title: Outcomes of Laparoscopy Combined with Enhanced Recovery Pathway for Reversal of Hartmann's Procedure.
abstract: The objective of this study is to discuss the security and feasibility of the laparoscopic reversal of Hartmann's procedure (LRHP) on the concept of enhanced recovery after surgery (ERAS). The clinical data of 42 patients who underwent laparoscopic reversal of Hartmann's procedure was retrospectively analyzed, and the operative time, blood loss, intraoperative and postoperative complications, conversion to open surgery, postoperative hospital stay, and so on were observed. Twenty-nine patients (69.00 % of the study pool) received complete postoperative recovery courses as prescribed by enhanced recovery program (ERP). The postoperative length of stay (LOS) in the hospital was 5.6 (3-16 days). The overall and major (grades III to V) postoperative morbidities were 33.3 % (n= 14) and 4.8 % (n= 2), respectively. Our preliminary results showed that using the laparoscopic technology in reversal of Hartmann's colostomy on the concept of ERP is safe and feasible. Patients with intra- or postoperative complications were found to have statistically significant associations with greater risk of ERP failure.
authors.affiliation: Department of Gastrointestinal Surgery, The Affiliated XuZhou Hospital of Medical College of Southeast University, No. 199 South Jiefang Road, Xuzhou, 221000 China.
authors.forename: Liang
authors.initials: L
authors.lastname: Zhang
authors.affiliation: Department of Gastrointestinal Surgery, The Affiliated XuZhou Hospital of Medical College of Southeast University, No. 199 South Jiefang Road, Xuzhou, 221000 China.
authors.forename: Yong
authors.initials: Y
authors.lastname: Zhong
authors.affiliation: Department of Gastrointestinal Surgery, The Affiliated XuZhou Hospital of Medical College of Southeast University, No. 199 South Jiefang Road, Xuzhou, 221000 China.
authors.forename: Hao
authors.initials: H
authors.lastname: Lin
authors.affiliation: Department of Gastrointestinal Surgery, The Affiliated XuZhou Hospital of Medical College of Southeast University, No. 199 South Jiefang Road, Xuzhou, 221000 China.
authors.forename: Lv
authors.initials: L
authors.lastname: Xiao-Peng
keywords: Enhanced recovery after surgery; Fast-tract recovery program; Laparoscopic reversal of Hartmann’s procedure; Minimally invasive techniques