PURPOSE: The aim of this study is to compare short-term outcomes of laparoscopic versus open Hartmann reversal. MATERIALS AND METHODS: Patients who underwent Hartmann reversal between January 2005 and September 2014 were identified and matched for age, sex, body mass index, American Society of Anesthesiologists score, and creation of diverting ileostomy to open counterparts. Patient characteristics and postoperative outcomes (30 d) were evaluated. RESULTS: Eighteen patients with laparoscopic Hartmann reversal were matched to 18 open patients. There were no differences between laparoscopic versus open groups in terms of operative time (157.7±52.2 vs. 151.5±49.3 min, P>0.05) or overall complication rates [6 (33.3%) vs. 6 (33.3%) (P>0.05)]. No anastomotic leaks or mortality occurred in either group. However, the laparoscopic group was associated with significantly decreased estimated blood loss (114±103 vs. 217±125 mL, P<0.05), faster return of bowel function (3.2±0.6 vs. 4±0.6 d, P<0.05), and reduced hospital stay (5.4±3.1 vs. 8.3±4.8 d, P<0.05). CONCLUSIONS: Laparoscopic Hartmann reversal can be safely performed with better short-term outcomes in carefully selected patients.
PURPOSE: The aim of this study is to compare short-term outcomes of laparoscopic versus open Hartmann reversal. MATERIALS AND METHODS:Patients who underwent Hartmann reversal between January 2005 and September 2014 were identified and matched for age, sex, body mass index, American Society of Anesthesiologists score, and creation of diverting ileostomy to open counterparts. Patient characteristics and postoperative outcomes (30 d) were evaluated. RESULTS: Eighteen patients with laparoscopic Hartmann reversal were matched to 18 open patients. There were no differences between laparoscopic versus open groups in terms of operative time (157.7±52.2 vs. 151.5±49.3 min, P>0.05) or overall complication rates [6 (33.3%) vs. 6 (33.3%) (P>0.05)]. No anastomotic leaks or mortality occurred in either group. However, the laparoscopic group was associated with significantly decreased estimated blood loss (114±103 vs. 217±125 mL, P<0.05), faster return of bowel function (3.2±0.6 vs. 4±0.6 d, P<0.05), and reduced hospital stay (5.4±3.1 vs. 8.3±4.8 d, P<0.05). CONCLUSIONS: Laparoscopic Hartmann reversal can be safely performed with better short-term outcomes in carefully selected patients.
Authors: Francesco Guerra; Diego Coletta; Celeste Del Basso; Giuseppe Giuliani; Alberto Patriti Journal: World J Surg Date: 2019-07 Impact factor: 3.352
Authors: Paolo Panaccio; Tommaso Grottola; Rossana Percario; Federico Selvaggi; Severino Cericola; Alfonso Lapergola; Maira Farrukh; Giuseppe Di Martino; Marco Ricciardiello; Pierluigi Di Sebastiano; Fabio Francesco Di Mola Journal: Surg Res Pract Date: 2021-01-23
Authors: Anwar Medellin Abueta; Nairo Javier Senejoa; Mauricio Pedraza Ciro; Lina Fory; Carlos Perez Rivera; Carlos Edmundo Martinez Jaramillo; Lina Maria Mateus Barbosa; Heinz Orlando Ibañez Varela; Javier A Carrera; Rafael Garcia Duperly; Luis A Sanchez; Ivan David Lozada-Martinez; Luis Felipe Cabrera-Vargas; Andres Mendoza; Paulo Cabrera; Sebastian Sanchez Ussa; Cristian Paez; Steven D Wexner; Victor Strassmann; Giovanna DaSilva; Salomone Di Saverio; Arianna Birindelli; Roberto Jose Rodríguez Florez; Abraham Kestenberg; Alexander Obando Rodallega; Juan Carlos Sánchez Robles; Carlos Adrian Niño Carrasco; Alessio Impagnatiello; Diletta Cassini; Gianandrea Baldazzi; Francesco Roscio; Gianluca Liotta; Pierluigi Marini; Daniel Gomez; Carlos Edgar Figueroa Avendaño; Daniela Moreno Villamizar; Laura Cabrera; Juan Carlos Reyes; Alexis Narvaez-Rojas Journal: Health Sci Rep Date: 2022-09-01