Laparoscopic Reversal of Hartmann's Procedure: State of the Art 20 Years after the First Reported Case

Autor: Isidoro Di Carlo, Marco Cavallaro, Antonio Politi, Andrea Cavallaro, Maurizio Mannino, Annalisa Ardiri, Andrea Di Stefano, Maria Concetta Arcerito, Zia Aftab, Abdelrahman Abdelaal, Gaetano Bertino, Adriana Toro
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Gastroenterology Research and Practice
Gastroenterology Research and Practice, Vol 2014 (2014)
ISSN: 1687-630X
1687-6121
Popis: Introduction.Aim of the present work is to review the literature to point out the role of laparoscopic reversal of Hartmann procedure.Material and Methods.Number of patients, age, sex, etiology, Hinchey classification, interval between procedure and reversal, position of the first trocars, mean operative time (min), number and causes of conversion, length of stay, mortality, complications, and quality of life were considered.Results.238 males (52.4%) and 216 females (47.6%) between 38 and 67 years were analyzed. The etiology was diverticulitis in 292 patients (72.1%), carcinoma in 43 patients (10.6%), and other in 70 patients (17.3%). Only 7 articles (22.6%) reported Hinchey classification. The interval between initial procedure and reversal was between 50 and 330 days. The initial trocar was open positioned in 182 patients (43.2%) through umbilical incision, in 177 patients (41.9%) in right upper quadrant, and in 63 patients (14.9%) in colostomy site. The operative time was between 69 and 285 minutes. A total of 83 patients (12.1%) were converted and the causes were reported in 67.4%. The length of stay was between 3 and 12 days. 5 patients (0.7%) died. The complications concern 112 cases (16.4%).Conclusion.The laparoscopic Hartmann’s reversal is safer and achieves faster positive results.
Databáze: OpenAIRE
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