ThTP7.8 Laparoscopic to Open Conversion in Malignant Colorectal Cancer Resections (CRC): A 15-year cohort study
M A Gok, H N Mughal, M Bughio, U A Khan- Surgery
Abstract
Aims
Colorectal cancer is 3rd most common & 2nd leading cause of cancer deaths. Laparoscopic resection has evolved as main surgical technique in management of colorectal malignancies (66 % NBOCA 2022). Laparoscopic to open conversion is reported in < 21 %. Aim of study is to assess implications of laparoscopic to open conversions.
Methods
Single-centre cohort study was carried out from January 2008 to February 2023; with evaluations postoperative outcomes in laparoscopic to open conversions. Laparoscopic and open colorectal CRC resections were recruited as controls.
Results
Conclusion
Over 15 years, lap-open conversion rate was 12.1 %. Lap-open conversions had higher BMI’s, prolonged operations & hospital stay (p < 0.05.), but this did not adversely affect survival. Lap-open conversion should not be deemed as failure of laparoscopic surgery but as implementation of safe surgery in presence of intra-operative challenges.