当前位置： SCI文献检索 > JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS期刊下所有文献 > Impact of conversion on surgical outcomes after laparoscopic operation for rectal carcinoma: a retrospective study of 1,073 patients.

Impact of conversion on surgical outcomes after laparoscopic operation for rectal carcinoma: a retrospective study of 1,073 patients.

Abstract：

BACKGROUND:In laparoscopic operations for rectal carcinoma, only a few multicenter studies of a large number of patients have examined the impact of conversion on outcomes and determined risk factors for conversion. This study was designed to evaluate short-term outcomes and risk factors for conversion to open operation in laparoscopic operations for rectal carcinoma. STUDY DESIGN:A total of 1,073 patients with carcinoma of the rectum and anus who underwent laparoscopic operations were reviewed retrospectively. Patients were collected from 28 institutions. Patients who required conversion during laparoscopic operation were compared with those with completed laparoscopic resection. RESULTS:Conversion rate was 7.3% (n = 78), and patients requiring conversion were considerably heavier (mean body mass index 24.6 versus 22.7) and had a substantially higher rate of low anterior resection (94.9% versus 83.5%). Conversion was also associated with longer operation time (median 295 minutes versus 270 minutes), greater blood loss (median 265 mL versus 80 mL), longer median postoperative hospital stay (20 days versus 14 days), and higher rates of intraoperative (32.1% versus 3.5%) and postoperative (43.6% versus 21.1%) complications. In multivariate analysis, body mass index and rate of low anterior resection were predictive of conversion. CONCLUSIONS:Conversion to open operation is associated with greater morbidity than completed laparoscopic resection. Body mass index and the particular laparoscopic procedure are risk factors for conversion, indicating that appropriate patient selection is essential in laparoscopic operations for rectal carcinoma.

journal_name

J Am Coll Surg

journal_title

Journal of the American College of Surgeons

authors

Yamamoto S,Fukunaga M,Miyajima N,Okuda J,Konishi F,Watanabe M,Japan Society of Laparoscopic Colorectal Surgery.

doi

10.1016/j.jamcollsurg.2008.12.002

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

383-9

issue

3

eissn

1072-7515

issn

1879-1190

pii

S1072-7515(08)01634-7

journal_volume

208

pub_type

杂志文章,多中心研究

相关文献

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS文献大全
  • Outcomes of endoscopic and percutaneous drainage of pancreatic fluid collections arising after pancreatic tail resection.

    abstract：BACKGROUND:Up to 15% to 30% of patients develop pancreatic fluid collections (PFCs) after pancreatic tail resection. Percutaneous and endoscopic methods have been used to drain these collections, though few data are available that compare outcomes of these modalities. STUDY DESIGN:From December 1998 to April 2011, we ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2012.03.015

    authors： Azeem N,Baron TH,Topazian MD,Zhong N,Fleming CJ,Kendrick ML

    更新日期：2012-08-01 00:00:00

  • Consequences of targeted parathyroidectomy guided by localization studies without intraoperative parathyroid hormone monitoring.

    abstract：BACKGROUND:After excision of an abnormal gland, the dynamics of intraoperative parathyroid hormone (PTH) levels signal whether or not more hypersecreting tissue is present. This quantitative assurance of operative success has led to targeted exploration of the hyperfunctioning gland(s). Some have questioned the need fo...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2006.02.003

    authors： Carneiro-Pla DM,Solorzano CC,Irvin GL 3rd

    更新日期：2006-05-01 00:00:00

  • Are Prophylactic Postoperative Antibiotics Necessary for Immediate Breast Reconstruction? Results of a Prospective Randomized Clinical Trial.

    abstract：BACKGROUND:Closed-suction drains, implants, and acellular dermal matrix (ADM) are routinely used in tissue expander-based immediate breast reconstruction (TE-IBR). Each of these factors is thought to increase the potential for surgical site infection (SSI). Although CDC guidelines recommend only 24 hours of antibiotic ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jamcollsurg.2016.02.018

    authors： Phillips BT,Fourman MS,Bishawi M,Zegers M,O'Hea BJ,Ganz JC,Huston TL,Dagum AB,Khan SU,Bui DT

