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Surgical Endoscopy
Published in: Surgical Endoscopy 12/2008

01-12-2008

Conversion of laparoscopic colon resection does not affect survival in colon cancer

Authors: Jan Franko, Steven A. Fassler, Masoud Rezvani, Brendan G. O’Connell, Steven G. Harper, Joseph H. Nejman, D. Mark Zebley

Published in: Surgical Endoscopy | Issue 12/2008

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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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Metadata
Title
Conversion of laparoscopic colon resection does not affect survival in colon cancer
Authors
Jan Franko
Steven A. Fassler
Masoud Rezvani
Brendan G. O’Connell
Steven G. Harper
Joseph H. Nejman
D. Mark Zebley
Publication date
01-12-2008
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 12/2008
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-008-9812-4

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