Is conversion from laparoscopic to open surgery in colorectal cancer predictable in the preoperative period?

The receiver operating characteristic analysis results were 0.769 (95% CI: 0.666–0.871, p=0.000) and 0.508 (95% CI: 0.382–0.634, p=0.896) for the CLRROS and CCF-CLC scores, respectively.Conclusion: To predict conversion from laparoscopy to open surgery, it was concluded that the CLRROS and CCF-CLC scores could help in selecting cases suitable for laparoscopy and inform patients about the expected postoperative outcomes, as well as minimizing postoperative disadvantages.

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Amaç & Hipotez:Introduction: This study aimed to evaluate the risk factors associated with conversion from laparoscopic colorectal resection to open surgery and investigate whether the possibility of such a conversion requirement can be predicted in the preoperative period.Materials and Methods: Between 2014 and 2018, following the diagnosis of colorectal cancer, 467 patients underwent laparoscopic resection in our general surgery clinic, of whom 126 were included in this study based on the availability of the parameters of conversion of laparoscopic rectal resection to open surgery (CLRROS) and the Cleveland Clinic Foundation colorectal laparoscopic conversion (CCF-CLC) scores.Results: Of the 126 patients included in this study, 97 (76%) underwent laparoscopic resection (classifid as Group 1), and 29 (24%) cases were converted to open surgery (classifid as Group 2).

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Temel Bulgular & Veri:The mean age±standard deviation (SD) was 58±13 and 62±15 years for Groups 1 and 2, respectively.

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Sonuç & Katkı:The receiver operating characteristic analysis results were 0.769 (95% CI: 0.666–0.871, p=0.000) and 0.508 (95% CI: 0.382–0.634, p=0.896) for the CLRROS and CCF-CLC scores, respectively.Conclusion: To predict conversion from laparoscopy to open surgery, it was concluded that the CLRROS and CCF-CLC scores could help in selecting cases suitable for laparoscopy and inform patients about the expected postoperative outcomes, as well as minimizing postoperative disadvantages.

🔬Tür:Araştırma Makalesi

📍Kapsam:2014 Verileri

⚙️Değişkenler:Alan Parametreleri

Özet

Introduction: This study aimed to evaluate the risk factors associated with conversion from laparoscopic colorectal resection to open surgery and investigate whether the possibility of such a conversion requirement can be predicted in the preoperative period.Materials and Methods: Between 2014 and 2018, following the diagnosis of colorectal cancer, 467 patients underwent laparoscopic resection in our general surgery clinic, of whom 126 were included in this study based on the availability of the parameters of conversion of laparoscopic rectal resection to open surgery (CLRROS) and the Cleveland Clinic Foundation colorectal laparoscopic conversion (CCF-CLC) scores.Results: Of the 126 patients included in this study, 97 (76%) underwent laparoscopic resection (classifid as Group 1), and 29 (24%) cases were converted to open surgery (classifid as Group 2). The mean age±standard deviation (SD) was 58±13 and 62±15 years for Groups 1 and 2, respectively. The CLRROS and CCF-CLC scores were 8±8 and 16.6±9.2, respectively in Group 1, and 17±10 and 17.7±10.5, respectively in Group 2. The receiver operating characteristic analysis results were 0.769 (95% CI: 0.666–0.871, p=0.000) and 0.508 (95% CI: 0.382–0.634, p=0.896) for the CLRROS and CCF-CLC scores, respectively.Conclusion: To predict conversion from laparoscopy to open surgery, it was concluded that the CLRROS and CCF-CLC scores could help in selecting cases suitable for laparoscopy and inform patients about the expected postoperative outcomes, as well as minimizing postoperative disadvantages.

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Bu Makaleye Atıf Yap

ER, S., ÖZDEN, S., AĞAÇKIRAN, İ., BERKEM, H., SUREL, A. A., TEZ, M., YÜKSEL, B. C. (2019). Is conversion from laparoscopic to open surgery in colorectal cancer predictable in the preoperative period?. Laparoscopic Endoscopic Surgical Science, Cilt: 26 - Sayı: 3, 108–112. https://ajindex.com/articles/345130

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Bhama AR, Obias V, Welch KB, Vandewarker JF, Cleary RK. A comparison of laparoscopic and robotic colorectal surgery outcomes using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database. Surg Endosc 2016;30:1576–84
Zhang GD, Zhi XT, Zhang JL, Bu GB, Ma G, Wang KL. Preoperative prediction of conversion from laparoscopic rectal resection to open surgery: a clinical study of conversion scoring of laparoscopic rectal resection to open surgery. Int J Colorectal Dis 2015;30:1209–16
Moghadamyeghaneh Z, Masoomi H, Mills SD, Carmichael JC, Pigazzi A, Nguyen NT, et al. Outcomes of conversion of laparoscopic colorectal surgery to open surgery. JSLS 2014;18
Allaix ME, Furnée EJ, Mistrangelo M, Arezzo A, Morino M. Conversion of laparoscopic colorectal resection for cancer: What is the impact on short-term outcomes and survival? World J Gastroenterol 2016;22:8304–13
Li JC, Lee JF, Ng SS, Yiu RY, Hon SS, Leung WW, et al. Conversion in laparoscopic-assisted colectomy for right colon cancer: risk factors and clinical outcomes. Int J Colorectal Dis 2010;25:983–8
Ptok H, Kube R, Schmidt U, Köckerling F, Gastinger I, Lippert H; “Colon/Rectum Carcinoma (Primary Tumor)” Study Group. Conversion from laparoscopic to open colonic cancer resection - associated factors and their influence on long-term oncological outcome. Eur J Surg Oncol 2009;35:1273–9
Vaccaro CA, Vaccarezza H, Rossi GL, Mentz R, Im VM, Quintana GO, et al. Body surface area: a new predictor factor for conversion and prolonged operative time in laparoscopic colorectal surgery. Dis Colon Rectum 2012;55:1153–9
Tekkis PP, Senagore AJ, Delaney CP. Conversion rates in laparoscopic colorectal surgery: a predictive model with, 1253 patients. Surg Endosc 2005;19:47–54
Vaccaro CA, Rossi GL, Quintana GO, Soriano ER, Vaccarezza H, Rubinstein F. Laparoscopic colorectal resections: a simple predictor model and a stratifiation risk for conversion to open surgery. Dis Colon Rectum 2014;57:869–74
Biondi A, Grosso G, Mistretta A, Marventano S, Tropea A, Gruttadauria S, et al. Predictors of conversion in laparoscopic-assisted colectomy for colorectal cancer and clinical outcomes. Surg Laparosc Endosc Percutan Tech 2014;24:e21– 6
Bhama AR, Charlton ME, Schmitt MB, Cromwell JW, Byrn JC. Factors associated with conversion from laparoscopic to open colectomy using the National Surgical Quality Improvement Program (NSQIP) database. Colorectal Dis 201