Nunes G C, Robnett A H, Kremer R M, Ahlquist R E
Arch Surg. 1979 Apr;114(4):425-9. doi: 10.1001/archsurg.1979.01370280079011.
A Hartmann procedure was performed on 25 patients with complications of acute diverticulitis. Of the 20 patients in whom both stages were completed, 14 had a smooth course. Total hospitalization for both stages averaged 23 days. Mortality was 8%. The initial resection usually is not difficult. Subsequent reanastomosis is facilitated by an interval of at least three months between stages. The advantages of the Hartmann procedure are as follows: (1) The diseased bowel is removed at the first stage. (2) The risk of primary anastomosis is avoided. (3) Hospitalization and overall time of treatment are reduced. (4) Mortality is relatively low. The Hartmann procedure should be considered for a broader selection of patients with complications of acute diverticulitis.
对25例急性憩室炎并发症患者实施了哈特曼手术。在完成两个阶段手术的20例患者中，14例病程顺利。两个阶段的总住院时间平均为23天。死亡率为8%。初次切除通常并不困难。两阶段之间间隔至少三个月有助于后续的再吻合。哈特曼手术的优点如下：（1）在第一阶段切除病变肠段。（2）避免了一期吻合的风险。（3）缩短了住院时间和总体治疗时间。（4）死亡率相对较低。对于更广泛的急性憩室炎并发症患者，应考虑采用哈特曼手术。
