Hartmann's reversal: a comparative study between laparoscopic and open approaches. Issue 5 (21st July 2017)

• Record Type: Journal Article
• Authors: Kwak, Han Deok; Kim, Jin; Kang, Dong Woo; Baek, Se‐Jin; Kwak, Jung Myun; Kim, Seon‐Hahn
• Is Part Of: ANZ journal of surgery. Volume 88:Issue 5(2018)
• Page Start: 450
• Page End: 454
• Publication Date: 2017-07-21
• Subjects: Hartmann's procedure -- laparoscopic -- open -- outcome -- reversal; Surgery -- Periodicals; 617.005
• DOI: 10.1111/ans.13979
• Languages: English
• ISSNs: 1445-1433

Abstract

Abstract : Background: A reversal of Hartmann's procedure can be performed using either a laparoscopic or open approach. However, laparoscopic reversal (LR) of Hartmann's procedure is challenging. This study was designed to compare the results between open and laparoscopic approaches. Methods: This was a retrospective study of prospectively collected data. We analysed 29 patients who received Hartmann's reversal at Korea University Anam Hospital between April 2007 and September 2014. All patients underwent either LR ( n = 17) or open reversal (OR, n = 12). Results: Patient characteristics were similar between the LR and OR groups. There was also no difference in mean operation time (212.5 versus 251.8 min), diversion ileostomy, length of hospital stay, postoperative analgesic days, time to diet resumption (3.9 versus 6.2 days) or complication rate. Although the time to resuming a solid diet was not different between the two groups ( P = 0.053), bowel movement occurred faster in LR patients (LR versus OR, 1.8 versus 2.8 days, P = 0.020). Patients in the LR group also had less blood loss during surgery (114.1 versus 594.2 mL, P = 0.026). There were no mortalities in this study. Conclusion: LR of Hartmann's procedure resulted in faster bowel function recovery than the open method. Laparoscopic approaches are feasible even for patients who received an open Hartmann's procedure.