BACKGROUND: This study aimed to systematically review and compare the perioperative outcomes of laparoscopy with laparotomy for @entity1661 @entity1 . METHODS: We conducted a systematic review and meta-analysis comparing the perioperative outcomes of laparoscopy with laparotomy for @entity1661 @entity1 . Clinical endpoints included length of hospital stay, operation time, amount of intraoperative @entity190 , time to postoperative exhaust, time to regular diet, time to out of bed, duration of @entity282 , @entity260 , perioperative mortality rate, length of intensive care unit (ICU) stay, missed injuries, conversions to laparotomy, and cure rate. RESULTS: Sixty-four studies including 9058 @entity1 with @entity1661 were included. In these studies, laparoscopy was used as a screening, diagnostic, or therapeutic tool. Meta-analysis showed significant reductions in the incidence of @entity260 (relative risk [RR] [95  % confidence interval (CI)] 0.37 [0.29-0.46]), perioperative mortality rate (RR 0.64; 95  % CI 0.52-0.80), operation time (mean difference [MD] [95  % CI] -19.93  min [-34.43 to 5.43]), length of hospital stay (MD -5.15  days; 95  % CI -6.80 to 3.50), amount of intraoperative @entity190 (MD -141.33  ml; 95  % CI -260.99 to 21.67), time to postoperative exhaust (MD -5.32  h; 95  % CI -8.60 to 2.05), time to regular diet (MD -3.46  h; 95  % CI -6.31 to 0.61), time to out of bed (MD -23.51  h; 95  % CI -24.85 to 22.16), duration of @entity282 (MD -21.34  h; 95  % CI -22.65 to 20.03), length of ICU stay ( @entity6917 .89  days; 95  % CI -4.05 to 0.27) in @entity1 with @entity1661 treated with laparoscopy compared with laparotomy. The pooled incidence of @entity260 , missed injuries, conversions, and perioperative mortality rate of laparoscopy among the case reports were 0.04 (95  % CI 0.03-0.06), 0.01 (95  % CI 0.01-0.02), 0.24 (95  % CI 0.20-0.28), 0.01(95  % CI 0.01-0.02), respectively. Cure rate of laparoscopy ranged from 46 to 95  % and the pooled rate was 0.76 (95  % CI 0.71-0.81). CONCLUSIONS: Laparoscopy is an effective way to improve perioperative outcomes and reduce the complications of hemodynamically stable @entity1 with @entity1661 . It is worth further popularization in clinical practice.

A Comparison of Laparoscopy and Laparotomy for the Management of XXXX : A Systematic Review and Meta-analysis.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity1661 :: ('MESH:D000008', 'Disease') :: ['abdominal trauma'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications'] @entity6917 :: ('MESH:C101544', 'Chemical') :: ['MD -1'] @entity282 :: ('MESH:D010149', 'Disease') :: ['postoperative pain']
@entity1661 :: (MESH:D000008,Disease) :: ['Abdominal Trauma']
