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2012 | 84 | 7 | 352-357
Article title

Intraoperative Difficulties and the Reasons for Conversion in Patients Treated with Laparoscopic Colorectal Tumors

Content
Title variants
Languages of publication
EN
Abstracts
EN
The aim of the study was an evaluation of conversion causes and intraoperative difficulties in patients treated with laparoscopic surgery due to colorectal tumours on the basis of authors' own material.Material and methods. in the period 2009-2012 160 patients were operated on because of large bowel cancer, 79 women and 81 men. Average age of patients was 66 years. The conversion was recognized as desuflation of peritoneal cavity, trocars removal and making laparotomy.Results. The conversion was made in 22 cases (13,7%). More in men (16.1%) than in women. The conversion was made twice as likely in T3 and T4 tumors than in T1 and T2.Conclusions. The main cause of conversion in laparoscopic operations of colorectal cancer is local tumor progression.
Publisher

Year
Volume
84
Issue
7
Pages
352-357
Physical description
Dates
published
1 - 7 - 2012
online
30 - 8 - 2012
Contributors
  • Department of General, Oncologic and Digestive Tract Surgery, Medical Centre of Postgraduate Education in Warsaw
  • Department of General, Oncologic and Digestive Tract Surgery, Medical Centre of Postgraduate Education in Warsaw
  • Department of General, Oncologic and Digestive Tract Surgery, Medical Centre of Postgraduate Education in Warsaw
author
  • Department of General, Oncologic and Digestive Tract Surgery, Medical Centre of Postgraduate Education in Warsaw
References
  • Jayne DG, Thorpe HC, Copeland J: Five-year follow-up of the Medical Research Council CLASICC trial of laparoscopically assisted versus open surgery for colorectal cancer. Br J Surg 2010; 97: 1638-45.
  • Fleshman J, Sargent DJ, Green E: The Clinical Outcomes of Surgical Therapy Study Group. Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial. Arch Surg 2007; 142: 298-303.
  • King PM, Blazeby JM, Ewings P et al.: Randomized clinical trial comparing laparoscopic and open surgery for colorectal cancer within an enhanced recovery program. Br J Surg 2006; 93: 300-08.
  • Leung KL, Kwok SP, Lam SC et al.: Laparoscopic resection of rectosigmoid carcinoma: prospective randomized trial. Lancet 2004; 363: 1187-92.
  • Yamamoto S, Fukunaga M, Miyajima N et al.: Impact of Conversion on Surgical Outcomes after Laparoscopic Operation for Rectal Carcinoma: A Retrospective Study of 1,073 Patients. J Am Coll Surg, March 2009; 208: 383-89.
  • Hoe Chew, Kheng-Hong Ng, StephanieFook-Chong MC: Redefining Conversion in Laparoscopic Colectomy and Its Influence on Outcomes: Analysis of 418 Cases from a Single Institution. World J Surg 2011; 35:178-85.[WoS]
  • Lacy AM, Garcia-Valdecasas JC, Delgado S et al.: Laparoscopy assisted colectomy versus open colectomy for treatment of non-metastatic colon cancer: a randomized trial. Lancet 2002; 359: 2224-29.
  • Weeks JC, Nelson H, Gelber S et al.: Short-term quality of life outcomes following laparoscopicassisted colectomy versus open colectomy for colon cancer: a randomized trial. JAMA 2002; 287:321-28.
  • Le Moine MC, Faber JM, Vacher C et al.: Factors and consequences of conversion in laparoscopic sigmoidectomy for diverticular disease. Br J Surg 2003; 90: 232-36.
  • Lo CM, Fan ST, Liu CL et al.: Early decision for conversion of laparoscopic to open cholecystectomy for treatment of acute cholecystitis. Am J Surg 1997;173:513-17.
  • Jacobs M., Vardeja JC, Goldstein M. S.: Minimally Invasive Colon resection (Laparoscopic Colectomy). SurgLaparoscEndosc 1991; 1(3): 144-50.
  • Frangou C: National Rate of Laparoscopic Colorectal Surgery Less Than 10%. General Surgery News 2011; 38; 7.
  • Delaney CP, Chang E., Senagore AJ et al.: Clinical Outcomes and Resourse Utilization Associated with Laparoscopic and Open Colectomy Using a Large National Database. Ann Surg 2008; 247: 819-24.[WoS]
  • NHS. National Institute for Health and Clinical Excellence. NICE implementation uptake report: Laparoscopic Surgery for Colorectal Cancer. March 2010.
  • Rotholtz NA, Laporte M, Pereyra L et al.: Predictive factors for conversion in laparoscopic colorectal surgery. Tech Coloproctol 2008; 12: 27-31.[WoS]
  • Marusch F, Gastinger I, Schneider C et al.: Importance of conversion for results obtained with laparoscopic colorectal surgery. Dis Colon Rectum 2001; 44: 207-16.
  • Christen D, Buchmann P.: Sources of hazards in laparoscopic colon surgery and how to avoid them. Swiss Surg 1996; 2: 203-07.
  • Reissman P, Agachan F, Wexner SD: Outcome of laparoscopic colorectal surgery in older patients. Am Surg 1996; 62: 1060-63.
  • Samer S, Poncet G, Voirin D: Can Adequate Lymphadenectomy be Obtained by Laparoscopic Resection in Rectal Cancer ?. Results of a Case-Control Study in 200 Patients. J Gastrointest Surg 2010; 14: 1244-47.
  • Guilou PJ, Quirke P, Thorpe H: The MRC CLASICC Trial Group et al Short-term end points of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomized controlled trial. Lancet 2005; 365: 1718-26.
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-012-0059-3
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