Review Article

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

Table 3

Review about laparoscopic management of pancreatic trauma in paediatric 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 loos (ml)Post-operative stay (days)Morbidity Clavien
I-II
III-IV
Type of morbidityMortalityRe-admission within 30 daysMain outcome

Nachiappan et al. 2022 [20]1F15Epigastric pain with tendernessIIINo24SPDPNaNa6NoNoNo8 years

Appukuttan et al. 2022 [21]1 M17NaIIGrade II duodenal injury with duodenal hematoma and grade II hepatic injuryConservative management until 168168LD with gastro-jejunostomyNaNa20IIIb (emergency open Whipple procedure)Duodenal bleed, luminal bleedNoNoNo

Kanack et al. 2018 [22]1 M5NaIIINoIn emergencySPDPNaNa9NoNoCollection underwent percutaneous drainageNo

Marom 2018 [23]1F15Epigastric painIIINo48SPDPNaNaNaNoNoNoNa

Gadiyaram et al. 2017 [24]1 F15Abdominal tendernessIVNo24SPDPNaNa7NoNoNoNa

De Vos et al. 2013 [25]1 M
1 M
12
3
NaIII
III
No splenic hematomaIn emergencySPDP
SPDP
Na
Na
Na
Na
5
7
No
No
-
-
No
No
No
No
No collection at 6 weeks

Iqbal et al. 2012 [26]4 M/3 FMean: 8.6NaIIINoMean: 24SPDPMean: 218NaMean: 9.64/7 Clavien IIPancreatic leak, postoperative ileus, wound infectionNo1/7Na

Rutkoski et al. 2011 [27]1 F
1 M
1 M
8
10
13
Na
667/533
1783/8399
244/2293
III
III
III
No
No
Grade II splenic laceration + left pleural effusion
23
48
72
SPDP
SPDP
SPDP
344
150
146
100
100
50
6
15
7
No
I-II
I-II
1 case: Mild pancreatitis
1 case: Abdominal wall hematoma
No
No
No
No
No
No
No collection at
12 months
35 months
34 months

Malek et al. 2010 [28]1 M13Abdominal pain amylase and lipase ↑ ↑IIIGrade II splenic laceration72SPDPNaNa7NoNoNoNa

Nikfarjam et al. 2009 [29]1 M14Epigastric pain with tenderness and vomiting
Na/3600
IVNoNaDPSNo509I-IIPancreatic fistula grade ANoNoNo collection at 1 month

Sayad et al. 2001 [19]1 M10NaIIINaNaSPDPNaNa3NoNoNoNa

DPS: Distal pancreatic-splenectomy; SPDP: Spleen preserving distal pancreatectomy; LSR: Laparoscopic suture repair; LD: Laparoscopic drainage.