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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 306 - 311 (6page)
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초록· 키워드
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Purpose: Hartmann operation is widely recognized as a useful procedure, especially in emergencies involving the rectosigmoid colon. One of the surgeon’s foremost concerns after Hartmann operation is future colostomy reversal, as colostomy reversal after a Hartmann procedure is associated with relatively high morbidity and mortality. Laparoscopic surgical techniques continue to prove useful for an ever-increasing variety of indications. We analyzed the outcomes of laparoscopic Hartmann colostomy reversals at our center. Methods: We retrospectively analyzed the hospital records of 170 patients who had undergone Hartmann operation between January 2010 and June 2017 at Wonkwang University Hospital. Among 68 Hartmann colostomy reversals, we evaluated and compared the outcomes of 3 groups of patients: 29 patients in the open colostomy reversal group (OG) who had undergone laparotomies for Hartmann reversals, 19 patients in the conversion group (CG) whose laparoscopic procedures had required conversion to a laparotomy, and 20 patients in the laparoscopy group (LG). Results: The overall reversal rate for Hartmann colostomies was 40.5% during this time period. The duration of hospital stay was significantly shorter among LG patients (10.15 ± 2.94 days) than among OG patients (16 ± 9.5 days). The overall complication rate among OG patients was higher than that among LG patients (adjusted odds ratio, 8.78; P = 0.01). The most common complication was postoperative ileus (19.1%). Conclusion: If no contraindications to laparoscopy exist, surgeons should favor a laparoscopic reversal of Hartmann operation over an open reversal.
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참고문헌 (11)
참고문헌 신청
Hartmann H. / 1923 / Note sur un procédé nouveau d’extirpation des cancers de la partie terminale du côlon / Bull Mem Soc Chir Paris 49:1474~1477
Cellini C / 2013 / Association between operative approach and complications in patients undergoing Hartmann’s reversal / Br J Surg 100:1094~1099
Maitra RK / 2013 / Should laparoscopic reversal of Hartmann’s procedure be the first line approach in all patients? / Int J Surg 11:971~976
박중민 / 2012 / Laparoscopic reversal of Hartmann's procedure / 대한외과학회지 82(4):256~260
Walklett CL / 2014 / A retrospective case note review of laparoscopic versus open reversal of Hartmann’s procedure / Ann R Coll Surg Engl 96:539~542
Cellini C / 2013 / Association between operative approach and complications in patients undergoing Hartmann’s reversal / Br J Surg 100:1094~1099
Maitra RK / 2013 / Should laparoscopic reversal of Hartmann’s procedure be the first line approach in all patients? / Int J Surg 11:971~976
박중민 / 2012 / Laparoscopic reversal of Hartmann's procedure / 대한외과학회지 82(4):256~260
Walklett CL / 2014 / A retrospective case note review of laparoscopic versus open reversal of Hartmann’s procedure / Ann R Coll Surg Engl 96:539~542
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