Hartmann's procedure for carcinoma of the rectum and sigmoid colon.
A review of the Hartmann's operation for patients with rectal and sigmoid cancer over an 18 year period is presented. There were 1063 patients who had a resection for carcinoma of the rectum or sigmoid colon and 4.4% of these had a Hartmann's procedure. This operation was particularly useful in the management of patients who presented with a proximal obstruction or perforation at the tumour site. It was also effective in the elective treatment of elderly unfit patients who had locally advanced tumours or those with distant metastases. Re-anastomosis is recommended in those patients who are relatively fit and have had a potentially curative resection.
University of Sydney, Department of Colon and Rectal Surgery, Concord Hospital, Concord, New South Wales.
W J
WJ
Adams
L J
LJ
Mann
E L
EL
Bokey
P H
PH
Chapuis
S G
SG
Koorey
W J
WJ
Hughes
D000367:Age Factors; D002277:Carcinoma / Q000453:epidemiology / Q000401:mortality / Q000601:surgery*; D003082:Colectomy / Q000379:methods* / Q000401:mortality / Q000706:statistics & numerical data; D003125:Colostomy / Q000379:methods* / Q000401:mortality / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D009517:New South Wales / Q000453:epidemiology; D010166:Palliative Care / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology; D012004:Rectal Neoplasms / Q000453:epidemiology / Q000401:mortality / Q000601:surgery*; D012189:Retrospective Studies; D012737:Sex Factors; D012811:Sigmoid Neoplasms / Q000453:epidemiology / Q000401:mortality / Q000601:surgery*