Conversion in laparoscopic colorectal surgery: Are short-term outcomes worse than with open surgery?

Background The aim of the present study was to compare the perioperative outcomes in patients who underwent planned open colectomy to those who were converted to an open. Methods All patients who underwent elective colectomy were identified from the American College of Surgeons National Surgical Qua...

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Bibliographic Details
Published in:Techniques in coloproctology 2016-12, Vol.20 (12), p.845-851
Main Authors: Gorgun, E., Benlice, C., Abbas, M. A., Stocchi, L., Remzi, F. H.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Aged
Colectomy - methods
Colectomy - statistics & numerical data
Colorectal Surgery
Conversion to Open Surgery - methods
Conversion to Open Surgery - statistics & numerical data
Databases, Factual
Female
Gastroenterology
Humans
Laparoscopy - methods
Laparoscopy - statistics & numerical data
Length of Stay
Logistic Models
Male
Medicine
Medicine & Public Health
Middle Aged
Operative Time
Original Article
Proctology
Propensity Score
Retrospective Studies
Surgery
Treatment Outcome
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Summary:Background The aim of the present study was to compare the perioperative outcomes in patients who underwent planned open colectomy to those who were converted to an open. Methods All patients who underwent elective colectomy were identified from the American College of Surgeons National Surgical Quality Improvement Program using procedure-targeted database (2012–2014). Patients were divided into two groups: open (planned) versus converted. Perioperative outcomes were compared. A logistic regression model was used to calculate the propensity of unplanned conversion as opposed to open surgery. Results There were 21,437 patients; 17,366 (81.0%) in the open group and 4071 (19.0%) in the converted group. Operative time was longer in the converted group (212 ± 99 vs. 182 ± 111 min, p  
ISSN:1123-6337
1128-045X
DOI:10.1007/s10151-016-1554-z