Macpherson S C, Hansell D T, Porteous C
Department of Surgery, Stobhill NHS Trust, Glasgow, Scotland, United Kingdom.
J Laparoendosc Surg. 1996 Oct;6(5):305-10. doi: 10.1089/lps.1996.6.305.
Laparoscopic-assisted reversal of Hartmann's procedure was performed in 12 patients over a 2-year period. The group comprised three patients with colonic carcinoma and nine with diverticular disease, their mean age being 62 years (range 40-73). In all twelve cases, intestinal continuity was successfully restored, without conversion to open surgery, in a median anesthetic time of 165 min (range 110-240). One patient required a temporary defunctioning colostomy and two other patients had three complications. The median postoperative hospital stay was 8 days (range 5-12). We report a retrospective audit of this consecutive series of 12 patients, showing that laparoscopic-assisted reversal of Hartmann's is technically feasible. We also give details of the morbidity associated with the technique.
在两年时间里，对12例患者实施了腹腔镜辅助的哈特曼手术逆转术。该组包括3例结肠癌患者和9例憩室病患者，他们的平均年龄为62岁（范围40 - 73岁）。在所有12例病例中，均成功恢复了肠道连续性，未转为开放手术，中位麻醉时间为165分钟（范围110 - 240分钟）。1例患者需要进行临时性造口减压术，另外2例患者出现了3种并发症。术后中位住院时间为8天（范围5 - 12天）。我们报告了对这连续12例患者的回顾性审计，表明腹腔镜辅助的哈特曼手术逆转术在技术上是可行的。我们还详细介绍了与该技术相关的发病率情况。
