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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
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Laparoscopic Hartmann reversal: experiences from a developing country.

Dung Anh Nguyen1, Tuong-Anh Mai-Phan1, Truc Thanh Thai2

  • 1Department of General Surgery, Nhan dan Gia Dinh Hospital, Ho Chi Minh, Viet Nam.

Annals of Coloproctology
|June 24, 2021
PubMed
Summary

Laparoscopic Hartmann reversal (LHR) is a safe and feasible surgical option for patients requiring this procedure. Skilled surgeons can achieve acceptable outcomes with low complication rates.

Keywords:
ColostomyHartmann procedureLaparoscopy

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Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery

Background:

  • Hartmann reversal is a complex procedure.
  • Laparoscopic surgery offers potential benefits but requires careful evaluation.

Purpose of the Study:

  • To evaluate the technique and outcomes of laparoscopic Hartmann reversal (LHR).
  • Assessing the feasibility and safety of LHR in a Vietnamese city hospital.

Main Methods:

  • Retrospective analysis of 35 consecutive patients undergoing LHR.
  • Data collected from a colorectal surgery database between 2015 and 2019.

Main Results:

  • Median age 61 years; median operative time 185 minutes.
  • 20% conversion rate to open surgery; no intraoperative complications.
  • 0% mortality; 11.4% morbidity (including anastomotic leak requiring reoperation).
  • Median time to bowel activity 2.8 days; median hospital stay 8 days.

Conclusions:

  • Laparoscopic Hartmann reversal (LHR) is a feasible and safe procedure.
  • Acceptable morbidity rates can be achieved by experienced surgeons.
  • LHR demonstrates promising results in selected patient populations.