In this article we analyzed our experience of treatment of 822 patients with polytrauma and abdominal blunt trauma. The aim of this study was to evaluate the possible benefits of the routine diagnostic laparoscopy and laparoscopic operations performed in case of abdominal trauma. After general examination, labtests, X-ray, USS and CT and diagnosis of trauma, 622 patients were performed videolaparoscopic examinations. In 152 (24.6%) cases we found trauma of the liver complicated with bleeding. We performed the laparoscopic operation in 152 (53.9%) patients of 282 liver trauma cases. In 51 cases of thoracic trauma with haemothorax we performed videothoracoscopies with coagulation of intercostal vessels. We also analyzed indications to laparoscopy in case of trauma and came to conclusion that laparoscopy is a useful tool to avoid an unnecessary laparotomy in stable patients with abdominal trauma. Bleeding from minor injuries of the liver or the spleen can be controlled through the laparoscopy. Laparoscopic operations in patients with mixed trauma and abdominal blunt trauma decrease mortality and number of postoperative complications. Future developments in minimally invasive surgery will allow a wider usage of laparoscopy for diagnosis and treatment of abdominal trauma.
