{"paper_id":"735a98a1-5048-4e0c-92d8-d63f23dfcf9c","body_text":"Abstract\nDiagnostic laparoscopy is minimally invasive surgery for the diagnosis of intraabdominal diseases. This study aim was a critical examination of the available literature on the role of laparoscopy for the diagnosis and treatment of acute intraabdominal conditions. A systematic literature search of English-language articles on MEDLINE, the Cochrane database of evidence-based reviews, and the Database of Abstracts of Reviews of Effects was performed for the period 1995-2006. The level of evidence in the identified articles was graded. This review examines the role of diagnostic laparoscopy for acute nonspecific abdominal pain, trauma, and the acute abdomen experienced by the critically ill patient. The indications, contraindications, risks, benefits, diagnostic accuracy of the procedure, and associated morbidity are discussed. The limitations of the available literature are highlighted, and evidence-based recommendations for the use of diagnostic laparoscopy to determine acute intraabdominal conditions are provided.\nSimilar content being viewed by others\nReferences\nGuidelines for Diagnostic Laparoscopy (Retrieved March 25, 2008) http://www.sages.org/sagespublication.php?doc=12\nDecadt B, Sussman L, Lewis MP, Secker A, Cohen L, Rogers C, Patel A, Rhodes M (1999) Randomized clinical trial of early laparoscopy in the management of acute nonspecific abdominal pain. Br J Surg 86:1383–1386\nGaitán H, Angel E, Sánchez J, Gómez I, Sánchez L, Agudelo C (2002) Laparoscopic diagnosis of acute lower abdominal pain in women of reproductive age. Int J Gynaecol Obstet 76:149–158\nMajewski W (2000) Diagnostic laparoscopy for the acute abdomen and trauma. Surg Endosc 14:930–937\nOu CS, Rowbotham R (2000) Laparoscopic diagnosis and treatment of nontraumatic acute abdominal pain in women. J Laparoendosc Adv Surg Tech A 10:41–45\nFahel E, Amaral PC, Filho EM, Ettinger JE, Souza EL, Fortes MF, Alcâtara RS, Regis AB, Neto MP, Sousa MM, Fogagnoli WG, Cunha AG, Castro MM, Santana PA Jr (1999) Nontraumatic acute abdomen: videolaparoscopic approach. JSLS 3:187–192\nCuesta MA, Eijsbouts QA, Gordijn RV, Borgstein PJ, de Jong D (1998) Diagnostic laparoscopy in patients with an acute abdomen of uncertain etiology. Surg Endosc 12:915–917\nCueto J, Diáz O, Garteiz D, Rodríguez M, Weber A (1997) The efficacy of laparoscopic surgery in the diagnosis and treatment of peritonitis: experience with 107 cases in Mexico City. Surg Endosc 11:366–370\nNavez B, d’Udekem Y, Cambier E, Richir C, de Pierpont B, Guiot P (1995) Laparoscopy for management of nontraumatic acute abdomen. World J Surg 19:382–386\nGolash V, Willson PD (2005) Early laparoscopy as a routine procedure in the management of acute abdominal pain: a review of 1, 320 patients. Surg Endosc 19:882–885\nSanna A, Adani GL, Anania G, Donini A (2003) The role of laparoscopy in patients with suspected peritonitis: experience of a single institution. J Laparoendosc Adv Surg Tech A 13:17–19\nSözüer EM, Bedirli A, Ulusal M, Kayhan E, Yilmaz Z (2000) Laparoscopy for diagnosis and treatment of acute abdominal pain. J Laparoendosc Adv Surg Tech A 10:203–207\nPoulin EC, Schlachta