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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The impact of conversion on the risk of major complication following laparoscopic colonic surgery: an international, multicentre prospective audit
Colorectal Disease, Volume 20, Year 2018
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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 < 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 < 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 © 2018 The Association of Coloproctology of Great Britain and Ireland
Authors & Co-Authors
van der Pool, Anne Elisabeth Maria
Unknown Affiliation
Sanchez-Guillen, Luís
Unknown Affiliation
Negoi, Ionut
Unknown Affiliation
El-Hussuna, Alaa
Unknown Affiliation
Buchs, Nicolas Christian
Unknown Affiliation
Buskens, Christianne Johanna
Unknown Affiliation
Frasson, Matteo
Unknown Affiliation
Gallo, Gaetano
Unknown Affiliation
Minaya-Bravo, Ana M.
Unknown Affiliation
Dion G. Morton, Dion Gregory M.
Unknown Affiliation
Nepogodiev, Dmitri
Unknown Affiliation
Pata, Francesco
Unknown Affiliation
Zmora, Oded
Unknown Affiliation
Perry, Rita J.
Unknown Affiliation
Magill, Laura
Unknown Affiliation
Bemelman, Willem Adrianus
Unknown Affiliation
Brown, Steven Ross
Unknown Affiliation
Knowles, Charles H.
Unknown Affiliation
Laurberg, Soren
Unknown Affiliation
Möeslein, Gabriela
Unknown Affiliation
Pinkney, Thomas D.
Unknown Affiliation
Vaizey, Carolynne J.
Unknown Affiliation
Proud, David M.
Unknown Affiliation
Warwick, Andrea Marie
Unknown Affiliation
Francart, David
Unknown Affiliation
Muysoms, Filip E.
Unknown Affiliation
Wolthuis, Albert M.
Unknown Affiliation
Delibegović, Samir
Unknown Affiliation
Tercioti, Valdir
Unknown Affiliation
Dardanov, Dragomir
Unknown Affiliation
Maslyankov, Svilen
Unknown Affiliation
Lozev, Ilia I.
Unknown Affiliation
Slavchev, M.
Unknown Affiliation
Atanasov, Boyko Tchavdarov
Unknown Affiliation
Belev, Nikolay
Unknown Affiliation
Škrovina, Matěj
Unknown Affiliation
Christensen, Peter Astrup
Unknown Affiliation
Elfeki, Hossam Ayman
Unknown Affiliation
Kristensen, Marianne Højsgaard
Unknown Affiliation
Elgeidie, Ahmed Abdelraouf
Unknown Affiliation
Elhemaly, Mohamed
Unknown Affiliation
El Nakeeb, Ayman M.
Unknown Affiliation
Shalaby, Mostafa
Unknown Affiliation
Emile, Sameh Hany
Unknown Affiliation
Sakr, Ahmad Hammad
Unknown Affiliation
Thabet, Waleed Mohamed
Unknown Affiliation
Awny, Shadi
Unknown Affiliation
Metwally, Islam Hany
Unknown Affiliation
Refky, Basel
Unknown Affiliation
Zuhdy, Mohammad
Unknown Affiliation
Lepistö, Anna H.
Unknown Affiliation
Rautio, Tero T.
Unknown Affiliation
Lehto, Kirsi Maarit
Unknown Affiliation
Gléhen, Olivier J.
Unknown Affiliation
Passot, Guillaume
Unknown Affiliation
Chouillard, Élie K.
Unknown Affiliation
Ayav, Ahmet
Unknown Affiliation
Denost, Quentin D.
Unknown Affiliation
Rullier, Éric
Unknown Affiliation
Lakkis, Zaher
Unknown Affiliation
Schafmayer, Clemens
Unknown Affiliation
Kienle, Peter
Unknown Affiliation
Alexandrou, Andreas P.
Unknown Affiliation
Chouliaras, Christos
Unknown Affiliation
Balalis, Dimitrios
Unknown Affiliation
Korkolis, Dimitrios P.
Unknown Affiliation
Manatakis, Dimitrios K.
Unknown Affiliation
Besznyǎk, István
Unknown Affiliation
Bursics, Attila
Unknown Affiliation
Mehraj, Asif
Unknown Affiliation
Cahill, Ronan A.
Unknown Affiliation
Mulsow, Jürgen J.W.
Unknown Affiliation
Kelly, Michael Eamon
Unknown Affiliation
Ryan, Eanna J.
Unknown Affiliation
Gefen, Rachel
Unknown Affiliation
Raguan, Barak
Unknown Affiliation
Wasserberg, Nir
Unknown Affiliation
Freund, Michael R.
Unknown Affiliation
Tulchinsky, Hagit
Unknown Affiliation
Agresta, Ferdinando
Unknown Affiliation
Tamini, Nicolò
Unknown Affiliation
Gianotti, Luca
Unknown Affiliation
Morino, Mario
Unknown Affiliation
Delrio, Paolo
Unknown Affiliation
Montroni, Isacco
Unknown Affiliation
Spinelli, Antonino
Unknown Affiliation
Sacchi, Matteo M.
Unknown Affiliation
Frontali, A.
