kwei Shan Township, Taibei Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih\u2010Po","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University 5, Fu\u2010Hsing Street, Kwei Shan Township, Taibei Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting\u2010An","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University 5, Fu\u2010Hsing Street, Kwei Shan Township, Taibei Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi\u2010Tung","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University 5, Fu\u2010Hsing Street, Kwei Shan Township, Taibei Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien\u2010Hung","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University 5, Fu\u2010Hsing Street, Kwei Shan Township, Taibei Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi\u2010Hsun","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University 5, Fu\u2010Hsing Street, Kwei Shan Township, Taibei Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih\u2010Yuan","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency Surgery Chang Gung Memorial Hospital Chang Gung University 5, Fu\u2010Hsing Street, Kwei Shan Township, Taibei Taoyuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010012\u20101790\u2010y"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0000000000000466"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.15140"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010199306000\u201000013"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068\u2010018\u20100902\u20102"},{"key":"e_1_2_11_7_1","unstructured":"https:\/\/www.facs.org\/quality\u2010programs\/trauma\/quality\/trauma\u2010quality\u2010improvement\u2010program\/. 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