Surgical results of Hartmann procedure in emergency cases with left-sided colorectal cancer Resultados quirurgicos del procedimiento de Hartmann en casos de emergencia con cancer colorrectal izquierdo
Cirugia y Cirujanos (English Edition), cilt.89, sa.2, ss.150-155, 2021 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 89 Sayı: 2
- Basım Tarihi: 2021
- Doi Numarası: 10.24875/ciru.20000140
- Dergi Adı: Cirugia y Cirujanos (English Edition)
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE, Directory of Open Access Journals
- Sayfa Sayıları: ss.150-155
- Anahtar Kelimeler: Colorectal cancer, Hartmann procedure, Obstruction, Perforation, Colostomy
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
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.