Why the study?
Does conversion to open surgery worsen outcomes in patients undergoing laparoscopic colorectal resection?
Does conversion to open surgery worsen outcomes in patients undergoing laparoscopic colorectal resection?
Conversion from laparoscopic to open colorectal surgery is associated with worse clinical and economic outcomes.
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Conversion to open colorectal resection was associated with worse outcomes; hypothesis-generating and requires prospective confirmation before changing practice.
Conversion of laparoscopic to open colorectal resection occurs in 14.3% of cases. Compared with patients who had laparoscopic operations, patients who had conversion to open surgery had a higher mortality, higher overall morbidity, longer length of hospitalization, and increased hospital charges. The lowest conversion rate was in right colectomy and the highest was in proctectomy procedures. Wound infection in converted procedures is higher than in laparoscopic and open procedures.
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Moghadamyeghaneh et al. (2014) studied this question.
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