CM, Mamazza J (2000) Early laparoscopy to help diagnose acute nonspecific abdominal pain. Lancet 355:861–863\nStefánsson T, Nyman R, Nilsson S, Ekbom A, Påhlman L (1997) Diverticulitis of the sigmoid colon: a comparison of CT, colonic enema, and laparoscopy. Acta Radiologica 38:313–319\nLeppäniemi A, Haapiainen R (2003) Diagnostic laparoscopy in abdominal stab wounds: a prospective, randomized study. J Trauma 55:636–645\nAhmed N, Whelan J, Brownlee J, Chari V, Chung R (2005) The contribution of laparoscopy in evaluation of penetrating abdominal wounds. J Am Coll Surg 201:213–216\nMitsuhide K, Junichi S, Atsushi N, Masakazu D, Shinobu H, Tomohisa E, Hiroshi Y (2005) Computed tomographic scanning and selective laparoscopy in the diagnosis of blunt bowel injury: a prospective study. J Trauma 58:696–701\nCherry RA, Eachempati SR, Hydo LJ, Barie PS (2005) The role of laparoscopy in penetrating abdominal stab wounds. Surg Laparosc Endosc Percutan Tech 15:14–17\nMiles EJ, Dunn E, Howard D, Mangram A (2004) The role of laparoscopy in penetrating abdominal trauma. JSLS 8:304–309\nTaner AS, Topgul K, Kucukel F, Demir A, Sari S (2001) Diagnostic laparoscopy decreases the rate of unnecessary laparotomies and reduces hospital costs in trauma patients. J Laparoendosc Advan Surg Tech A 11:207–211\nSimon RJ, Rabin J, Kuhls D (2002) Impact of increased use of laparoscopy on negative laparotomy rates after penetrating trauma. J Trauma 53:297–302\nMurray JA, Demetriades D, Asensio JA, Cornwell EEIII, Velmahos GC, Belzberg H, Berne TV (1998) Occult injuries to the diaphragm: prospective evaluation of laparoscopy in penetrating injuries to the left lower chest. J Am Coll Surg 187:626–630\nVillavicencio RT, Aucar JA (1999) Analysis of laparoscopy in trauma. J Am Coll Surg 189:11–20\nRossi P, Mullins D, Thal E (1993) Role of laparoscopy in the evaluation of abdominal trauma. Am J Surg 166:707–711\nOrtega AE, Tang E, Froes ET, Asensio JA, Katkhouda N, Demetriades D (1996) Laparoscopic evaluation of penetrating thoracoabdominal traumatic injuries. Surg Endosc 10:19–22\nBrandt CP, Priebe PP, Jacobs DG (1994) Potential of laparoscopy to reduce nontherapeutic trauma laparotomies. Am Surg 60:416–420\nMathonnet M, Peyrou P, Gainant A, Bouvier S, Cubertafond P (2003) Role of laparoscopy in blunt perforations of the small bowel. Surg Endosc 17:641–645\nDeMaria EJ, Dalton JM, Gore DC, Kellum JM, Sugerman HJ (2000) Complementary roles of laparoscopic abdominal exploration and diagnostic peritoneal lavage for evaluating abdominal stab wounds: a prospective study. J Laparoendosc Adv Surg Tech A 10:131–136\nElliott DC, Rodriguez A, Moncure M, Myers RA, Shillinglaw W, Davis F, Goldberg A, Mitchell K, McRitchie D (1998) The accuracy of diagnostic laparoscopy in trauma patients: a prospective, controlled study. Int Surg 83:294–298\nZantut LF, Ivatury RR, Smith RS, Kawahara NT, Porter JM, Fry WR, Poggetti R, Birolini D, Organ CH Jr (1997) Diagnostic and therapeutic laparoscopy for penetrating abdominal trauma: a multicenter experience. J Trauma 42:825–829\nMarks JM, Youngelman DF, Berk T (1997) Cost analysis of diagnostic laparoscopy vs laparotomy in the evaluation of penetrating abdominal trauma. Surg Endosc 