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Abstract
Abstract Aims Colorectal cancer is 3rd most common & 2nd leading cause of cancer deaths. Laparoscopic resection has evolved as main surgical technique in management of colorectal malignancies (66 % NBOCA 2022). Laparoscopic to open conversion is reported in < 21 %. Aim of study is to assess implications of laparoscopic to open conversions. Methods Single-centre cohort study was carried out from January 2008 to February 2023; with evaluations postoperative outcomes in laparoscopic to open conversions. Laparoscopic and open colorectal CRC resections were recruited as controls. Results Conclusion Over 15 years, lap-open conversion rate was 12.1 %. Lap-open conversions had higher BMI’s, prolonged operations & hospital stay (p < 0.05.), but this did not adversely affect survival. Lap-open conversion should not be deemed as failure of laparoscopic surgery but as implementation of safe surgery in presence of intra-operative challenges.
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