Trans-stomal single-port laparoscopic Hartmann's reversal is an efficacious and efficient procedure: a...

Area of Science:

• Colorectal surgery
• Minimally invasive surgery
• Surgical techniques

Background:

• Hartmann's reversal is a complex procedure with variable success rates.
• Laparoscopic approaches may reduce mortality and morbidity.
• Single-port laparoscopic Hartmann's reversal (SP-HR) is compared against multi-port laparoscopic Hartmann's reversal (MP-HR).

Purpose of the Study:

• To assess the operative results of SP-HR compared to MP-HR.
• To evaluate the safety and efficiency of SP-HR.
• To determine potential cost savings associated with SP-HR.

Main Methods:

• Retrospective, non-randomized, case-controlled study.
• 44 patients undergoing SP-HR (Group A) compared to 44 patients undergoing MP-HR (Group B).
• Data collected on operative time, conversion rates, mortality, morbidity, and length of hospital stay.

Main Results:

• Comparable preoperative patient characteristics between groups.
• Mean operative time was shorter in SP-HR (105 min) vs. MP-HR (155 min).
• Median hospital stay was significantly shorter for SP-HR (4.8 days) vs. MP-HR (6.8 days).
• Conversion rates were 13.6% for SP-HR and 4.5% for MP-HR; no conversions to open surgery occurred.

Conclusions:

• SP-HR is a safe and efficient technique for Hartmann's reversal.
• SP-HR compares favorably to MP-HR.
• Reduced hospital stay with SP-HR may lead to indirect cost savings.