11:272–276\nSmith RS, Fry WR, Morabito DJ, Koehler RH, Organ CH Jr (1995) Therapeutic laparoscopy in trauma. Am J Surg 170:632–636\nSosa JL, Arrillaga A, Puente I, Sleeman D, Ginzburg E, Martin L (1995) Laparoscopy in 121 consecutive patients with abdominal gunshot wounds. J Trauma 39:501–504\nHallfeldt KK, Trupka AW, Erhard J, Waldner H, Schweiberer L (1998) Emergency laparoscopy for abdominal stab wounds. Surg Endosc 12:907–910\nWeinberg JA, Magnotti LJ, Edwards NM, Claridge JA, Minard G, Fabian TC, Croce MA (2007) “Awake” laparoscopy for the evaluation of equivocal penetrating abdominal wounds. Injury 38:60–64\nFeliz A, Shultz B, McKenna C, Gaines BA (2006) Diagnostic and therapeutic laparoscopy in pediatric abdominal trauma. J Pediatr Surg 41:72–77\nMcQuay N Jr, Britt LD (2003) Laparoscopy in the evaluation of penetrating thoracoabdominal trauma. Am Surg 69:788–791\nFabiani P, Iannelli A, Mazza D, Bartels AM, Venissac N, Baqué P, Gugenheim J (2003) Diagnostic and therapeutic laparoscopy for stab wounds of the anterior abdomen. J Laparoendosc Adv Surg Tech A 13:309–312\nChol YB, Lim KS (2003) Therapeutic laparoscopy for abdominal trauma. Surg Endosc 17:421–427\nGagné DJ, Malay MB, Hogle NJ, Fowler DL (2002) Bedside diagnostic minilaparoscopy in the intensive care patient. Surgery 131:491–496\nPecoraro AP, Cacchione RN, Sayad P, Williams ME, Ferzli GS (2001) The routine use of diagnostic laparoscopy in the Intensive Care Unit. Surg Endosc 15:638–641\nKelly JJ, Puyana JC, Callery MP, Yood SM, Sandor A, Litwin DE (2000) The feasibility and accuracy of diagnostic laparoscopy in the septic ICU patient. Surg Endosc 14:617–621\nOrlando R III, Crowell KL (1997) Laparoscopy in the critically ill. Surg Endosc 11:1072–1074\nWalsh RM, Popovich MJ, Hoadley J (1998) Bedside diagnostic laparoscopy and peritoneal lavage in the Intensive Care Unit. Surg Endosc 12:1405–1409\nBrandt CP, Priebe PP, Eckhauser ML (1993) Diagnostic laparoscopy in the intensive care patient: avoiding the nontherapeutic laparotomy. Surg Endosc 7:168–172\nBrandt CP, Priebe PP, Jacobs DG (1994) Value of laparoscopy in trauma ICU patients with suspected acute acalculous cholecystitis. Surg Endosc 8:361–364\nJaramillo EJ, Trevino JM, Berghoff KR, Franklin ME Jr (2006) Bedside diagnostic laparoscopy in the intensive care unit: a 13-year experience. JSLS 10:155–159\nHackert T, Kienle P, Weitz J, Werner J, Szabo G, Hagl S, Büchler MW, Schmidt J (2003) Accuracy of diagnostic laparoscopy for early diagnosis of abdominal complications after cardiac surgery. Surg Endosc 17:1671–1674\nAlmeida J, Sleeman D, Sosa JL, Puente I, McKenney M, Martin L (1995) Acalculous cholecystitis: the use of diagnostic laparoscopy. J Laparoendosc Surg 5:227–231\nAuthor information\nAuthors and Affiliations\nCorresponding author\nRights and permissions\nAbout this article\nCite this article\nStefanidis, D., Richardson, W.S., Chang, L. et al. The role of diagnostic laparoscopy for acute abdominal conditions: an evidence-based review. Surg Endosc 23, 16–23 (2009). https://doi.org/10.1007/s00464-008-0103-x\nReceived:\nRevised:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s00464-008-0103-x","source_license":"CC0","license_restricted":false}