Resultados quirúrgicos del procedimiento de Hartmann en casos de emergencia con cáncer colorrectal izquierdo
Objective: We aimed to define indication of Hartmann procedure (HP) under emergency conditions, analyze, and present in which cases this procedure should be used. Methods: The patients who underwent emergency surgery for colorectal cancer were analyzed. Rates of mortality, overall, and disease-free...
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Permanyer
2021-04-01
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| Series: | Gaceta Médica de México |
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| Online Access: | https://www.gacetamedicademexico.com/frame_esp.php?id=456 |
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| author | Onder Altin Selcuk Kaya Ramazan Sari Yunus E. Altuntas Baver Baris Hasan F. Kucuk |
| author_facet | Onder Altin Selcuk Kaya Ramazan Sari Yunus E. Altuntas Baver Baris Hasan F. Kucuk |
| author_sort | Onder Altin |
| collection | DOAJ |
| description | Objective: We aimed to define indication of Hartmann procedure (HP) under emergency conditions, analyze, and present in which cases this procedure should be used. Methods: The patients who underwent emergency surgery for colorectal cancer were analyzed. Rates of mortality, overall, and disease-free survival of the patients were evaluated. The colostomy closure rate, operative mortality, and surgical complications of the secondary operation performed after the HP were also assessed. Results: Fifty-seven patients who underwent HP were included in the study. The indications were obstruction (n = 37) or perforation (n = 20). The post-operative mortality and morbidity rates were 21.1% and 63.2%, respectively. The 1-, 3-, and 5-year survival rates for all patients were 54%, 49%, and 45%. Conclusion: HP can be a life-saving procedure in cases of high risk, emergency colorectal disease. Surgeons create a temporary stoma as a part of this procedure that is generally closed with a second operation. However, it is not possible to close the stoma in some cases, and the potential physical and emotional issues related to the stoma should be a part of the surgeon’s considerations.
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| first_indexed | 2024-03-13T09:47:08Z |
| format | Article |
| id | doaj.art-054fecb02d3b422ca5b5175344aeeb95 |
| institution | Directory Open Access Journal |
| issn | 0016-3813 2696-1288 |
| language | English |
| last_indexed | 2024-03-13T09:47:08Z |
| publishDate | 2021-04-01 |
| publisher | Permanyer |
| record_format | Article |
| series | Gaceta Médica de México |
| spelling | doaj.art-054fecb02d3b422ca5b5175344aeeb952023-05-24T23:32:22ZengPermanyerGaceta Médica de México0016-38132696-12882021-04-0189210.24875/CIRU.20000140Resultados quirúrgicos del procedimiento de Hartmann en casos de emergencia con cáncer colorrectal izquierdoOnder Altin0Selcuk Kaya1Ramazan Sari2Yunus E. Altuntas3Baver Baris4Hasan F. Kucuk5Department of General Surgery, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, TurkeyDepartment of General Surgery, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, TurkeyDepartment of General Surgery, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, TurkeyDepartment of General Surgery, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, TurkeyDepartment of General Surgery, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, TurkeyDepartment of General Surgery, Kartal Dr. Lutfi Kirdar Training and Research Hospital, Istanbul, TurkeyObjective: We aimed to define indication of Hartmann procedure (HP) under emergency conditions, analyze, and present in which cases this procedure should be used. Methods: The patients who underwent emergency surgery for colorectal cancer were analyzed. Rates of mortality, overall, and disease-free survival of the patients were evaluated. The colostomy closure rate, operative mortality, and surgical complications of the secondary operation performed after the HP were also assessed. Results: Fifty-seven patients who underwent HP were included in the study. The indications were obstruction (n = 37) or perforation (n = 20). The post-operative mortality and morbidity rates were 21.1% and 63.2%, respectively. The 1-, 3-, and 5-year survival rates for all patients were 54%, 49%, and 45%. Conclusion: HP can be a life-saving procedure in cases of high risk, emergency colorectal disease. Surgeons create a temporary stoma as a part of this procedure that is generally closed with a second operation. However, it is not possible to close the stoma in some cases, and the potential physical and emotional issues related to the stoma should be a part of the surgeon’s considerations. https://www.gacetamedicademexico.com/frame_esp.php?id=456Colorectal cancer. Hartmann procedure. Obstruction. Perforation. Colostomy. |
| spellingShingle | Onder Altin Selcuk Kaya Ramazan Sari Yunus E. Altuntas Baver Baris Hasan F. Kucuk Resultados quirúrgicos del procedimiento de Hartmann en casos de emergencia con cáncer colorrectal izquierdo Gaceta Médica de México Colorectal cancer. Hartmann procedure. Obstruction. Perforation. Colostomy. |
| title | Resultados quirúrgicos del procedimiento de Hartmann en casos de emergencia con cáncer colorrectal izquierdo |
| title_full | Resultados quirúrgicos del procedimiento de Hartmann en casos de emergencia con cáncer colorrectal izquierdo |
| title_fullStr | Resultados quirúrgicos del procedimiento de Hartmann en casos de emergencia con cáncer colorrectal izquierdo |
| title_full_unstemmed | Resultados quirúrgicos del procedimiento de Hartmann en casos de emergencia con cáncer colorrectal izquierdo |
| title_short | Resultados quirúrgicos del procedimiento de Hartmann en casos de emergencia con cáncer colorrectal izquierdo |
| title_sort | resultados quiraºrgicos del procedimiento de hartmann en casos de emergencia con ca ncer colorrectal izquierdo |
| topic | Colorectal cancer. Hartmann procedure. Obstruction. Perforation. Colostomy. |
| url | https://www.gacetamedicademexico.com/frame_esp.php?id=456 |
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