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Comparison between open and laparoscopic reversal of Hartmann’s procedure for diverticulitis

World Journal of Gastrointestinal Surgery 2013年第8期5卷 245-251页

作者： Nicola de’Angelis Francesco Brunetti Riccardo Memeo Jose Batista da Costa Anne Sophie Schneck Maria Clotilde Carra Daniel Azoulay Digestive and Transplant Liver Surgery Unit Henri-Mondor HospitalUniversité Paris Est Department of Dentistry Rothschild Hospital

AIM: To compare the open and laparoscopic Hartmann’s reversal in patients first treated for complicated ***: Forty-six consecutive patients with diverticular disease were included in this retrospective,singlecenter study of a prospectively maintained colorectal surgery *** patients underwent conventional Hartmann’s procedures for acute complicated *** indications for Hartmann’s procedures were *** underwent open(OHR) or laparoscopic Hartmann’s reversal(LHR) between 2000 and 2010,and received the same pre-and post-operative protocols of *** variables,length of stay,short-(at 1 mo) and long-term(at 1 and 3 years) postoperative complications,and surgery-related costs were compared between ***: The OHR group consisted of 18 patients(13 males,mean age ± SD,61.4 ± 12.8 years),and the LHR group comprised 28 patients(16 males,mean age 54.9 ± 14.4 years).The mean operative time and the estimated blood loss were higher in the OHR group(235.8 ± 43.6 min vs 171.1 ± 27.4 min;and 301.1 ± 54.6 mL vs 225 ± 38.6 mL respectively,P = 0.001).Bowel function returned in an average of 4.3 ± 1.7 d in the OHR group,and 3 ± 1.3 d in the LHR group(P = 0.01).The length of hospital stay was significantly longer in the OHR group(11.2 ± 5.3 d vs 6.7 ± 1.9 d,P costs(+56%) compared to the LHR procedure,when combining the surgery-related costs and the length of hospital ***: LHR appears to be a safe and feasible procedure that is associated with reduced hospitality stays,complication rates,and costs compared to OH

关键词： Hartmann’s procedure Hartmann’ s reversal Diverticular disease Laparoscopy healthcare-related costs Colorectal surgery

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