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Abstract The use of laparoscopy in the diagnosis of abdominal diseases has rapidly expanded over the last few years. Surgeons are now expanding the role of the laparoscope to include preoperative staging of a wide range of cancers, post treatment or second-look laparoscopy for numerous malignancies. The number of treatment options available through the laparoscope is also increasing rapidly. In spite of the various diagnostic methods currently used (diagnostic peritoneal lavage, abdominal ultrasono-graphy and computed tomography (CT) scan, it is difficult to evaluate the presence and severity of intra-abdominal injuries. Diagnostic and therapeutic laparoscopy applied to carefully selected hemodynamically stable trauma patients proved to be safe and technically feasible. It also reduced the negative and nontherapeutic laparotomies and offered profound therapeutic potential and cost effectiveness. Therapeutic applications will progress with increasing diagnostic familiarity, improvement in the surgeon’s laparoscopic skills, and developing technologic advances in trauma management. |