Investigation of operational timing and manner for the digestive tract reconstruction after Hartmann procedure in the patients with left colorectal cancer
10.3760/cma.j.issn.1006-9801.2015.05.011
- VernacularTitle:左半结直肠癌Hartmann术后消化道重建的手术时机及术式探讨
- Author:
Lichun WANG
;
Xugang FENG
;
Yixun ZHANG
;
Haiyi LIU
;
Haibo WANG
- Publication Type:Journal Article
- Keywords:
Colorectal cancer;
Hartmann procedure;
Digestive tract reconstruction
- From:
Cancer Research and Clinic
2015;27(5):339-341
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the operational timing and manner for the digestive tract reconstruction after Hartmann procedure and the prevention for the postoperative complications in the patients with left colorectal cancer.Methods The data of twenty-four cases with digestive tract reconstruction were analysed retrospectively containing the cause of Hartmann procedure for left colorectal cancer,preoperative evaluation of the digestive tract reconstruction,operation timing,operation manner,postoperative complications and length of hospital stay and so on.Results Three of 24 patients gave up the digestive tract reconstruction due to the results of their distant metastasis detection in the preoperative evaluation.As a commonly manner of digestive tract reconstruction,rectum-sigmoid colon or sigmoid-descending colon end-end anastomosis was used for 17 patients.Meanwhile,ascending colon-sigmoid colon end-side anastomosis was used for 4 patients.The incidence of postoperative complications was 14.29 ％ (3/21),and the mean time of postoperative hospital stay was 10.5 days.Conclusions In patients undergoing Hartmann procedure for left colorectal cancer,adequate assessment of the tumor recurrence and metastasis is necessary.In addition,the optimal timing of surgery should be selected after completion of chemotherapy,and operational manner should be determined by the situation of intraoperative exploration.
