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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
ALTIN, Onder et al. Surgical results of Hartmann procedure in emergency cases with left-sided colorectal cancer. Cir. cir. [online]. 2021, vol.89, n.2, pp.150-155. Epub Nov 08, 2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.20000140.
Objective:
We aimed to define indication of Hartmann procedure (HP) under emergency conditions, analyze, and present in which cases this procedure should be used.
Methods:
The patients who underwent emergency surgery for colorectal cancer were analyzed. Rates of mortality, overall, and disease-free survival of the patients were evaluated. The colostomy closure rate, operative mortality, and surgical complications of the secondary operation performed after the HP were also assessed.
Results:
Fifty-seven patients who underwent HP were included in the study. The indications were obstruction (n = 37) or perforation (n = 20). The post-operative mortality and morbidity rates were 21.1% and 63.2%, respectively. The 1-, 3-, and 5-year survival rates for all patients were 54%, 49%, and 45%.
Conclusion:
HP can be a life-saving procedure in cases of high risk, emergency colorectal disease. Surgeons create a temporary stoma as a part of this procedure that is generally closed with a second operation. However, it is not possible to close the stoma in some cases, and the potential physical and emotional issues related to the stoma should be a part of the surgeon's considerations.
Keywords : Colorectal cancer; Hartmann procedure; Obstruction; Perforation; Colostomy.