Backround: Instead of open laparotomy, laparoscopy can be used safely and effectively for the diagnosis and treatment of traumatic abdominal injuries. Methods: Between May 2001 and Jan 2012, 316 with suspicious abdominal injuries underwent diagnostic or therapeutic laparoscopy. The patients ranged in age from 7 to 78 years (median, 28 years). Of these patients, 176 were evaluated for blunt trauma, 137 had sustained a stab wound and 3 had a missile wound. All of the laparoscopic procedures were performed in the operating room with the patient under general anesthesia. The abdominal cavity was systemically examined, the hemoperitoneum aspirated, and the lesion causing the bleeding or spillage located. Results: On the basis of the laparoscopic findings, diagnostic laparoscopy was enough for 110 patients, and therapeutic laparoscopy was performed in 186 patients (58.8 percent) for hemostasis of liver [34], hemostasis of spleen [22], hemostasis of pancreas and drainage of collected fluid in omental sac [4], small bowel repair [21], small bowel resection-anastomosis [3], colon repair [7], ligation of bleeders or repair of the mesentery and serous membrane [44], gastric wall repair [12], cholecystectomy [3], bladder wall repair [59], diaphragm repair [15]. Purely laparoscopic procedures were performed in 179 patients, and hand-assisted laparoscopic surgery in 7 patients. No significant abdominal injuries were missed as a result of laparoscopy, and no conversion to exploratory laparotomy was noted. The mean operation time was 90 +/- 70 min, and the mean hospital stay was 4.8 days. There were three cases (0.9 percent) of postoperative complications (1 collected fluid in liver, 1 collected fluid in omental sac, and 1 leakage of bladder), and only one large bowel wound was missed (patient had diagphram - gastric - spleen injuries, as well) and no mortality. Conclusions: Laparoscopy is safe, feasible, effective for evaluation and treatment of hemodynamically stable patients with abdominal trauma,and it can reduce the number of nontherapeutic laparotomies performed.