Is Conversion a Complication of Laparoscopic Surgery

Abstract Introduction: In this paper, we review our laparoscopic and thoracoscopic experience and look specifically at the cases that resulted in conversion. Methods: Data were retrieved on all minimally invasive surgical procedures performed in our institution. Results: There were 1,759 cases performed between 1997 and 2007. Of these, 1,648 cases were laparoscopic and 111 thoracoscopic. There were 508 appendicectomies (34 interval), 216 fundoplications (21 redo), 183 diagnostic laparoscopies, 137 pyloromyotomies, 35 cholecystectomies, 27 splenectomies, 98 Fowler-Stephens procedures, 79 nephrectomies (including heminephrectomies), 48 Palomo procedures, 75 assisted percutaneous endoscopic gastronomies, 31 pull-through procedures for Hirschsprung's disease, and 210 others. There were 45 conversions (2.6%) over the time period; 40% of all cases converted were in children who had previously had surgery, and 13% of the conversions were enforced due to bleeding or visceral injury at the time of surgery. Looking...