Unknown Affiliation
Ceriani, Valerio
Unknown Affiliation
Rosati, Riccardo
Unknown Affiliation
Elmore, Ugo
Unknown Affiliation
Casoni Pattacini, Gianmaria
Unknown Affiliation
Foschi, D. A.
Unknown Affiliation
Di Saverio, S.
Unknown Affiliation
Birindelli, Arianna
Unknown Affiliation
Romano, Giovannni Maria
Unknown Affiliation
Belli, Andrea A.B.
Unknown Affiliation
Bianco, Francesco Maria
Unknown Affiliation
Falato, Armando
Unknown Affiliation
Tugnoli, Gregorio
Unknown Affiliation
Podda, Mauro Guido
Unknown Affiliation
Galleano, R.
Unknown Affiliation
Feroci, Francesco
Unknown Affiliation
Cocorullo, Gianfranco F.
Unknown Affiliation
Licari, Leo
Unknown Affiliation
Sileri, Pierpaolo
Unknown Affiliation
Saraceno, Federica
Unknown Affiliation
Chirletti, Pietro
Unknown Affiliation
Coletta, Diego
Unknown Affiliation
Mingoli, Andrea
Unknown Affiliation
Sacco, Rosario
Unknown Affiliation
Tonini, Valeria
Unknown Affiliation
Sartori, Alberto
Unknown Affiliation
Balducci, Genoveffa
Unknown Affiliation
Bocchetti, Tommaso
Unknown Affiliation
Anania, Gabriele
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Carcoforo, Paolo
Unknown Affiliation
Yamamoto, Takayuki
Unknown Affiliation
Venskutonis, Donatas
Unknown Affiliation
Eismontas, Vitalijus
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Dulskas, Audrius
Unknown Affiliation
Poškus, Tomas
Unknown Affiliation
Zakaria, Andee Dzulkarnaen
Unknown Affiliation
Wong, Michael Pak Kai
Unknown Affiliation
Ahallat, Mohamed
Unknown Affiliation
Hrora, Abdelmalek El Malk
Unknown Affiliation
Majbar, Anass Mohammed
Unknown Affiliation
Westerduin, Emma
Unknown Affiliation
Tanis, Pieter Job
Unknown Affiliation
Smakman, Niels
Unknown Affiliation
Zimmerman, David D.E.
Unknown Affiliation
Stijns, Jasper
Unknown Affiliation
den Boer, Frank C.
Unknown Affiliation
Anwer, Mariyah
Unknown Affiliation
Qureshi, Ahmad Uzair
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Rama, Nuno José Gomes
Unknown Affiliation
Domingos, Hugo
Unknown Affiliation
Cunha, Miguel F.
Unknown Affiliation
Martins, Ruben S.
Unknown Affiliation
Simoes, Joana F.F.
Unknown Affiliation
Scurtu, Radu Razvan
Unknown Affiliation
Calu, Valentin
Unknown Affiliation
Enciu, Octavian
Unknown Affiliation
Mogoanta, Stelian Ştefǎniţǎ
Unknown Affiliation
Beuran, Mircea
Unknown Affiliation
Ciubotaru, Cezar I.
Unknown Affiliation
Copãescu, Cǎtǎlin Andu
Unknown Affiliation
Katorkin Sergei, E.
Unknown Affiliation
Vardanyan, A. V.
Unknown Affiliation
Ngu, James Chi Yong
Unknown Affiliation
Teo, Nan Zun
Unknown Affiliation
Rems, Miran
Unknown Affiliation
Blas, Juan Luis
Unknown Affiliation
Cuadrado-Ayuso, Marta Bailón
Unknown Affiliation
Ruíz-Camps, Isabel
Unknown Affiliation
Gómez-Ruiz, Marcos
Unknown Affiliation
ROS, EMILIO Peña
Unknown Affiliation
Sanchiz-Cárdenas, Elena M.
Unknown Affiliation
Jime´nez-Rodrı´guez, Rosa María
Unknown Affiliation
De la Portilla, Fernando De La
Unknown Affiliation
Millán-Scheiding, Mónica M.
Unknown Affiliation
Flor-Lorente, Blas
Unknown Affiliation
Myrelid, Pär E.
Unknown Affiliation
Buchwald, Pamela L.
Unknown Affiliation
Syk, Ingvar K.
Unknown Affiliation
Adamina, Michel
Unknown Affiliation
Oertli, Daniel
Unknown Affiliation
Hahnloser, Dieter
Unknown Affiliation
Hübner, Martin
Unknown Affiliation
Ris, Frédéric
Unknown Affiliation
Morel, Philippe
Unknown Affiliation
Isik, Arda A.
Unknown Affiliation
Kozak, Osman Samil
Unknown Affiliation
Işık, Özgen
Unknown Affiliation
Çolak, Elif F.
Unknown Affiliation
Fearnhead, Nicola S.
Unknown Affiliation
Zammit, Matthew
Unknown Affiliation
Seretis, Fotios
Unknown Affiliation
Jones, Conor Stephen
Unknown Affiliation
Agarwal, Tushar L.
Unknown Affiliation
Boland, Michael R.
Unknown Affiliation
Statistics
Citations: 17
Authors: 181
Identifiers
Doi:
10.1111/codi.14371
ISSN:
14628910
Research Areas
Health System And Policy
Study Design
Cohort Study