SpringerLink
Log in

Preoperative prediction of conversion from laparoscopic rectal resection to open surgery: a clinical study of conversion scoring of laparoscopic rectal resection to open surgery

  • Original Article
  • Published:
International Journal of Colorectal Disease Aims and scope Submit manuscript

Abstract

Objective

The objectives of this paper were to establish a model for the conversion of laparoscopic rectal resection to open surgery and to predict possible conversion before surgery.

Methods

The clinical data of 602 cases of laparoscopic rectal resection were retrospectively assessed. Risk factors associated with conversion of laparoscopic rectal resection to open rectal surgery were identified by logistic regression analysis. Also, a scoring system was created to calculate a score for the conversion of laparoscopic rectal resection to predict possible conversion for patients who underwent laparoscopic rectal resection before surgery.

Results

A total of 90 patients required conversion (total conversion rate = 14.95 %). The established model included six variables: male gender, surgical experience (≤25 cases), history of abdominal surgery, body mass index ≥ 28, tumor diameter ≥ 6 cm, and tumor invasion or metastasis, for which 6, 4, 5, 10, 15, and 21 points were assigned, respectively. A patient with a total score >14.5 points was considered to have a high probability of conversion, whereas a patient with a total score <14.5 points was considered at a low risk.

Conclusion

Preoperative determination of conversion score may predict possible conversion of laparoscopic rectal resection and thus reduce unnecessary open rectal surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Spain)

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Jacobs M, Verdeja JC, Goldstein HS (1991) Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc 1(3):144–150

    CAS  PubMed  Google Scholar 

  2. Jung Hoon C, Dae Ro L, Hyuk H (2012) Oncologic Outcomes of a Laparoscopic Right Hemicolectomy for Colon Cancer: Results of a 3-Year Follow-up. Kor Soc Coloproctol 28(1):42–48

    Article  Google Scholar 

  3. Roscio F, Bertoglio C, De Luca A (2011) Outcomes of laparoscopic surgery for colorectal cancer in elderly patients. JSLS 15(3):315–321

    Article  PubMed Central  PubMed  Google Scholar 

  4. White I, Greenberg R, Itah R et al (2011) Impact of Conversion on Short and Long-Term Outcome in Laparoscopic Resection of Curable Colorectal Cancer. JSLS 15(2):182–187

    Article  PubMed Central  PubMed  Google Scholar 

  5. Schlachta CM, Mamazza J et al (2003) Could laparoscopic colon and rectal surgery become the standard of care? A review and experience with 750 procedures. Can J Surg 46(6):432–440

    PubMed Central  PubMed  Google Scholar 

  6. Narimantas Evaldas S, Rakesh Kumar G, Audrius D et al (2013) Clinical Outcomes of 103 Hand-Assisted Laparoscopic Surgeries for Left-Sided Colon and Rectal Cancer: Single Institutional Review. Ann Coloproctol 29(6):225–230

    Article  Google Scholar 

  7. Vignali A, De Nardi P, Ghirardelli L et al (2013) Short and long-term outcomes of laparoscopic colectomy in obese patients. World J Gastroenterol 19(42):7405–7411

    Article  PubMed Central  PubMed  Google Scholar 

  8. Khan JS, Hemandas AK, Flashman KG (2011) Clinical outcome of laparoscopic and open colectomy for right colonic carcinoma. Ann R Coll Surg Engl 93(8):603–607

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  9. Braga M, Pecorelli N, Frasson M (2011) Long-term outcomes after laparoscopic colectomy. World J Gastrointest Oncol 3(3):43–48

    Article  PubMed Central  PubMed  Google Scholar 

  10. Fetti A, Zaharie F, Geza M (2012) Laparoscopic surgery for the treatment of rectal cancer: short-term results. Chirurgia (Bucur) 107(6):730–736

    CAS  Google Scholar 

  11. Peng X, Deng J-Z, Yang P (2010) Clinical analysis of laparoscopic surgery for colorectal cancer:a report of 1184 cases at a single center. Dig Oncol (Electronic Version) 2(3):138–144

    Google Scholar 

  12. Qiu H-M, Lao J-M, He WH (2011) Anlysis of causes of the conversion to laparotomy during laparoscopic colorectal cancer radical surgery. Chin J New Clin Med 4(1):59–61

    Google Scholar 

  13. **an-Shuang M, Jian-Ying C, Bang-Qiang L (2013) Syslysis of cause of the conversion to laparotomy in laparoscopic radical surgery for rectal cancer. Chin J New Clinial Med 6:2156–2158

    Google Scholar 

  14. Ying X-J, Shen Y, Ye ** J (2010) Clinical analysis of laparoscopic anterior resection for 258 cases with rectal cancer. Chin J Laparosc Surg (Electronic Edition) 3(2):182–184

    Google Scholar 

  15. Pan C, Lin H-M, Xu Z-B (2006) Comparison of surgical complication rate between laparoscopic and open radical resection for colorectal cancer. Chin J Gastrointest Surg 9(3):221–224

    Google Scholar 

  16. Dng P, Lu A, Feng H et al (2013) Laparoscopic-assisted versus open right hemi-colectomyfor colon carcinoma: a comparative study on short-term &long-term outcomes. Chi J Pract Surg 33(1):77–80

    Google Scholar 

  17. Rea Jennifer D, Cone Molly M, Diggs Brian S et al (2011) Utilization of laparoscopic colectomy in the United States before and after the clinical outcomes of surgical therapy study group trial[J]. Ann Surg 254(2):281–288

    Article  CAS  PubMed  Google Scholar 

  18. Jian-Li Z, Guang-Dong Z (2011) Risk Factors Analysis and Scoring System Application of Conversion to Open Surgery in Laparoscopic Colorectal Surgery. Surg Laparosc Endosc Percutan Tech 21(5):322–326

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General Surgery, Qi Lu Hospital of Shandong University, 107#, Wenhua ** Road, **an City, 250012, China

    Guang-Dong Zhang & Xu-Ting Zhi

  2. Department of General Surgery, Teng Zhou Center People Hospital, 181#, **ngtan Road, Tengzhou City, 277500, China

    Guang-Dong Zhang, Guang-Bo Bu, Gang Ma & Kai-Lei Wang

  3. Department of General Surgery, Qingdao University Medical College Hospital, 16#, Jiangsu Road, Qingdao City, 266003, China

    Jian-Li Zhang

Authors
  1. Guang-Dong Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Xu-Ting Zhi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jian-Li Zhang
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Guang-Bo Bu
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Gang Ma
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Kai-Lei Wang
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Xu-Ting Zhi.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zhang, GD., Zhi, XT., Zhang, JL. et al. Preoperative prediction of conversion from laparoscopic rectal resection to open surgery: a clinical study of conversion scoring of laparoscopic rectal resection to open surgery. Int J Colorectal Dis 30, 1209–1216 (2015). https://doi.org/10.1007/s00384-015-2275-x

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00384-015-2275-x

Keywords

Search

Navigation