    更新日期：2016-06-01 00:00:00

  • Postoperative ileus-related morbidity profile in patients treated with alvimopan after bowel resection.

    abstract：BACKGROUND:Postoperative ileus (POI), an interruption of coordinated bowel motility after operation, is exacerbated by opioids used to manage pain. Alvimopan, a peripherally acting mu-opioid receptor antagonist, accelerated gastrointestinal (GI) recovery after bowel resection in randomized, double-blind, placebo-contro...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jamcollsurg.2007.01.041

    authors： Wolff BG,Weese JL,Ludwig KA,Delaney CP,Stamos MJ,Michelassi F,Du W,Techner L

    更新日期：2007-04-01 00:00:00

  • Long-term outcomes of patients with nonsurgically managed uncomplicated appendicitis.

    abstract：BACKGROUND:Emerging literature has supported the safety of nonoperative management of uncomplicated appendicitis. STUDY DESIGN:Patients with emergent, uncomplicated appendicitis were identified by appropriate ICD-9 diagnosis codes in the California Office of Statewide Health Planning and Development database from 1997...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2014.01.003

    authors： McCutcheon BA,Chang DC,Marcus LP,Inui T,Noorbakhsh A,Schallhorn C,Parina R,Salazar FR,Talamini MA

    更新日期：2014-05-01 00:00:00

  • The importance of the first complication: understanding failure to rescue after emergent surgery in the elderly.

    abstract：BACKGROUND:Perioperative mortality in the elderly is high after emergency surgery and varies considerably among hospitals-an observation partially explained by differences in failure to rescue. We hypothesize that failure to rescue after certain types of complications underlies the disproportionately poor outcomes obse...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2014.02.035

    authors： Sheetz KH,Krell RW,Englesbe MJ,Birkmeyer JD,Campbell DA Jr,Ghaferi AA

    更新日期：2014-09-01 00:00:00

  • Modes of presentation and management of inflammatory aneurysms of the abdominal aorta.

    abstract：:The preoperative diagnosis of inflammatory aneurysms of the abdominal aorta (IAAA) is seldom made, yet knowledge of its presence would be an aid to the surgeon. A heightened awareness of the variety of clinical presentations of IAAA should prompt the clinician to consider this entity in the differential diagnosis of b...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Curci JJ

    更新日期：1994-06-01 00:00:00

  • Flange Gastroenterostomy Results in Reduction in Delayed Gastric Emptying after Standard Pancreaticoduodenectomy: A Prospective Cohort Study.

    abstract：BACKGROUND:Delayed gastric emptying (DGE) is a common serious problem after pancreaticoduodenectomy (PD). Flange gastrojejunostomy (FL-GE) is a previously described technique that creates an internal flange in a hand-sewn gastroenterostomy. Results of FL-GE on incidence and severity of DGE after PD are presented. STUD...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2017.06.006

    authors： Khan AS,Williams G,Woolsey C,Liu J,Fields RC,Doyle MMB,Hawkins WG,Strasberg SM

    更新日期：2017-10-01 00:00:00

  • Medical student contact with patients on a surgery clerkship: is there a chance to learn?

    abstract：BACKGROUND:Earlier studies of medical students on nonsurgical rotations have shown that clinical clerks usually first interact with their patients late in the clinical course. This would seem disadvantageous to the student's learning because they would have less opportunity to generate diagnoses or a management plan. ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(02)01326-1

    authors： Boehler ML,Schwind CJ,Dunnington G,Rogers DA,Folse R

    更新日期：2002-10-01 00:00:00

  • Does vaginal cuff closure decrease the infectious morbidity associated with abdominal hysterectomy?

    abstract：BACKGROUND:Infectious morbidity after total abdominal hysterectomy includes fever (31%) and antibiotic administration (45%). Whether vaginal cuff closure reduces postoperative infectious morbidity remains unresolved. STUDY DESIGN:We reviewed the records of 172 consecutive abdominal hysterectomies for nonmalignant dise...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Korn AP,Grullon K,Hessol N,Lin P,Siopak J

