LAPAROSCOPIC REVERSAL OF HARTMANN’S PROCEDURE IN THE DEPARTMENT OF GASTROINTESTINAL SURGERY AT THONG NHAT HOSPITAL

Hoàng Anh Bắc 1 , Lê Tiến Dũng 1 , , Vũ Lộc 1
1 Thong Nhat Hospital image/svg+xml
* Corresponding author:

Article Information

Metrics
Downloads: 1 Views: 11
DOI
10.63947/bvtn.v1i3.7
Published
2025-07-10
Issue Vol. 1 No. 3 (2025): Adapting to the trend of population aging and an aged population
Section
Original Paper
Categories
Research

Download Article

PDF (Vietnamese)

How to Cite

1.
Anh Bắc H, Tiến Dũng L, Lộc V. LAPAROSCOPIC REVERSAL OF HARTMANN’S PROCEDURE IN THE DEPARTMENT OF GASTROINTESTINAL SURGERY AT THONG NHAT HOSPITAL. JHA [Internet]. Vietnam; 2025 Jul. 10 [cited 2025 Jul. 22];1(3):60–63. https://tcsuckhoelaohoa.vn/bvtn/article/view/62 doi: 10.63947/bvtn.v1i3.7
Loading citation...
Crossref
Scopus
Google Scholar
Europe PMC

Abstract

 Laparoscopic restoration of intestinal continuity after Hartmann’s procedure offers significant benefits but remains a considerable challenge for gastrointestinal surgeons. To evaluate the feasibility, safety, and efficacy of laparoscopic colostomy closure after Hartmann’s procedure at Thong Nhat Hospital. A retrospective descriptive analysis was conducted on 35 cases from February 2017 to May 2025. Patients who had undergone Hartmann’s procedure with an end colostomy and received laparoscopic intestinal continuity restoration were included. The laparoscopic success rate was 85.71%. Major complications included surgical site infection (30%), anastomotic leakage, and intestinal obstruction (3% each). The average operative time was 162 minutes, and the mean hospital stay was 9.3 days. There were no mortality cases. Laparoscopic reversal of Hartmann’s procedure is a feasible, safe, and effective method with a high success rate and low complication rate.

Keywords

Laparoscopic surgery colostomy Hartmann’s procedure intestinal continuity restoration

References

  1. Allaix ME, Degiuli M, Bonino MA, et al. (2019). Intracorporeal or extracorporeal ileocolic anastomosis after laparoscopic right colectomy: a double-blinded randomized controlled trial. Annals of Surgery, 270(5):762-767. DOI: https://doi.org/10.1097/SLA.0000000000003519
  2. Bollo J, Turrado V, Rabal A, et al (2020). Randomized clinical trial of intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy (IEA trial). Journal of British Surgery, 107(4):364-372. DOI: https://doi.org/10.1002/bjs.11389
  3. Emile SH, Elfeki H, Shalaby M, et al (2019). Intracorporeal versus extracorporeal anastomosis in minimally invasive right colectomy: an updated systematic review and meta-analysis. Techniques in coloproctology, 23(11):1023-1035. DOI: https://doi.org/10.1007/s10151-019-02079-7
  4. Mari GM, Crippa J, Costanzi A, et al (2018). Intracorporeal anastomosis reduces surgical stress response in laparoscopic right hemicolectomy: a prospective randomized trial. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 28(2):77-81. DOI: https://doi.org/10.1097/SLE.0000000000000506
  5. Moghadamyeghaneh Z. et al. (2016). Risk factors for prolonged ileus following colon surgery. Surgical Endoscopy, 30(2):603-609. DOI: https://doi.org/10.1007/s00464-015-4247-1
  6. Vignali A, Bissolati M, De Nardi Paola, et al (2016). Extracorporeal vs. intracorporeal ileocolic stapled anastomoses in laparoscopic right colectomy: an interim analysis of a randomized clinical trial. Journal of Laparoendoscopic & Advanced Surgical Techniques, 26(5):343-348. DOI: https://doi.org/10.1089/lap.2015.0547
  7. Wu Q, Jin C, Hu T, et al (2017). Intracorporeal versus extracorporeal anastomosis in laparoscopic right colectomy: a systematic review and meta-analysis. Journal of Laparoendoscopic & Advanced Surgical Techniques, 27(4):348-357. DOI: https://doi.org/10.1089/lap.2016.0485
  8. Đào Văn Cam, Lê Huy Lưu, Hàn Thế Cơ (2019). Kết quả sớm điều trị ung thư đại tràng bằng phẫu thuật nội soi hoàn toàn. Y Học Thành Phố Hồ Chí Minh, 23(1):207-213.
  9. Bùi Đức Thịnh, Dương Bá Lập, Trần Văn Minh Tuấn (2023). Kết quả sớm của phẫu thuật nội soi cắt đại tràng phải với kỹ thuật miệng nối bên trong ổ bụng điều trị ung thư đại tràng phải. Y học Việt Nam, 525(4):435-440.

License

© 2025 The Author(s). Published by Journal of Health and Aging.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.