PURPOSE: This study was designed to evaluate the impact of laparoscopic converted to open colectomy on short-term and oncologic outcomes and to identify risk factors for long-term survival in @entity1 undergoing colectomy for non-metastatic @entity694 . METHODS: A prospective database of consecutive operations for non-metastatic @entity694 was reviewed. @entity1 were grouped as conversion (CONV) group, completed laparoscopic resection (LAP) group, or open resection ( @entity16008 ) group. The clinical and perioperative parameters, pathologic features, and oncologic outcomes were collected. Univariate analysis was performed for comparing these data. @entity1 without evidence of recurrence at last follow-up or still alive at the end of study period were censored. Kaplan-Meier curves were utilized to analyze survival. A multivariate analysis was performed to identify predictors of poor disease-free survival (DFS) and @entity1349 ( @entity1349 ). RESULTS: The conversion rate was 15.2  %. The most common reason for conversion was locally advanced @entity5 (45.5  %). Converted @entity1 were associated with a longer operative time (188        29.1  min, P   <   0.001), greater @entity190 (147        14  mL, P   <   0.001), and a higher rate of @entity532 (15.2  %, P   =   0.042) compared to the completely laparoscopic or open @entity1 . Days to flatus, early ambulation, and length of hospitalization were significantly shorter in completed laparoscopic resection (LAP) group (P   <   0.001); however, the outcomes were comparable between conversion (CONV) and open resection ( @entity16008 ) groups. The incidence of wound infection was significantly higher in the @entity16008 group than in the LAP group (P   =   0.005), whereas there were no significant differences observed between the CONV group and the @entity16008 group (P   =   1.000) or between the LAP group and the CONV group (P   =   0.073). The 5-year DFS in CONV @entity1 (46.5  %) was comparable to LAP @entity1 (55.5  %, P   =   0.138) and @entity16008 @entity1 (59.1  %, P   =   0.113). Moreover, there were no significant differences noted in terms of the 5-year @entity1349 in the CONV group (56.7  %) compared to the LAP group (67.3  %, P   =   0.317) or the @entity16008 group (66.3  %, P   =   0.420). The multivariate analysis showed that pT3-4 @entity5 (P   <   0.001) and poor differentiation (P   <   0.001) were independent predictors of both lower @entity1349 and lower DFS, whereas leakage (P   =   0.008) and lack of adjuvant chemotherapy (P   =   0.023) were independent risk factors only of lower DFS. CONCLUSION: Conversion to open colectomy from an initial laparoscopic approach does not worsen the long-term survival in @entity1 with non-metastatic @entity694 .

The Impact of Laparoscopic Converted to Open Colectomy on Short-Term and Oncologic Outcomes for XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity16008 :: ('OMIM:606689', 'Disease') :: ['OPEN'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity532 :: ('MESH:D003925', 'Disease') :: ['intra-operative complications'] @entity694 :: ('MESH:D003110', 'Disease') :: ['colon cancer'] @entity1349 :: ('MESH:D011475', 'Disease') :: ['OS', 'overall survival']
@entity694 :: (MESH:D003110,Disease) :: ['Colon Cancer']
