AI Article Synopsis
- Laparoscopic and open resections for colon cancer are seen as equally effective, but previous studies indicated that conversion from laparoscopic to open surgery might lower survival rates.
- A study was conducted on 174 patients who had laparoscopic resections, with a median follow-up time of 51 months, to assess any survival differences based on conversion status.
- Results showed no significant differences in all-cause mortality or survival rates between patients who had successful laparoscopic surgeries and those who required conversion, suggesting that conversion may not adversely affect prognosis.
Article Abstract
Background: Laparoscopic and open resections of colon cancer are considered oncologically equivalent treatment methods. Conversion of laparoscopic procedures, however, was associated with decreased survival in colon cancer patients in the only prior study examining this question. We conducted this study to evaluate the effect of conversion on survival.
Methods: A series of consecutive patients treated with laparoscopic resection of colorectal cancer (n = 174) in the period 1998-2003 was evaluated retrospectively. Median follow-up was 51 months with a minimum of 3 years.
Results: There was no statistically significant difference in all-cause mortality between laparoscopically completed and converted groups (22/143, 15.4% versus 8/31, 25.8%; OR 1.9, p = 0.164). Kaplan-Meier survival analysis did not show any survival difference between the two groups (p = 0.266).
Conclusions: The results of our study suggest there is no survival difference in patients requiring conversion of laparoscopic resection indicated for colorectal cancer. Further examination of this question is warranted to determine whether laparoscopic resection of colorectal cancer should be offered to all patients, including those at high risk for conversion.
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| http://dx.doi.org/10.1007/s00464-008-9812-4 | DOI Listing |
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