Comparison of Early Clinical and Long-Term Oncological Outcomes of Laparoscopic Versus Converted Rectal Cancer Resection: A Retrospective Cohort Study

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dc.contributor.authorAday, Ulas
dc.contributor.authorAkbas, Abdulkadir
dc.contributor.authorBayrak, Ferdi
dc.contributor.authorSekho, Zehra
dc.contributor.authorKozgun, Azat
dc.contributor.authorSevmis, Murat
dc.contributor.authorOguz, Abdullah
dc.date.accessioned2025-02-22T14:08:35Z
dc.date.available2025-02-22T14:08:35Z
dc.date.issued2024
dc.departmentDicle Üniversitesien_US
dc.description.abstractAim The effects of conversion to open surgery during laparoscopic resection in rectal cancer on perioperative clinical and long-term oncological outcomes are still controversial. This study aimed to evaluate and compare the impact of conversion to laparoscopic resection for rectal cancer on perioperative and long-term oncological outcomes. Material and methods Between January 2019 and December 2023, 84 consecutive patients who underwent curative surgery for rectal cancer at a single academic center were evaluated retrospectively. Patients were classified and compared as the laparoscopic (LAP-G) and converted (CONV-G) groups. Perioperative, pathological, and long-term oncological outcomes were compared. Results Of the 84 consecutive patients included, 18 were converted to open surgery, leading to a 21.4% conversion rate. Intraoperative blood loss was higher in CONV-G (180 ml vs. 80 ml, p<0.001), but early clinical outcomes were similar in both groups. The median follow-up period was 23.5 (range 3-65) and 30.5 (range 6-61) months in the LAP-G and CONV-G, respectively, and recurrence occurred in 11 (16.7%) and 3 (16.6%) patients, respectively. Three-year overall survival was 96.9% and 89.4% (p=0.609) and 3-year disease-free survival was 92.4% and 83.3% (p=0.881) in LAP-G and CONV-G, respectively, and the results were similar. Conclusion Conversion from laparoscopic rectal resection to open surgery does not have a significant negative impact on morbidity and long-term oncological outcomes.en_US
dc.description.sponsorshipDicle University Scientific Research Project Department [TIP.22.016]en_US
dc.description.sponsorshipDicle University Scientific Research Project Department contributed to this study by providing the Olympus video-laparoscopic equipment system, we thank them for their support (Project Number: TIP.22.016) .en_US
dc.identifier.doi10.7759/cureus.65086
dc.identifier.issn2168-8184
dc.identifier.issue7en_US
dc.identifier.pmid39170993en_US
dc.identifier.urihttps://doi.org/10.7759/cureus.65086
dc.identifier.urihttps://hdl.handle.net/11468/29488
dc.identifier.volume16en_US
dc.identifier.wosWOS:001278577200035en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringernatureen_US
dc.relation.ispartofCureus Journal of Medical Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250222
dc.subjectminimal access surgeryen_US
dc.subjectoncological outcomesen_US
dc.subjectconversionen_US
dc.subjectlaparoscopyen_US
dc.subjectrectal canceren_US
dc.titleComparison of Early Clinical and Long-Term Oncological Outcomes of Laparoscopic Versus Converted Rectal Cancer Resection: A Retrospective Cohort Studyen_US
dc.typeArticleen_US

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