Review Article

Laparoscopic Management of Blunt Pancreatic Trauma in Adults and Pediatric Patients: A Systematic Review

Table 2

Review of laparoscopic management for pancreatic trauma in adult patients.

Cases and genderAge (years)Presenting symptoms and amylase/lipase (U/L)Grade of pancreatic traumaAssociated injuriesTime lapse for surgery (hours)Laparoscopic managementOperative time (minutes)Blood loss (ml)Post-operative stay (days)Morbidity Clavien I-II
III-IV
Type of morbidityMortalityReadmission within 30 daysMain outcome

Chin et al. [9]1 F22Epigastric pain with tenderness
592/373
IIINo72DPS1224005NoNoNona

Vijay et al. [11]1 M28Epigastric pain with tenderness
108/404
IIGrade I liver lacerationsConservative management at the beginningLDnana36I-IIPancreatic fistula and collectionNoNoNo collection at 6 months

Dardenne [12]1 M24Epigastric pain with tenderness
na/337
IIIGrade I liver hematoma24SPDP followed 1 day later by intramuscular islet autotransplantationnana9NoNoNona

Pujahari [13]1 F32Upper abdominal pain
1260/na
IVNo72LD with jejunostomynana4I-IIPancreatic fistula (grade B)NoNoAsymptomatic stricture of the pancreatic duct at 3 years

Li et al. [14]1 F33na
865/na
IIINo6SPDPna50021I-IIPancreatic collectionNoNoNo collection at 4 years

De Wilt et al. [15]1 F34Upper abdominal pain
52/na
IIIDuodenal hematomanaSPDP180na10NoNoNona

Reynolds et al. [16]1 M18Severe abdominal pain and vomiting
850/246
IIINo12SPDPna5007NoNoNoNo collection at 8 weeks

Wolf et al. [17]1 F24Increasing abdominal pain
Amylase ↑ ↑
IVGrade I liver lacerations48Endoscopic stent and LDnana14I-IIPancreatic collectionNoNoNo collection at 1 year

Kalimi et al. [18]1 F33Deteriorating epigastric pain with tenderness
162/na
IINonaLDnana44NoNoNoNo collection at 4 years

Sayad et al. [19]1 F34Stab wound to the lower back
na/na
naNonaLDnana8NoNonana

Our case1 M18Epigastric pain with tenderness, vomiting
986/156
IIIGrade I liver lacerationsConservative management at the beginning
144
LSR1802006I-IIPancreatic fistula (grade B)NoNoNo collection at 24 months

DPS: distal pancreatic splenectomy; SPDP: spleen-preserving distal pancreatectomy; LSR: laparoscopic suture repair; LD: laparoscopic drainage.