title: [Opportunities of endovideosurgical interventions in thoracic and abdominal trauma].
abstract: OBJECTIVE
  To analyze the results of laparo- and thoracoscopy in patients with thoracic and abdominal trauma in conditions of emergency hospital.
  
  
  METHODS
  For the period 2006-2013 we performed 56 laparoscopic and 15 thoracoscopic interventions in 67 patients with trauma. There were 80.6% of men and 19.4% of women aged 35±1.7 years. Abdominal, thoracic and thoraco-abdominal injuries were observed in 51 (76.1%), 14 (20.9%) and 2 (3%) patients. Abdominal or thoracic trauma alone was diagnosed in 41 (61.2%) cases and combined injury - in 26 (38.8%) patients. 37 (66%) interventions were performed laparoscopically. Conversion to laparotomy was observed in 19 (34%) cases. Mean volume of hemoperitoneum was 458 ml (range 100-1100 ml). In 11 (73.3%) patients thoracoscopic surgery was performed and conversion of access was applied in 4 (26.7%) cases.
  
  
  RESULTS
  No injuries of internal organs were observed in 19.6% and 13.3% of patients using laparo- and thoracoscopy respectively. So inadvisable open surgery was prevented although formal indications for laparo- and thoracotomy were present. In 25% and 20% of abdominal and thoracic damages respectively we avoided relatively unjustified laparo- or thoracotomy because of injuries were cured endoscopically. No one missed injury was observed. Postoperative complications were diagnosed in 5.6% of cases. Mortality rate was 15.6% in case of severe combined trauma. Mean hospital stay was 23.2 days (range 3-105).
  
  
  CONCLUSIONS
  Endoscopic techniques are perspective in treatment of thoracic and abdominal trauma. It allows to avoid inadvisable laparo- and thoracotomy in some cases and to improve results of treatment.
authors.affiliation: Chair of Faculty Surgery #2 of A.I. Yevdokimov Moscow State Medical and Dental University.
authors.forename: I E
authors.initials: IE
authors.lastname: Khat'kov
authors.affiliation: Chair of Faculty Surgery #2 of A.I. Yevdokimov Moscow State Medical and Dental University.
authors.forename: R E
authors.initials: RE
authors.lastname: Izrailov
authors.affiliation: Chair of Faculty Surgery #2 of A.I. Yevdokimov Moscow State Medical and Dental University; City Clinical Hospital #68, Moscow.
authors.forename: A A
authors.initials: AA
authors.lastname: Pankratov
authors.affiliation: Chair of Faculty Surgery #2 of A.I. Yevdokimov Moscow State Medical and Dental University; City Clinical Hospital #68, Moscow.
authors.forename: A V
authors.initials: AV
authors.lastname: Zhdanov
mesh_terms: D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D000328:Adult; D004630:Emergencies; D005260:Female; D006465:Hemoperitoneum / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods / Q000401:mortality; D008297:Male; D009031:Moscow / Q000453:epidemiology; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology; D012189:Retrospective Studies; D016019:Survival Analysis; D013898:Thoracic Injuries / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery*; D013906:Thoracoscopy / Q000009:adverse effects / Q000379:methods / Q000401:mortality; D016896:Treatment Outcome; D020535:Video-Assisted Surgery / Q000379:methods*