XLSX files are compressed zip files. If you decompress your XLSX file, look at the folder xl/worksheets, which contains a xml file for each sheet of the file.
You may want to extract these XML files first and then parse the (xml) content, element by element, so that the buffer to get each xml element does not need to be so big. This way, you can make your own script in php to read the extracted file, or use some xml parser, to transform the sheets into xml objects and them dump your csv.
The structure of the resulting xml is something like this example (the important information is inside sheetData):
<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<worksheet xmlns="http://schemas.openxmlformats.org/spreadsheetml/2006/main" xmlns:r="http://schemas.openxmlformats.org/officeDocument/2006/relationships" xmlns:mc="http://schemas.openxmlformats.org/markup-compatibility/2006" mc:Ignorable="x14ac" xmlns:x14ac="http://schemas.microsoft.com/office/spreadsheetml/2009/9/ac">
<dimension ref="A1:J42"/>
<sheetViews>
<sheetView workbookViewId="0">
<selection activeCell="C7" sqref="C7"/>
</sheetView>
</sheetViews>
<sheetFormatPr defaultRowHeight="12.75" x14ac:dyDescent="0.2"/>
<cols>
<col min="1" max="1" width="18.140625" style="1" customWidth="1"/>
<col min="2" max="16384" width="9.140625" style="1"/>
</cols>
<sheetData>
<row r="1" spans="1:10" x14ac:dyDescent="0.2">
<c r="B1" s="1" t="s"><v>0</v></c>
<c r="C1" s="1" t="s"><v>1</v></c>
<c r="D1" s="1" t="s"><v>2</v></c>
</row>
<row r="2" spans="1:10" x14ac:dyDescent="0.2">
<c r="A2" s="1" t="s"><v>4</v></c><c r="B2" s="1"><v>200</v></c>
<c r="C2" s="1"><v>200</v></c>
<c r="D2" s="1"><v>100</v></c><c r="E2" s="1"><v>200</v></c>
</row>
<row r="3" spans="1:10" x14ac:dyDescent="0.2">
<c r="A3" s="1" t="s"><v>10</v></c><c r="C3" s="1"><f>6*125</f><v>750</v></c>
<c r="H3" s="1" t="s"><v>6</v></c><c r="I3" s="1"><v>130</v></c>
</row>
</sheetData>
<pageMargins left="0.7" right="0.7" top="0.75" bottom="0.75" header="0.3" footer="0.3"/>
<pageSetup paperSize="0" orientation="portrait" horizontalDpi="0" verticalDpi="0" copies="0"/>
</worksheet>
That is, you need to look at each cell (c tag) of each row (row tag) the xml has:
worksheet.sheetData.row[i].c[j].v
and take the content of the value (v tag).