Emergency operation in carcinomas of the left colon: value of Hartmann?s procedure

Abstract

Hartmann's procedure has been widely accepted as a curative intervention in emergency cases (oncosurgically adequate R0 resection) for the carcinoma of the left colon. Because of the high postoperative morbidity and mortality in emergency situations with only palliative options (R0 resection not possible), alternative endoscopic treatment should be considered more frequently.

Ostomy in Acute Abdominal Conditions: A Study of 30 Cases

“…Tumors of the colon distal to transverse colon have higher rates of morbidity and mortality, thus requiring permanent or temporary colostomy. (19) In our study, mortality of two patients was there in which tumor was present distal to the transverse colon. In advanced stage of colorectal cancer, chance of perforation is high.…”

Surgical treatment of complicated colorectal cancer: tactical aspects (a literature review)

“…Недостат-ками данного метода являются высокий риск несосто-ятельности анастомоза, увеличение числа гнойно-сеп-тических осложнений в связи с неподготовленностью кишечника, увеличение продолжительности операции и необходимость проведения ее опытным хирургом, что не всегда возможно в экстренных общехирургиче-ских стационарах [43,44].…”

“…провели проспективное нерандомизированное многоцентровое исследование по сравнению операции Гартмана с пер-вичной резекцией толстой кишки с формированием первичного анастомоза при экстренных хирургических вмешательствах. Статистической значимости в пока-зателях летальности не было установлено [43,49].…”

Management of Recurrent Large Bowel Obstruction Due to Stent Occlusion by ‘Stent-Over-Stent’: A Case Report and Literature Review

“…Moreover, stoma creation was shown to have a high negative impact on patients' psychological well-being and quality of life [5,6]. Around 40% -60% of patients never have their colostomies reversed in the rest of their lives [7,8].…”