    更新日期：1997-10-01 00:00:00

  • Transanal Total Mesorectal Excision for Rectal Cancer: Outcomes after 140 Patients.

    abstract：BACKGROUND:The anatomic difficulties that we have to deal with in open surgery for rectal cancer have not been overcome with the laparoscopic approach. In the search for a solution, a change of concept arose: approaching the rectum from below. The main objectives of this study were to show the potential advantages of t...

    journal_title：Journal of the American College of Surgeons

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jamcollsurg.2015.03.046

    authors： Lacy AM,Tasende MM,Delgado S,Fernandez-Hevia M,Jimenez M,De Lacy B,Castells A,Bravo R,Wexner SD,Heald RJ

    更新日期：2015-08-01 00:00:00

  • Characteristics and clinical outcome of proximal-third gastric cancer.

    abstract：BACKGROUND:It is generally accepted that the prognosis of patients with proximal gastric cancer (PGC) is worse than that of patients with more distal gastric cancer. STUDY DESIGN:The aim of this study was to compare the clinical features and outcomes of PGC with those of middle- and distal-third gastric cancers. A tot...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(98)00191-4

    authors： Sakaguchi T,Watanabe A,Sawada H,Yamada Y,Tatsumi M,Fujimoto H,Emoto K,Nakano H

    更新日期：1998-10-01 00:00:00

  • Comparative analysis of vagotomy and drainage versus vagotomy and resection procedures for bleeding peptic ulcer disease: results of 907 patients from the Department of Veterans Affairs National Surgical Quality Improvement Program database.

    abstract：BACKGROUND:The purpose of this study was to determine postoperative outcomes and risk factors for morbidity and mortality in patients requiring surgery for bleeding peptic ulcer disease (PUD). Vagotomy and drainage procedures are technically simpler but are usually associated with higher ulcer recurrence rates. In cont...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2005.09.001

    authors： de la Fuente SG,Khuri SF,Schifftner T,Henderson WG,Mantyh CR,Pappas TN

    更新日期：2006-01-01 00:00:00

  • Hysterectomy in invasive cervical cancer: a national patterns of care study of the American College of Surgeons.

    abstract：BACKGROUND:As the use of Papanicolaou cytologic screening became widespread in the United States of America, there was a shift toward diagnosis of earlier clinical stages in patients with carcinoma of the cervix. This increase in early stage disease has also resulted in increased use of surgery as the primary treatment...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Shingleton HM,Jones WB,Russell A,Fremgen A,Chmiel JS,Ocwieja K,Winchester DP,Clive R

    更新日期：1996-10-01 00:00:00

  • Predictors of prosthetic graft infection after infrainguinal bypass.

    abstract：BACKGROUND:Some patients require major leg amputation after lower-extremity prosthetic bypass for graft occlusion or failure of wound healing, despite a patent graft. Amputation above or below the knee was hypothesized to increase susceptibility to prosthetic graft infection in the ipsilateral extremity. STUDY DESIGN:...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2009.01.001

    authors： Brothers TE,Robison JG,Elliott BM

    更新日期：2009-04-01 00:00:00

  • Sex-Based Differences in Ten-Year Nationwide Outcomes of Carotid Revascularization.

    abstract：BACKGROUND:We compared the rates of stroke, death, and/or MI between men and women, stratified by symptomatic status and procedure type (carotid endarterectomy [CEA] or carotid artery stent [CAS]). STUDY DESIGN:Using the Nationwide Inpatient Sample, crude and propensity-matched rates of the composite end point of stro...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jamcollsurg.2019.02.054

    authors： Mayor JM,Salemi JL,Dongarwar D,Salihu HM,Montero-Baker M,Mills JL,Chung J

    更新日期：2019-07-01 00:00:00

  • Surgical management of acute right lower-quadrant pain in pregnancy: a prospective cohort study.

