Conversion of laparoscopic colon resection does not affect survival in colon cancer.
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.
Franko
Jan
J
Department of Surgery, Abington Memorial Hospital, Abington, PA, USA. jan.franko@gmail.com
Fassler
Steven A
SA
Rezvani
Masoud
M
O'Connell
Brendan G
BG
Harper
Steven G
SG
Nejman
Joseph H
JH
Zebley
D Mark
DM
D000230:Adenocarcinoma / Q000401:mortality / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D003082:Colectomy / Q000379:methods*; D015179:Colorectal Neoplasms / Q000401:mortality / Q000601:surgery*; D018572:Disease-Free Survival; D005260:Female; D005500:Follow-Up Studies; D017052:Hospital Mortality; D006801:Humans; D053208:Kaplan-Meier Estimate; D010535:Laparoscopy / Q000706:statistics & numerical data*; D007813:Laparotomy / Q000706:statistics & numerical data*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D016016:Proportional Hazards Models; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome