ArticleInternational journal of colorectal disease2022
Converting laparoscopic colectomies to open is associated with similar outcomes as a planned open approach among Crohn's disease patients.
Article in International journal of colorectal disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 5 citations in OpenAlex.
- Predictors of conversion in laparoscopic Crohn's surgery: a retrospective analysis of a tertiary cohort.Surgical endoscopy · 2026Article
- Conversion to open following a minimally invasive surgical attempt in inflammatory bowel disease is not associated with increased morbidity compared to a planned open approach.Surgical endoscopy · 2026Article
- Conversion following minimally invasive attempt at simultaneous colorectal and liver resection does not affect 30-day postoperative overall morbidity.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025Article
- 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
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
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Abstract
purposeThere has been a noted reluctance to offer laparoscopic surgery to Crohn's Disease patients due to the potential risks, and high rate, of converting the procedure to open. The purpose of this study was to compare clinical outcomes between Crohn's Disease patients undergoing a planned open colectomy, to those undergoing a laparoscopic colectomy that was converted to open.
methodsCrohn's Disease patients undergoing an elective colectomy were identified using the ACS-NSQIP database (2012-2019). Patients were stratified based on operative approach: open, laparoscopic, and laparoscopic converted to open. Multivariable logistic regression was used to assess the impact of conversion to open on overall and serious postoperative morbidity.
resultsAmong 8039 elective colectomies, 40.5% were performed open, 46.9% were completed laparoscopically, and 12.6% were converted to open. The conversion rate among all laparoscopic cases was 21.3%. On unadjusted analysis, conversion to open demonstrated similar rates of overall morbidity (P = 0.355) and serious morbidity (P = 0.724) compared to a planned open approach. On multivariable analysis, conversion to open was not associated with increased odds of overall morbidity (OR 1.12, 95% CI 0.94-1.30, P = 0.238) or serious morbidity (OR 1.20, 95% CI 0.98-1.46, P = 0.074), when compared to an open approach.
conclusionAmong Crohn's Disease patients, cases converted from laparoscopic to open exhibited similar outcomes as a planned open approach. Despite the limitations associated with this retrospective study, our findings suggest that laparoscopic surgery may be safely pursued among Crohn's Disease patients, as the risks of conversion are potentially balanced by the benefits of laparoscopic surgery.
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