    abstract：BACKGROUND:The etiology of right lower-quadrant pain in pregnant patients is a challenge in diagnosis. We discuss the surgical issues among pregnant patients with right lower-quadrant pain and demonstrate the method to diagnosis. STUDY DESIGN:This was a prospective cohort study with enrollment during 2 years. Pregnant...

    journal_title：Journal of the American College of Surgeons

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.jamcollsurg.2010.06.004

    authors： Butala P,Greenstein AJ,Sur MD,Mehta N,Sadot E,Divino CM

    更新日期：2010-10-01 00:00:00

  • Placental umbilical cord whole blood transfusion: a safe and genuine blood substitute for patients of the under-resourced world at emergency.

    abstract：BACKGROUND:Afterbirth or placenta is normally discarded. But placental cord blood, because of its rich mix of fetal and adult hemoglobin, plasma, and high platelet count has the potential to be a safe alternative to adult blood. STUDY DESIGN:We transfused 413 U (range 50 mL to 146 mL; mean 86 mL+/-7.6 mL SD; median 80...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2004.12.007

    authors： Bhattacharya N

    更新日期：2005-04-01 00:00:00

  • Comparing Preoperative Targets to Failure-to-Rescue for Surgical Mortality Improvement.

    abstract：BACKGROUND:Failure-to-rescue (FTR or death after postoperative complication) is thought to explain surgical mortality excesses across hospitals, and FTR is an emerging performance measure and target for quality improvement. We compared the FTR population to preoperatively identifiable subpopulations for their potential...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2015.02.036

    authors： Hyder JA,Wakeam E,Adler JT,DeBord Smith A,Lipsitz SR,Nguyen LL

    更新日期：2015-06-01 00:00:00

  • A technique for the use of cryosurgery to assist hepatic resection.

    abstract：BACKGROUND:Wedge or other nonanatomic hepatic resections, performed in an attempt to spare functional parenchyma, often are not accomplished with clear resection margins and may be complicated by hemorrhage from the depth of the resection. STUDY DESIGN:The current study describes a technique of cryoassisted hepatic re...

    journal_title：Journal of the American College of Surgeons

    pub_type： 临床试验,杂志文章

    doi：

    authors： Polk W,Fong Y,Karpeh M,Blumgart LH

    更新日期：1995-02-01 00:00:00

  • Minimally Invasive Repairs of Pectus Excavatum: Surgical Outcomes, Quality of Life, and Predictors of Reoperation.

    abstract：BACKGROUND:We sought to examine our institutional experience (1998 to 2014) with minimally invasive repairs of pectus excavatum (MIRPE). STUDY DESIGN:We conducted a retrospective review and a mailed survey (quality of life assessment). Associations with reoperation due to bar migration and recurrence after bar removal...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2015.11.020

    authors： Gibreel W,Zendejas B,Joyce D,Moir CR,Zarroug AE

    更新日期：2016-03-01 00:00:00

  • Secondary aortoenteric fistulas versus paraprosthetic erosions: is bleeding associated with a worse outcome?

    abstract：BACKGROUND:Direct communication between an aortic prosthesis and the gastrointestinal (GI) tract may present with GI bleeding (aortoenteric fistulas [AEF]) or be incidental to a graft infection (paraprosthetic erosions [PPE]). The purposes of this study were to compare the outcomes of AEF versus PPE and to determine pr...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2008.08.010

    authors： Valentine RJ,Timaran CH,Modrall GJ,Smith ST,Arko FR,Clagett GP

    更新日期：2008-12-01 00:00:00

  • Cecectomy for complicated appendicitis.

    abstract：BACKGROUND:Cecal leak or disruption after appendectomy for complicated appendicitis is a consequence of severity of disease and is related to residual abscess cavity, inflammation, phlegmon, and nonviable intestine. In an attempt to improve results, we have begun to resect the cecum and other localized infected tissue ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：

    authors： Thompson JE Jr,Bennion RS,Schmit PJ,Hiyama DT

    更新日期：1994-08-01 00:00:00

  • The migrated liver transplantation candidate: insight into geographic disparities in liver distribution.

