{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:10:16Z","timestamp":1789737016895,"version":"4.0.1"},"reference-count":17,"publisher":"Danish Medical Association","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dan Med J"],"abstract":"<jats:p>Introduction. Trauma laparotomy remains the gold standard for treating penetrating abdominal trauma, but it carries a higher risk of complications and longer hospital stays than other approaches. We explored whether laparoscopy could serve as a valuable alternative in the trauma setting. This study analysed the management of haemodynamically stable patients with penetrating abdominal trauma to assess the applicability of laparoscopy and its potential to reduce non-therapeutic laparotomies.\n\nMethods. We conducted a retrospective study of haemodynamically stable patients with penetrating abdominal trauma who underwent surgery. Data were collected over a five-year period (January 2018-December 2022), including demographics, radiological procedures, surgical findings and interventions, and post-operative outcomes: mortality, complications (including reoperation and missed injury) and length of stay.\n\nResults. A total of 127 patients were included and divided into three groups: laparoscopy, laparoscopy converted to laparotomy and laparotomy. Extended focused assessment with sonography in trauma E-FAST and computed tomography were significantly more often positive in the laparotomy group than in the other groups. Commonly injured organs included the liver, diaphragm, stomach, small bowel, colon, retroperitoneum and spleen. Frequent interventions were liver haemostasis and diaphragm repair. In total, 29 patients (28%) underwent non-therapeutic laparotomy.\n\nCONCLUSIONS. We found a high rate of non-therapeutic laparotomies. Given the injuries and procedures, laparoscopy appears feasible in experienced hands. Prospective studies are urgently needed to assess its safety and efficacy in abdominal trauma.\n\nFunding. None.\n\nTrial registration. Not relevant.<\/jats:p>","DOI":"10.61409\/a06250512","type":"journal-article","created":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T08:53:09Z","timestamp":1771923189000},"page":"1-9","source":"Crossref","is-referenced-by-count":2,"title":["Laparoscopy for stable penetrating abdominal trauma"],"prefix":"10.61409","author":[{"given":"Nathja Groth","family":"Harps\u00f8e","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lasse Rehn\u00e9","family":"Jensen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Possfelt-M\u00f8ller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f8ren Steemann","family":"Rudolph","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Preisler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luit","family":"Penninga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"40208","published-online":{"date-parts":[[2026,2]]},"reference":[{"key":"ref0","unstructured":"World Health Organization. Injuries and violence. World Health Organization, 2024. www.who.int\/news-room\/fact-sheets\/detail\/injuries-and-violence (23 Jan 2024)"},{"key":"ref1","unstructured":"Dansk Traumeregister. \u00c5rsrapport 2023. Dansk Traumeregister, 2023. www.sundk.dk\/media\/liswbzc4\/abff805037664fbc992e47d10fbf780f.pdf (30 Jan 2024)"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Hajibandeh S, Hajibandeh S, Gumber AO, et al. Laparoscopy versus laparotomy for the management of penetrating abdominal trauma: a systematic review and meta-analysis. Int J Surg. 2016;34:127-136. https:\/\/doi.org\/10.1016\/j.ijsu.2016.08.524","DOI":"10.1016\/j.ijsu.2016.08.524"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Taner AS, Topgul K, Kucukel F, et al. Diagnostic laparoscopy decreases the rate of unnecessary laparotomies and reduces hospital costs in trauma patients. 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World J Emerg Surg. 2019;14:40. https:\/\/doi.org\/10.1186\/s13017-019-0257-y","DOI":"10.1186\/s13017-019-0257-y"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Sermonesi G, Tian BWCA, Vallicelli C, et al. Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma. World J Emerg Surg. 2023;18(1):57. https:\/\/doi.org\/10.1186\/s13017-023-00520-9","DOI":"10.1186\/s13017-023-00520-9"},{"key":"ref15","doi-asserted-by":"publisher","unstructured":"Matsevych O, Koto M, Balabyeki M, Aldous C. Trauma laparoscopy: when to start and when to convert? Surg Endosc. 2018;32(3):1344-1352. https:\/\/doi.org\/10.1007\/s00464-017-5812-6","DOI":"10.1007\/s00464-017-5812-6"},{"key":"ref16","doi-asserted-by":"publisher","unstructured":"Sander A, Spence R, Ellsmere J, et al. Penetrating abdominal trauma in the era of selective conservatism: a prospective cohort study in a level 1 trauma center. 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