2007, Number 3
<< Back Next >>
Rev Mex Coloproctol 2007; 13 (3)
Laparoscopic reconstructions colostomy reversal in 50 patients previously submitted to Hartmann´s technique
Pinheiro RFS Veras RL, Murad RSM, Pinheiro RFFS, Albuquerque XMSM, Pereira RM
Language: Spanish
References: 14
Page: 87-90
PDF size: 95.44 Kb.
ABSTRACT
Show our experience with laparoscopic Colostomy Reversal in 50 patients previously submitted to Hartmann’s technique. Twenty six (52.0%) patients were males and 24 (48%) females, with mean age of 47 years old. The procedures were performed between December 1991 to March 2007. The mean operative time was 152.9 min. There were 4 (8.0%) transoperative complications; 2 (4.0%) rectal ruptures with the circular stapler, one (2.0%) small bowel perforation and an epigastric artery injury (2.0%). There were 3 (6.0%) conversions (rectal rupture with the stapler, small bowel perforation and pelvic tumor invasion). Peristalsis was identified at a mean time of 15.9 hours, liquid diet was started at 1.9 days and the mean hospitalization period was 5.8 days. There were 8 (16.0%) postoperative complications; anastomose dehiscence (2-4.0%), wound infection, pelvic abscess, undetermined peritonitis, right shoulder pain, anastomose bleeding and anastomose leakage. The laparoscopic colostomy reversal is safe, with operative time similar or close to the conventional approach and with excellent clinical recovery.
REFERENCES
Jacobs M, Verdeja JC, Goldstain HS. Minimally invasive colon resection (Laparoscopy colectomy). Surg Lap End 1991; 1: 144-150.
Fowler DL, White AS. Laparoscopy assisted sigmoid resection. Surg Lap End 1991; 1: 83-8.
Regadas FSP, Nicodemo AM, Rodrigues LV et al. Anastomose colorretal por via laparoscòpica: apresentação d dois casos e descrição da técnica operatória. Rev Bras Coloproct 1991; 12: 21-3.
Regadas FSP, Siebra JA, Rodrigues LV et al. Laparoscopically assisted colorectal anastomoses post-Hartmann’s procedure. Surg Laparosc Endosc 1996; 6: 1-4.
Vacher C, Zaghloul R, Borie F et al. Laparoscopic reestablishment of digestive continuity following Hartmann’s procedure. Retrospective study of the French Society of Endoscopic Surgery. Ann Chir 2002; 127: 189-92.
Roe AM, Prabhu S Ali et al. Reversal of Hartmann’s procedure: timing operative technique. Br J Surg 1991; 78:1. 167-70.
Pernegger C, Hornof R, Keiler A. Laparoscopy-assisted reoperation after sigmoid resection and Hartmann rectal occlusion. Chirurg 1994; 65: 209-12.
Kohleer L, Lempa M, Troidl H. Laparoscopically guided reversal of Hartmann’s procedure. Chirurg 1999; 70: 1139-43.
Pandini LC, Gonçalves CA. Fechamento de colostomia pós Hartmann assistida por video-laparoscopia. Experiência inicial. Rev Bras Coloproct 1995; 15: 65-7.
Hermansen CT, Rodriguez ES, Salamanca JB et al. Transit reconstituition after Hartmann operation with assisted videolaparoscopy. Rev Chil Cir 98; 50: 633-6.
Habr Gama A, Teixeira MG, Vieira MJF et al. Operação de Hartmann e suas conseqüências. Rev Bras Coloproct 1997; 17: 5-10.
Cutait R, Borges JLA, Correa PA et al. Cirurgia Colorretal por via laparoscópica. Experiência inicial. Rev Bras Coloproct 1994; 14: 172-54.
Bossotti M, Bona A, Borroni R et al. Gasless laparoscopic-assisted ileostomy or colostomy closure using an abdominal wall-lifting device. Surg Endosc 2001; 15: 597-9.
Gorey TF, O’Connel PR, Waldron D et al. Laparoscopically assisted reversal of Hartmann’s procedure. Br J Surg 1993; 80: 109.
Full text