Nguyen Dung Anh, Mai-Phan Tuong-Anh, Thai Truc Thanh, Nguyen Hai Van
Department of General Surgery, Nhan dan Gia Dinh Hospital, Ho Chi Minh, Viet Nam.
Department of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, Viet Nam.
Ann Coloproctol. 2022 Aug;38(4):297-300. doi: 10.3393/ac.2020.00577.0082. Epub 2021 Jun 24.
Laparoscopic surgery is considered a promising approach for Hartmann reversal but is also a complicated major surgical procedure. We conducted a retrospective analysis at a city hospital in Vietnam to evaluate the treatment technique and outcomes of laparoscopic Hartmann reversal (LHR).
A colorectal surgery database in 5 years between 2015 and 2019 (1,175 cases in total) was retrieved to collect 35 consecutive patients undergoing LHR.
The patients had a median age of 61 years old. The median operative time was 185 minutes. All the procedures were first attempted laparoscopically with a conversion rate of 20.0% (7 of 35 cases). There was no intraoperative complication. Postoperative mortality and morbidity were 0 and 11.4% (2 medical, 1 deep surgical site infection, and 1 anastomotic leak required reoperation) respectively. The median time to first bowel activity was 2.8 days and median length of hospital stay was 8 days.
When performed by skilled surgeons, LHR is a feasible and safe operation with acceptable morbidity rate.
腹腔镜手术被认为是哈特曼氏回纳术的一种有前景的方法，但也是一项复杂的大型外科手术。我们在越南一家城市医院进行了一项回顾性分析，以评估腹腔镜哈特曼氏回纳术（LHR）的治疗技术和结果。
检索了2015年至2019年5年间的结直肠手术数据库（共1175例病例），收集35例连续接受LHR的患者。
患者的中位年龄为61岁。中位手术时间为185分钟。所有手术均首先尝试腹腔镜手术，转换率为20.0%（35例中的7例）。无术中并发症。术后死亡率和发病率分别为0和11.4%（2例内科疾病，1例深部手术部位感染，1例吻合口漏需要再次手术）。首次肠道活动的中位时间为2.8天，中位住院时间为8天。
由熟练的外科医生进行时，LHR是一种可行且安全的手术，发病率可接受。