    abstract：BACKGROUND:A minority of liver transplantation (LT) candidates pursue listing at multiple centers to achieve transplantation. The purpose of this study was to assess the characteristics and outcomes of the migrated LT candidates, that is, those who travel to secondary centers seeking LT. STUDY DESIGN:Single-center ret...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2013.12.056

    authors： Kohn R,Kratz JR,Markmann JF,Vagefi PA

    更新日期：2014-06-01 00:00:00

  • Informatics and the American College of Surgeons National Surgical Quality Improvement Program: automated processes could replace manual record review.

    abstract：BACKGROUND:The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) provides reliable, risk-adjusted outcomes data using standardized definitions and end points. Collection of the data is time consuming, and the surgical clinical nurse reviewers (SCNRs) can sample only a subset of all ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2008.08.030

    authors： Hanauer DA,Englesbe MJ,Cowan JA Jr,Campbell DA

    更新日期：2009-01-01 00:00:00

  • Multidisciplinary management of breast cancer concurrent with pregnancy.

    abstract：:The management of PABC is very difficult. The incidence of PABC is low, but may be increasing because of the number of women who are becoming pregnant at a later age. More investigation is needed to understand whether the biology of PABC is different from that of breast cancer in nonpregnant women. One exciting area o...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章,评审

    doi：10.1016/s1072-7515(01)01105-x

    authors： Keleher AJ,Theriault RL,Gwyn KM,Hunt KK,Stelling CB,Singletary SE,Ames FC,Buchholz TA,Sahin AA,Kuerer HM

    更新日期：2002-01-01 00:00:00

  • Remote-Access Thyroidectomy: A Multi-Institutional North American Experience with Transaxillary, Robotic Facelift, and Transoral Endoscopic Vestibular Approaches.

    abstract：BACKGROUND:Many remote-access approaches (RAAs) to the thyroid have been described to circumvent anterior neck scarring, including the transaxillary, robotic facelift, and transoral endoscopic vestibular approaches. These techniques have been popularized in Asia, but adoption has been slow in North America. We aimed to...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2018.12.005

    authors： Russell JO,Razavi CR,Garstka ME,Chen LW,Vasiliou E,Kang SW,Tufano RP,Kandil E

    更新日期：2019-04-01 00:00:00

  • Isolated liver metastases from neuroendocrine tumors: does resection prolong survival?

    abstract：BACKGROUND:Neuroendocrine tumors commonly metastasize to the liver. Although surgical resection is considered a treatment option for patients with localized metastases confined to the liver, the longterm survival benefit of liver resection has not been clearly demonstrated. We examined the survival of patients undergoi...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(98)00099-4

    authors： Chen H,Hardacre JM,Uzar A,Cameron JL,Choti MA

    更新日期：1998-07-01 00:00:00

  • Caval inflow to the graft: a successful way to overcome diffuse portal system thrombosis in liver transplantation.

    abstract：:Portal vein thrombosis was considered to be a major contraindication to liver transplantation before the introduction of vessel grafts from the recipient's area of confluence of the splenic and superior mesenteric veins, behind the neck of the pancreas, to the graft's portal vein. Refinement in surgical technique has ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/s1072-7515(99)00299-9

    authors： Azoulay D,Hargreaves GM,Castaing D,Bismuth H

    更新日期：2000-04-01 00:00:00

  • Intercostal Nerve Block with Liposomal Bupivacaine vs Epidural Analgesia for the Treatment of Traumatic Rib Fracture.

    abstract：BACKGROUND:Rib fractures are common among trauma patients and analgesia remains the cornerstone of treatment. Intercostal nerve blocks provide analgesia but are limited by the duration of the anesthetic. This study compares outcomes of epidural analgesia with intercostal nerve block using liposomal bupivacaine for the ...

    journal_title：Journal of the American College of Surgeons

    pub_type： 杂志文章

    doi：10.1016/j.jamcollsurg.2019.12.044

    authors： Sheets NW,Davis JW,Dirks RC,Pang AW,Kwok AM,Wolfe MM,Sue LP

    更新日期：2020-07-01 00:00:00