Impact of conversion from laparoscopy to open surgery in patients with right colon cancer
| Autor: | Lise Courtot, Niccolò Petrucciani, Nour Bou Saleh, Nicola de’Angelis, Pietro Genova, Anne Berger, Bertrand Le Roy, Mehdi Ouaissi, Riccardo Memeo, Denis Pezet, Francesco Brunetti, Razvan Aprodu, Nicolas Tabchouri, Thibault Voron, Didier Mutter |
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| Přispěvatelé: | Niccolò Petrucciani, Riccardo Memeo, Pietro Genova, Bertrand Le Roy, Lise Courtot, Thibault Voron, Razvan Aprodu, Nicolas Tabchouri, Nour Bou Saleh, Anne Berger, Mehdi Ouaïssi, Denis Pezet, Didier Mutter, Francesco Brunetti, Nicola de’Angelis |
| Předmět: |
Male
Colectomies medicine.medical_specialty Colorectal cancer medicine.medical_treatment Operative Time Disease-Free Survival medicine Humans Laparoscopy Survival rate Colectomy conversion laparoscopy colon cancer medicine.diagnostic_test business.industry Cancer General Medicine Perioperative medicine.disease Conversion to Open Surgery Surgery Survival Rate Settore MED/18 - Chirurgia Generale Treatment Outcome colonic neoplasms disease-free survival female humans male operative time survival rate treatment outcome colectomy conversion to open surgery laparoscopy Colonic Neoplasms Right Colectomy Female business |
| Zdroj: | Scopus-Elsevier |
| Popis: | Conversion to open surgery is reported in up to 20 per cent of laparoscopic colectomies for cancer. This study aims to compare postoperative outcomes and survival between converted and successful laparoscopic right colectomy for cancer. Records of patients who underwent laparoscopic right colectomy for cancer between 2005 and 2015 were retrieved from the CLermontFerrand Ircad Mondor Hopital European Tours (CLIMHET) database. Perioperative, postoperative, and survival outcomes were evaluated. Multivariate analysis was performed to identify predictive factors for conversion. Overall, 445 patients underwent a successfully completed laparoscopic right colectomy and 28 (5.9%) were converted to open surgery. A higher rate of minor complications was found in the conversion group, whereas patient recovery outcomes were similar. Previous open and laparoscopic surgeries were significant predictors of conversion. No significant difference was found in overall and disease-free survival rates between converted and nonconverted procedures. In the setting of laparoscopic right colectomy for cancer, the conversion rate is low and does not have an impact on patient survival. Conversion is associated with higher rates of minor postoperative complications but recovery and survival outcomes are comparable with successful laparoscopic colectomies. The present results support the use of laparoscopy for right colon resection even in patients at risk of conversion. |
| Databáze: | OpenAIRE |
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