Hartmann's reversal: a comparative study between laparoscopic and open approaches

• Published in: ANZ journal of surgery 2018-05, Vol.88 (5), p.450-454
• Main Authors: Kwak, Han Deok, Kim, Jin, Kang, Dong Woo, Baek, Se‐Jin, Kwak, Jung Myun, Kim, Seon‐Hahn
• Format: Article
• Language: English
• Subjects: Anastomosis, Surgical - methods; Chi-Square Distribution; Cohort Studies; Colorectal Neoplasms - mortality; Colorectal Neoplasms - pathology; Colorectal Neoplasms - surgery; Colorectal Surgery - adverse effects; Colorectal Surgery - methods; Databases, Factual; Disease-Free Survival; Female; Hartmann's procedure; Humans; laparoscopic; Laparoscopy - adverse effects; Laparoscopy - methods; Laparotomy - adverse effects; Laparotomy - methods; Male; open; Operative Time; outcome; Postoperative Complications - epidemiology; Postoperative Complications - physiopathology; Reoperation - statistics & numerical data; Republic of Korea; Retrospective Studies; reversal; Risk Assessment; Statistics, Nonparametric; Survival Analysis; Treatment Outcome
• ISSN: 1445-1433; 1445-2197
• DOI: 10.1111/ans.13979

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.