Laparoscopy and thoracoscopy in penetrating thoracoabdominal injuries

Summary BACKGROUND: Cavitary endoscopy, to incorporate laproscopy and thoracoscopy, has a great potential in the management of trauma both for diagnosis and treatment and has the potential to expand its horizons, fostered by innovations in imaging, computerization, virtual reality, and artificial intelligence. METHODS: Indications for cavitary endoscopy were developed with consideration of the relevant literature and the authors own experience. The surgical technique for penetrating injuries, which depends on the particular indication, is described. RESULTS: Cavitary endoscopy is a safe and efficient means of determining the depth of penetrating injuries and can make up for the diagnostic deficits of imaging techniques. Therapeutic measures such as diaphragmatic sutures can also be applied safely. CONCLUSIONS: The trauma surgeon should utilize it ably and efficiently for the benefit of the patient but without increasing iatrogenic complications.