Predictors of conversion in laparoscopic Crohn’s surgery: a retrospective analysis of a tertiary cohort - Takeaways - MDSpire

Factors Influencing Conversion Rates in Laparoscopic Surgery for Crohn’s Disease: A Retrospective Study of a Tertiary Care Population

  • By

  • Tommaso Violante

  • Stefano Cardelli

  • Giacomo Calini

  • Marco Novelli

  • Nicola Renzi

  • Lorenzo Gentilini

  • Nikolas Konstantine Dussias

  • Fernando Rizzello

  • Matteo Rottoli

  • July 20, 2026

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  • 1

    Crohn's disease often necessitates surgical intervention, with ileocecal resection being the standard treatment for localized terminal ileal disease.

  • 2

    Laparoscopic ileocecal resection is preferred due to benefits like reduced pain and shorter recovery, but conversion rates to open surgery range from 10% to over 37%.

  • 3

    Conversion to open surgery is linked to longer hospital stays and higher healthcare costs, highlighting the importance of preoperative risk assessment.

  • 4

    Potential predictors of conversion include obesity, previous abdominal surgery, and intra-abdominal complications, though findings vary across studies.

  • 5

    The study aimed to identify independent predictors of conversion and clarify the impact of disease behavior on conversion risk in laparoscopic surgery.

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