Castrati G, Scotti M, Fiorone E, Arrigoni G
Minerva Chir. 1989 May 31;44(10):1485-8.
A personal series of 49 Hartmann's operations carried out in the period 1975-1986 for complicated rectal-sigmoid lesions, 43 for cancer and 6 for diverticular sigmoiditis, are reported. Fully 45 of these patients (92%) were operated on in emergency conditions and the choice of the operation was imposed by the gravity of the lesions observed. In the light of this series and a review of the literature, it is maintained that the operation still has a place in complicated rectal-sigmoid lesions, especially under emergency conditions and in patients at risk for age and general conditions, it being very well tolerated and consenting recanalisation if necessary.
本文报告了1975年至1986年间针对复杂直肠乙状结肠病变实施的49例哈特曼手术，其中43例为癌症，6例为乙状结肠憩室炎。这些患者中有45例（92%）是在紧急情况下接受手术的，手术方式的选择取决于所观察到病变的严重程度。根据本系列病例及文献回顾，认为该手术在复杂直肠乙状结肠病变中仍有一席之地，尤其是在紧急情况下以及年龄和全身状况不佳的高危患者中，该手术耐受性良好，必要时可接受再通术。
