Minimizing Conversion in Laparoscopic Colorectal Surgery: From Preoperative Risk Assessment to Intraoperative Strategies
Since its first description in 1991, the use of laparoscopy for colorectal surgery has increased from 22.7% in 2005 to 49.8% in 2014. Increased adoption of laparoscopy is multifactorial and largely due to improved instrumentation and training and supported by demonstration of clinical benefits as well as level I evidence in support of oncologic safety when applied to colon cancer. Conversion rates have remained variable based on case volume but can be reduced with training and increased familiarity with surgical techniques described throughout this colorectal textbook. This chapter will review risk factors for conversion and discuss tips and tricks on how to avoid conversion during laparoscopic colorectal resections.
KeywordsConversion Laparoscopic Colon and rectal surgery
The chapter authors would like to thank Yuko Tonohira for creating the three illustrations in this chapter.
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