关键词: 腹腔镜, 结直肠癌, 中转开腹

Abstract: 【Abstract】 Objective To evaluate the factors of conversion to open surgery in laparoscopic colorectal surgery, and choice the correct time turned to laparotomy during 13 years. Methods 1682 laparoscopic colorectal surgeries were included in the study. The reasons of conversion to open surgery from July 1999 to June 2012 were analyzed retrospectively. Results Among 1682 cases underwent laparoscopic colorectal surgeries, 1585 were performed successfully, 97 were turned to conversion to open surgery. The conversion rate was 5.77 %. The most common initiative reason was involvement of surrounding viscera or malignant tumor infiltration (53.8%, 49/91). The most common segment was sigmoid colon (24/91, 26.4%) and rectum (19/91, 20.9%). There were no statistical differences of operation time, intra-operative blood loss, recovery time of bowel movement, post-operative stay, lymph node yield and incidence of post-operative complications between the two groups. Conclusion In laparoscopic surgery for colorectal cancer, correct handling of indications for conversions to open surgery is an important step to ensure the safety of the patients.

Key words: Laparoscope, Colorectal cancer, Conversion to open surgery