Detailed Information

Cited 0 time in webofscience Cited 23 time in scopus
Metadata Downloads

Conversions in laparoscopic surgery for rectal cancer

Authors
van der Pas M.H.G.M.Deijen C.L.Abis G.S.A.de Lange-de Klerk E.S.M.Haglind E.Fürst A.Lacy A.M.Cuesta M.A.Bonjer H.J.For the COLOR II study groupd’Hoore A.Birch D.DeGara C.Jamieson C.Peiman P.Jensen K.J.Bulut O.Jess P.Rosenberg J.Harvald T.Ovesen H.Iesalnieks I.Agha A.Jaeger C.Kreis M.Kasparek M.Fürst A.Liebig-Hoerl G.Kim S.H.Bonjer J.van der Peet D.Cuesta M.van der Pas M.Buunen M.Abis G.Deijen C.de Lange-de Klerk E.Hop W.Neijenhuis P.Coene P.P.van der Harst E.van ‘t Riet Y.Bemelman W.Gerhards M.Prins H.Targarona E.Balague C.Martinez C.Osorio J.F.Molina G.Lacy A.Delgado S.Lujan J.Valero G.Alonso-Poza A.Losadar M.Argudo S.Lackberg Z.Skullman S.Kurlberg G.Haglind E.Andersson J.Angenete E.Ekelund J.Kressner U.Matthiessen P.
Issue Date
2017
Publisher
Springer New York LLC
Keywords
Conversion; Laparoscopic surgery; Rectal cancer
Citation
Surgical Endoscopy, v.31, no.5, pp 2263 - 2270
Pages
8
Indexed
SCI
SCIE
SCOPUS
Journal Title
Surgical Endoscopy
Volume
31
Number
5
Start Page
2263
End Page
2270
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/5651
DOI
10.1007/s00464-016-5228-8
ISSN
0930-2794
1432-2218
Abstract
Background: Laparoscopic surgery offers patients with rectal cancer short-term benefits and similar survival rates as open surgery. However, selecting patients who are suitable candidates for laparoscopic surgery is essential to prevent intra-operative conversion from laparoscopic to open surgery. Clinical and pathological variables were studied among patients who had converted laparoscopic surgeries within the COLOR II trial to improve patient selection for laparoscopic rectal cancer surgery. Methods: Between January 20, 2004, and May 4, 2010, 1044 patients with rectal cancer enrolled in the COLOR II trial and were randomized to either laparoscopic or open surgery. Of 693 patients who had laparoscopic surgery, 114 (16 %) were converted to open surgery. Predictive factors were studied using multivariate analyses, and morbidity and mortality rates were determined. Results: Factors correlating with conversion were as follows: age above 65 years (OR 1.9; 95 % CI 1.2–3.0: p = 0.003), BMI greater than 25 (OR 2.7; 95 % CI 1.7–4.3: p < 0.001), and tumor location more than 5 cm from the anal verge (OR 0.5; CI 0.3–0.9). Gender was not significantly related to conversion (p = 0.14). In the converted group, blood loss was greater (p < 0.001) and operating time was longer (p = 0.028) compared with the non-converted laparoscopies. Hospital stay did not differ (p = 0.06). Converted procedures were followed by more postoperative complications compared with laparoscopic or open surgery (p = 0.041 and p = 0.042, respectively). Mortality was similar in the laparoscopic and converted groups. Conclusions: Age above 65 years, BMI greater than 25, and tumor location between 5 and 15 cm from the anal verge were risk factors for conversion of laparoscopic to open surgery in patients with rectal cancer. © 2016, Springer Science+Business Media New York.
Files in This Item
There are no files associated with this item.
Appears in
Collections
2. Clinical Science > Department of Colon and Rectal Surgery > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Altmetrics

Total Views & Downloads

BROWSE