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The impact of conversion on the risk of major complication following laparoscopic colonic surgery: an international, multicentre prospective audit

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F18%3A10387840" target="_blank" >RIV/00179906:_____/18:10387840 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11130/18:10387840 RIV/00064203:_____/18:10387840

  • Result on the web

    <a href="https://doi.org/10.1111/codi.14371" target="_blank" >https://doi.org/10.1111/codi.14371</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1111/codi.14371" target="_blank" >10.1111/codi.14371</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    The impact of conversion on the risk of major complication following laparoscopic colonic surgery: an international, multicentre prospective audit

  • Original language description

    Background: Laparoscopy has now been implemented as a standard of care for elective colonic resection around the world. During the adoption period, studies showed that conversion may be detrimental to patients, with poorer outcomes than both laparoscopic completed or planned open surgery. The primary aim of this study was to determine whether laparoscopic conversion was associated with a higher major complication rate than planned open surgery in contemporary, international practice. Methods: Combined analysis of the European Society of Coloproctology 2017 and 2015 audits. Patients were included if they underwent elective resection of a colonic segment from the caecum to the rectosigmoid junction with primary anastomosis. The primary outcome measure was the 30-day major complication rate, defined as Clavien-Dindo grade III-V. Results: Of 3980 patients, 64% (2561/3980) underwent laparoscopic surgery and a laparoscopic conversion rate of 14% (359/2561). The major complication rate was highest after open surgery (laparoscopic 7.4%, converted 9.7%, open 11.6%, P &lt; 0.001). After case mix adjustment in a multilevel model, only planned open (and not laparoscopic converted) surgery was associated with increased major complications in comparison to laparoscopic surgery (OR 1.64, 1.27-2.11, P &lt; 0.001). Conclusions: Appropriate laparoscopic conversion should not be considered a treatment failure in modern practice. Conversion does not appear to place patients at increased risk of complications vs planned open surgery, supporting broadening of selection criteria for attempted laparoscopy in elective colonic resection. Colorectal Disease (C) 2018 The Association of Coloproctology of Great Britain and Ireland

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30212 - Surgery

Result continuities

  • Project

  • Continuities

    N - Vyzkumna aktivita podporovana z neverejnych zdroju

Others

  • Publication year

    2018

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Colorectal Disease

  • ISSN

    1462-8910

  • e-ISSN

  • Volume of the periodical

    20

  • Issue of the periodical within the volume

    Supplement: 6

  • Country of publishing house

    GB - UNITED KINGDOM

  • Number of pages

    21

  • Pages from-to

    69-89

  • UT code for WoS article

    000445602400009

  • EID of the result in the Scopus database

    2-s2.0-85053824933