Factors That Predict Conversion in 69 Consecutive Patients Undergoing Laparoscopic Ileocecal Resection for Crohn's Disease: A Prospective Study

Abstract

This prospective study demonstrated that the severity of the disease increased significantly the conversion rate of the first laparoscopic ileocecal resection. Knowledge of these risk factors for conversion could be helpful in preoperative preparation and counseling of patients.

Pre‐operative management is associated with low rate of post‐operative morbidity in penetrating Crohn’s disease

“…intraabdominal abscess and fistula) was an independent factor predicting conversion to open surgery. 33 Our conversion rate of 34% was comparable to previous studies. 8,34,35 According to other authors, the main reasons for conversion were the presence of complex inflammatory masses or fistula.…”

Small intestine contrast ultrasonography (SICUS) for the detection of small bowel complications in crohnʼs disease: A prospective comparative study versus intraoperative findings

“…20,21 Surgery remains an important component of treatment of CD and an accurate preoperative assessment of CD lesions and associated complications is required to plan the surgical approach and intervention. [22][23][24] Such preoperative assessment is even more important when using a laparoscopic approach that may limit the surgeons manual search for subtle lesions of the intestine. 23 Four studies 8,9,12,18 have compared TUS and CT preoperative findings with operative findings.…”

Surgical management of pyogenic complications of Crohnʼs disease

“…74 About one-third of patients will require a conversion to an open procedure if an abscess is present at the time of operation. 75 Repeated operation and ongoing inflammation also results in higher rates of conversion to laparotomy. 76 A recent meta-analysis looking at the use of laparoscopy in CD confirms its feasibility and safety.…”