[Hartmann's procedure in the treatment of acute obstructive left-sided colonic cancer].
This retrospective study included all patients over a five-year period who underwent the Hartmann's procedure because of a malignant left-sided large bowel obstruction. Twenty-nine patients were treated with this procedure. The cumulative operative mortality was 14%, and the five-year survival was 31%. Intestinal continuity was restored in seven patients (24%). There were no anastomotic leakages. The treatment resulted in a permanent colostomy in 62% of the patients. The Hartmann's procedure can be employed as a treatment of malignant left-sided large bowel obstruction, but will cause a high frequency of permanent colostomy.
Kristiansen
V B
VB
Kirurgisk gastroenterologisk afdeling K, Bispebjerg Hospital, København.
Lausen
I M
IM
Frederiksen
H J
HJ
Kjaergaard
J
J
D000208:Acute Disease; D000368:Aged; D003110:Colonic Neoplasms / Q000150:complications / Q000401:mortality / Q000601:surgery*; D003125:Colostomy; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D008297:Male; D008722:Methods; D008875:Middle Aged; D012189:Retrospective Studies
Hartmann's procedure til behandling af akut obstruerende venstresidig coloncancer.