SynthesisInternational journal of colorectal disease2015
Conversion during laparoscopic colorectal resections: a complication or a drawback? A systematic review and meta-analysis of short-term outcomes.
Synthesis in International journal of colorectal disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Colorectal cancer surgery in the very elderly patient: a systematic review of laparoscopic versus open colorectal resection.International journal of colorectal disease · 2017Pooled it
- Conversion in Minimally Invasive Liver Surgery: The Impact of Conversion Urgency and Surgical Approach.Annals of surgical oncology · 2026Article
- The impact of liver-first approach on primary cancer surgery in patients with syncronous colorectal liver metastases.Updates in surgery · 2026Article
- A machine learning model to predict the need for conversion of operative approach in patients undergoing colectomy for neoplasm.Cancer reports (Hoboken, N.J.) · 2024Article
- Open approach for ileocolic resection in Crohn's disease in the era of minimally invasive surgery: indications and perioperative outcomes in a referral center.Updates in surgery · 2023Article
- Post-operative outcomes in patients with locally advanced colon cancer: a comparison of operative approach.Surgical endoscopy · 2022Article
- Impact of prior abdominal surgery on short-term outcomes following laparoscopic colorectal cancer surgery: a propensity score-matched analysis.Surgical endoscopy · 2022Article
- Converting laparoscopic colectomies to open is associated with similar outcomes as a planned open approach among Crohn's disease patients.International journal of colorectal disease · 2022Article
- Trends and consequences of surgical conversion in the United States.Surgical endoscopy · 2022Article
- Incidence, associated risk factors, and impact of conversion to laparotomy in elective minimally invasive sigmoidectomy for diverticular disease.Surgical endoscopy · 2020Article
- Oncological Outcomes and Quality of Life After Rectal Cancer Surgery.Open medicine (Warsaw, Poland) · 2019Article
- Article
- Novel Approaches to Ileocolic and Perianal Fistulising Crohn's Disease.Gastroenterology research and practice · 2018Review
- Sexual dysfunction following rectal cancer surgery.International journal of colorectal disease · 2017Review
- Laparoscopic sigmoid resection for diverticulitis is rarely a suitable case for the initial phase of the learning curve.International journal of colorectal disease · 2017Article
- Conversion of laparoscopic colorectal resection for cancer: What is the impact on short-term outcomes and survival?World journal of gastroenterology · 2016Review
- Economic Impact of Laparoscopic Conversion to Open in Left Colon Resections.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSeveral studies compared the outcomes of laparoscopically completed colorectal resections (LCR) to those requiring conversion to open surgery (COS). However, a comparative analysis between COS patients and patients undergoing planned open surgery (POS) would be useful to clarify if the conversion can be considered a simple drawback or a complication, being cause of additional postoperative morbidity. The aim of this study is to perform a meta-analysis of current evidences comparing postoperative outcomes of COS patients to POS patients.
methodsA systematic search of Medline, ISI Web of Knowledge, and Scopus was performed to identify studies reporting short-term outcomes of COS and POS patients. Primary outcomes were 30-day overall morbidity and length of postoperative hospital stay. Data were analyzed with fixed-effect modeling, and sensitivity analyses were performed to test the robustness of the results.
resultsTwenty studies involving 30,656 patients undergoing POS and 1935 COS patients were selected. The mean conversion rate was 0.17. Similar 30-day overall morbidity and length of postoperative hospital stay were found in COS and POS patients. Wound infection (OR 1.43, 95 % CI 1.12 to 1.83, p < 0.01) was higher in the COS group. Other results were robust. Outcomes were comparable for patients undergoing resection for different natures of the disease (benign vs. malignant) and at different sites (colon vs. rectum).
conclusionConversions from laparoscopic to open procedure during colorectal resection are not associated with a poorer postoperative outcome compared to patients undergoing planned open surgery, except for a higher risk of wound infection.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.