Champault G, Hattab R, Chevrel J P, Morand L, Etienne J C, Soulier Y, Alexandre J H, Boutelier P, Patel J C
J Chir (Paris). 1982 Apr;119(4):255-9.
The main indications for the Hartmann operation are cancer and sigmoiditis. It is done as an emergency in 70% of the time, more often for peritonitis, generally from diverticulitis. (45% of the time) than for occlusion usually due to cancer (30% of the time). The high mortality (33%) is due to the precarious condition of the patients, and only 25% are due to the operation, usually from disruption of the rectal stump. The reestablishment of the intestinal continuity, now facilitated by the clip forceps, was possible in 37 cases with no mortality. This represents 28.9% of the group, but only 52.1% were alive six months later. Only 6.8% of the cancer cases were benefited; however, 51% of the sigmoiditis cases and 87.5% of the cases of traumatic perforation were benefited. These results plus the advantages furnished by the autosuturing forceps justify renewal of interest in this operation first described 60 years ago.
哈特曼手术的主要适应证是癌症和乙状结肠炎。该手术70%是作为急诊进行的，更多时候是针对腹膜炎，通常由憩室炎引起（45%的情况），而因癌症导致肠梗阻进行手术的情况较少（30%的情况）。高死亡率（33%）是由于患者病情不稳定，只有25%是由手术导致的，通常是直肠残端破裂。借助吻合钳，37例患者成功恢复了肠道连续性，且无死亡病例。这占该组患者的28.9%，但六个月后只有52.1%的患者存活。只有6.8%的癌症病例从中受益；然而，51%的乙状结肠炎病例和87.5%的创伤性穿孔病例从中受益。这些结果以及自动缝合钳所具备的优势，使得人们重新对60年前首次描述的该手术产生了兴趣。
