KMID : 0356719980140010137
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Journal of the Korean Society of Coloproctology 1998 Volume.14 No. 1 p.137 ~ p.142
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Laparoscopic Reversal of Hartmann¡¯s Procedure
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Kim Jin
Kim Seon-Hahn Lee Eun-Sook Moon Hong-Young Koo Bum-Hwan
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Abstract
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We report herein our surgical experience of Hartmann¡¯s procedure reversal using laparoscopic technique in a 72-year-old woman who underwent Hartmann¡¯s procedure for an obstructing sigmoid colon cancer 6 month earlier. The purposes of this report are to describe our technique of laparoscopic reversal of Hartmann¡¯s procedure, to introduce several technical tips in avoiding pitfalls, and to review its safty and efficacy. In brief, the colostomy was freed from the abdominal wall using a conventional technique, then a center rod and an anvil of a circular stapler were inserted into the colon. CO2 insufflation was performed through this insertion. Using a five-cannula technique, rectal stump was mobilized, then colorectal anastomosis was performed laparoscopically via a transanal stapled approach. The operating time was 130 minutes and blood loss was 50 ml. There were no intra- and postoperative complications. Up to now, with a 4-month follow-up period, the patient has been well without having any problems associated with this operation.
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KEYWORD
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Laparoscopy, Hartmann¡¯s procedure, Reversal
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