Aims:The present study aimed to compare the surgical outcomes of patients receiving laparoscopic reversal of Hartmann’s procedure(RHP)with those receiving open surgery.Methods:Records of all patients with RHP perform...Aims:The present study aimed to compare the surgical outcomes of patients receiving laparoscopic reversal of Hartmann’s procedure(RHP)with those receiving open surgery.Methods:Records of all patients with RHP performed in our unit(including laparoscopic and open surgery)between 2000 and 2012 were retrieved.Data were retrospectively reviewed and compared.Results:Eighty-two RHPs were performed between 2000 and 2012.Thirty-five were performed with an open approach and 47 with a laparoscopic approach.Conversion rate was 28%in the laparoscopic group.There was no difference,between the two groups,in operation time or blood loss.The median length of stay was significantly shorter in the laparoscopic group(12 vs 14 days,P=0.002)and fewer patients in the laparoscopic group had complications with post-operative paralytic ileus(2 vs 17%,P=0.038).None of the patients in the laparoscopic group developed incisional hernia at the conclusion of follow-up,as opposed to five in the open group(0 vs 14%,P=0.012).Conclusion:Laparoscopic RHP is safe and feasible,with more favorable surgical outcomes,when compared with open surgery.Conversion rate is acceptable.It should be the technique of choice for patients undergoing RHP.展开更多
文摘Aims:The present study aimed to compare the surgical outcomes of patients receiving laparoscopic reversal of Hartmann’s procedure(RHP)with those receiving open surgery.Methods:Records of all patients with RHP performed in our unit(including laparoscopic and open surgery)between 2000 and 2012 were retrieved.Data were retrospectively reviewed and compared.Results:Eighty-two RHPs were performed between 2000 and 2012.Thirty-five were performed with an open approach and 47 with a laparoscopic approach.Conversion rate was 28%in the laparoscopic group.There was no difference,between the two groups,in operation time or blood loss.The median length of stay was significantly shorter in the laparoscopic group(12 vs 14 days,P=0.002)and fewer patients in the laparoscopic group had complications with post-operative paralytic ileus(2 vs 17%,P=0.038).None of the patients in the laparoscopic group developed incisional hernia at the conclusion of follow-up,as opposed to five in the open group(0 vs 14%,P=0.012).Conclusion:Laparoscopic RHP is safe and feasible,with more favorable surgical outcomes,when compared with open surgery.Conversion rate is acceptable.It should be the technique of choice for patients undergoing RHP.
