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Related Experiment Video

Updated: Jun 24, 2026

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
09:41

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

Conversion in laparoscopic surgery: does intraoperative complication influence outcome?

Chunkang Yang1, Steven D Wexner, Bashar Safar

  • 1Department of Colorectal Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, USA.

Surgical Endoscopy
|March 26, 2009
PubMed
Summary
This summary is machine-generated.

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Preemptive conversion (PC) during laparoscopic colorectal surgery leads to better patient outcomes than reactive conversion (RC) due to complications. Surgeons should consider PC to improve results and avoid complications.

Area of Science:

  • Colorectal surgery
  • Minimally invasive surgery
  • Surgical outcomes

Background:

  • Conversion from laparoscopy to laparotomy occurs in a significant percentage of surgeries.
  • Conversions may be reactive (RC) due to intraoperative complications or preemptive (PC) due to surgical challenges.
  • Patient outcomes can differ based on the reason for conversion.

Purpose of the Study:

  • To compare outcomes between reactive conversion (RC) and preemptive conversion (PC) in laparoscopic colorectal surgery.
  • To identify specific reasons for reactive conversions.
  • To establish recommendations for surgical approach based on conversion type.

Main Methods:

  • Retrospective review of laparoscopic colorectal procedures converted to laparotomy.

Related Experiment Videos

Last Updated: Jun 24, 2026

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
09:41

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications

Published on: May 10, 2024

  • Matching RC patients with PC patients by age, gender, BMI, and diagnosis.
  • Comparison of postoperative complications, diet progression, and hospital stay between groups.

    • Main Results:

    • 23.1% of laparoscopic colorectal procedures required conversion to laparotomy.
    • RC patients experienced more postoperative complications (50% vs 27%) compared to PC patients.
    • RC was associated with a longer time to regular diet and a trend towards longer hospital stays.

    Conclusions:

    • Preemptive conversion (PC) is associated with significantly better patient outcomes than reactive conversion (RC).
    • A lower threshold for preemptive conversion is recommended to improve surgical results.
    • This strategy may reduce postoperative complications and hospital stay.