Predictive factors for conversion in laparoscopic colorectal surgery

Abstract

Complicated diverticulitis or cancer of the rectum treated by low anterior resection have higher probabilities of conversion.

Evaluation of laparoscopic versus open colorectal surgery in elderly patients more than 70 years old: an evaluation of 727 patients

“…This is comparable to figures available in the literature, ranging from 6.1% to 18.7% [17,[25][26][27][28]. The reasons for conversion in our series were mainly related to adhesions from previous surgery and advanced disease, with less than 1% of the patients requiring conversion due to intra-operative complications.…”

Has laparoscopic colorectal surgery become more cost-effective over time?

“…Therefore, randomised controlled trials studying colorectal surgery may have underestimated the true cost-effectiveness of laparoscopic surgery if patients at high risk of conversion were randomised to the laparoscopic group. Future economic evaluations should use the same conversion prediction models [33,34] used in clinical practice to allocate patients into the laparoscopic or open intervention groups while adjusting for any confounding factors that may result from the removal of randomisation.…”

Análisis de los factores predictivos de conversión en cirugía laparoscópica colorrectal

“…En este estudio un IMC sobre 25 (sobrepeso) se consideró un factor de riesgo independiente para conversión, lo que concuerda con lo publicado. 16 , publicó en sus resultados, que a pesar de ser más complejo el escenario en los pacientes obesos, estos no presentaron mayores tasas de conversión que el resto de la población en estudio.…”