Comparación entre técnicas quirúrgicas abiertas y mínimamente invasivas en el manejo del trauma abdominal
Keywords:
Abdominal trauma, laparotomy, laparoscopy, surgery, surgical management.Abstract
Abdominal trauma represents a complex medical emergency requiring timely and effective surgical intervention. This study compares two surgical techniques used in abdominal trauma management: laparotomy and therapeutic laparoscopy. The analysis includes indications, benefits, risks, and clinical outcomes, based on a thorough review of current scientific literature. Laparotomy, the traditional approach, provides extensive access but is associated with higher postoperative morbidity. Conversely, laparoscopy, a minimally invasive option, offers advantages such as faster recovery and fewer complications, although its use depends on the patient’s hemodynamic stability and the surgical team’s expertise. The findings support that the choice of approach should be individualized, considering patient condition and the availability of specialized resources.
Keywords: Abdominal trauma, laparotomy, laparoscopy, surgery, surgical management.
Downloads
References
Y, Xiang Y, Wu N, Wu L, Yu Z, Zhang M, et,al. A Comparison of Laparoscopy and Laparotomy for the Management of Abdominal Trauma: A Systematic Review and Meta-analysis. World J Surg. 2015;39(12):2862-71.
Chakravartty S, Sarma DR, Noor M, Panagiotopoulos S, Patel AG. Laparoscopy has a therapeutic role in the management of abdominal trauma: A matched-pair analysis. Int J Surg. 2017;44:21-25.
Gao Y, Li S, Xi H, Bian S, Zhang K, Cui J,et.al. Laparoscopy versus conventional laparotomy in the management of abdominal trauma: a multi-institutional matched-pair study. Surg Endosc. 2020 ;34(5):2237-2242.
Hajibandeh S, Hajibandeh S, Gumber AO, Wong CS. Laparoscopy versus laparotomy for the management of penetrating abdominal trauma: A systematic review and meta-analysis. Int J Surg. 2016;34:127-136.
Soto Benavides DC, Arguedas Vega D, Duarte González J. Trauma Cerrado de Abdomen: Una Revisión de Literatura Actual. Cienc Lat Rev Científica Multidiscip.2024;8(2):3943–64.
Pinela Baldeon DA, Moran Lema TT, Sánchez Anzules KL, Zambrano Andrade GP. Abordaje en trauma cerrado de abdomen. RECIMUNDO. 2019;3(3):224–42.
Jiménez Armenteros F, Gómez Ortega Á, Ruiz V, Ramiro A, Martínez Casas I, Capitán Vallvey J. Role of laparoscopic approach in polytrauma. Cir Andal. 2019;30(3):284–90.
Lin HF, Chen YD, Chen SC. Value of diagnostic and therapeutic laparoscopy for patients with blunt abdominal trauma: A 10-year medical center experience. PLoS One. 22;13(2):e0193379.
Cerutti Clara NM, Lorenzetti Y, Basa Exequiel A, López José M, Trevisan SO. Abordaje laparoscópico del traumatismo abdominal. Experiencia en un hospital de trauma. Rev argent cir 2022 [citado 02/05/2025];114(3):214-224. Disponible en: https://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S2250-639X2022000300214&lng=es.
Molina Salamea JC, Aguilar Sacoto H, Reinbach Rodas EB. Cirugía mínimamente invasiva en el manejo del trauma abdominal, ¿es una estrategia segura en nuestro medio? Ateneo. 2016 [citado 02/05/2025];18(1):27-34. Disponible en: https://www.colegiomedicosazuay.ec/ojs/index.php/ateneo/article/view/53/58
Ruezga KLL, Gómez JAJ, González LRR, Cruz MSS, Vigna JJG, Barba IMT. Trauma abdominal cerrado y penetrante con lesión a órganos abdominales. 2013;3(1).
Gutiérrez Fernández IA, Cayuela Fuentes V, López López V, Torres Salmeró G, González Gil A, Jiménez Mascuñán IM, et al. Abordaje laparoscópico en dos casos de politraumatismo abdominal cerrado. Cirugía Española. 2022 [citado 02/05/2025];00(Espec Congr 2):1166. Disponible en: https://www.elsevier.es/en-revista-cirugia-espanola-36-congresos-xxxiv-congreso-nacional-cirugia-149-sesion-trauma-y-cirugia-de-urgencias-7253-comunicacion-abordaje-laparoscopico-en-dos-casos-87815-pdf
Cerutti C, Lorenzetti Y, Basa EA, López JM, Trevisan SO. Abordaje laparoscópico del traumatismo abdominal. Experiencia en un hospital de trauma. Rev Argent Cir 2022;114(3):214-224.
Purushottam P, Subodh K, Amit G, Virinder Kumar B, Sushma S, Biplab M, et.al. Role of Laparoscopy in Patients with Abdominal Trauma at Level-I Trauma Center. Surg Laparosc Endosc Percutan Tech. 2018;28(1):20-25.
Jianjun W, Liangwang C, Jing L, Binyin Z, Weijun W, Wenxin Z. Laparoscopia vs. laparotomía para el manejo del trauma abdominal: una revisión sistemática y un metaanálisis. Cirugía frontal. 2022 [citado 20/05/2025];9:817134. Disponible en: https://pmc-ncbi-nlm-nih-gov.translate.goog/articles/PMC8957831/?_x_tr_sl=en&_x_tr_tl=es&_x_tr_hl=es&_x_tr_pto=tc
Inchausti C, Marrero E, Level LR. Trauma abdominal penetrante por heridas de arma Blanca. Menejo laparoscópico vs convencional. Estudio prospectivo y comparativo. RevVenezCir 2022 [citado 02/05/2025];75(1):29-34. Disponible en: https://ve.scielo.org/pdf/reveci/v75n1/2665-0401-reveci-75-01-29.pdf
Alzarouni N, Salem A, Nurelhuda NM, Osman R, Eltayyeb Y. Role of laparoscopy in patients with abdominal trauma: Rashid Hospital Trauma Center experience. Journal of Emergency Medicine, Trauma and Acute Care. 2022 [citado 02/05/2025];5(30):2-8. Disponible en: https://www.qscience.com/docserver/fulltext/jemtac/2022/5/jemtac.2022.30.pdf?expires=1751467445&id=id&accname=guest&checksum=481A6497904BA45AD50343DC488CA59F
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Jordán Fiallos Diana Lorena , Ortiz Zambrano José Alejandro , Jonathan Daves Arguello Vega, Tatiana Sarahi Mayo Vásquez

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
ACCESS AND DISTRIBUTION POLICY
All published articles are open access contributions, which are distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License which permits unrestricted non-commercial use, distribution and reproduction in any medium, provided that the primary source of publication is properly cited.