Clinical Effect of Hartmann′s Procedure in the Treatment of Colorectal Cancer
- VernacularTitle:Hartmann 手术治疗结直肠癌的临床效果分析
- Author:
Yusheng CHEN
1
;
Xiao-Bo BO
;
Weidong GAO
;
Weizhong SHENG
;
Bo ZHANG
Author Information
1. 复旦大学附属中山医院普外科
- Keywords:
Hartmann′s procedure;
Colorectal cancer;
Clinical efficacy
- From:
Chinese Journal of Clinical Medicine
2014;(6):705-706
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of Hartmann′s procedure on colorectal cancer.Methods:The clinical data of 63 patients with colorectal cancer who underwent Hartmann′s procedure from Jun 2006 to Dec 2013 were retrospectively analyzed.Results:All the 63 patients were successfully performed Hartmann′s procedure,of which 50 cases were elective and 13 cases were emergent.The average duration of operation was 170 min.The average volume of intra-operative blood loss was 90 mL.The average duration of hospital stay was 16 d.Postoperative complications within 30 days occurred in 17 patients,of which 6 cases were surgical infection,1 case was stoma infection,1 case was colon stump infection,1 case was heart failure,1 case was renal insufficiency,2 cases were adhesive ileus.Among the 63 cases,42 patients were followed up for 8 to 66 months. Fourteen cases were followed up for more than five years,of which 4 patients survived more than 5 years,and the 5-year sur-vival rate was 28.6%.Conclusions:Hartmann′s procedure is still a safe and effective surgical procedure in the treatment of colorectal cancer.It can effectively improve the quality of life and prolong survival time of patients.
