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中华结直肠疾病电子杂志 ›› 2013, Vol. 02 ›› Issue (02) : 50 -53. doi: 10.3877/cma.j.issn.2095-3224.2013.02.01

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Hartmann术在结直肠外科中的地位及造口还纳的时机
高显华1, 傅传刚1,()   
  1. 1. 200433 上海,第二军医大学附属长海医院肛肠外科
  • 收稿日期:2013-03-07 出版日期:2013-04-25
  • 通信作者: 傅传刚
  • 基金资助:
    国家自然科学基金面上项目(30973460)

The role of Hartmann's procedure in the treatment of colorectal disease and the timing of reversal

Xian-hua GAO1, Chuan-gang FU1,()   

  1. 1. Department of Colorectal Surgery of Changhai Hospital, Second Military Medical University, Shanghai 200433, China
  • Received:2013-03-07 Published:2013-04-25
  • Corresponding author: Chuan-gang FU
  • About author:
    Corresponding author: FU Chuan-gang, Email:
引用本文:

高显华, 傅传刚. Hartmann术在结直肠外科中的地位及造口还纳的时机[J]. 中华结直肠疾病电子杂志, 2013, 02(02): 50-53.

Xian-hua GAO, Chuan-gang FU. The role of Hartmann's procedure in the treatment of colorectal disease and the timing of reversal[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2013, 02(02): 50-53.

自Hartmann术出现以来,其作为一种重要的术式在肠道良恶性疾病的手术中发挥着不可替代的作用。因为此术式有着并发症特别、二期还纳问题复杂等多种特点,其应用范围的选择和后期的治疗策略一直都是临床工作者研究探讨的重要问题。笔者将从多个方面对Hartmann术的优势、劣势和后期治疗加以阐述,以更好地指导临床实践。

Since the Hartmann's procedure was found, it has played an irreplaceable roles in various kinds of intestinal diseases.Nevertheless, the range of applications and postoperative treatment strategy have been being important issues for this procedure.This article will introduce the researches on Hartmann's procedure to guide our clinical practice.

[1]
Hartmann H.Note sur un procédé nouveau d'extirpation des cancers de lapartie terminale du clon.Bull Mem Soc Chir Paris,1923,49:1474-1477.
[2]
Donald JM.The surgical management of diverticulitis of the colon.Ann Surg,1951,133(5):708-718.
[3]
Seah DW,Ibrahim S,Tay KH.Hartmann procedure:is it still relevant today?ANZ J Surg,2005,75(6):436-440.
[4]
Leong QM,Koh DC,Ho CK.Emergency Hartmann's procedure:morbidity,mortality and reversal rates among Asians.Tech Coloproctol,2008,12(1):21-25.
[5]
Molina Rodriguez JL,Flor-Lorente B,Frasson M,et al.Low rectal cancer:abdominoperineal resection or low Hartmann resection?A postoperative outcome analysis.Dis Colon Rectum,2011,54(8):958-962.
[6]
Gongaware RD,Slanetz CA.Hartmann procedure for carcinoma of the sigmoid and rectum.Ann Surg,1973,178(1):28-30.
[7]
Tekkis PP,Heriot AG,Smith J,et al.Association of Coloproctology of Great Britain and Ireland.Comparison of circumferential margin involvement between restorative and nonrestorative resections for rectal cancer.Colorectal Dis,2005,7(4):369-374.
[8]
David GG,Al-Sarira AA,Willmott S,et al.Use of Hartmann's procedure in England.Colorectal Dis,2009,11(3):308-312.
[9]
Arigbabu AO,Badejo OA,Akinola DO.Colonoscopy in the emergency treatment of colonic volvulus in Nigeria.Dis Colon Rectum,1985,28(11):795-798.
[10]
Bielecki K,Kaminski P.Hartmann procedure:place in surgery and what after?Int J Colorectal Dis,1995,10(1):49-52.
[11]
Desai DC,Brennan EJ,Reilly JF,et al.The utility of the Hartmann procedure.Am J Surg,1998,175(2):152-154.
[12]
Marien B.The Hartmann procedure.Can J Surg,1987,30(1):30-31.
[13]
Frileux P,Berger A.Hartmann's operation-back to the future?Am J Surg,1995,170(3):305-306.
[14]
Keck JO,Collopy BT,Ryan PJ,et al.Reversal of Hartmann's procedure:effect of timing and technique on ease and safety.Dis Colon Rectum,1994,37(3):243-248.
[15]
Khaikin M,Zmora O,Rosin D,et al.Laparoscopically assisted reversal of Hartmann's procedure.Surg Endosc,2006,20(12):1883-1886.
[16]
Roe AM,Prabhu S,Ali A,et al.Reversal of Hartmann's procedure:timing and operative technique.Br J Surg,1991,78(10):1167-1170.
[17]
Roe AM,Brown C,Brodribb AJ.Changes in the defunctioned anorectum following Hartmann's operation.Br J Surg,1990,77:1426-1427.
[18]
Pearce NW,Scott SD,Karran SJ.Timing and method of reversal of Hartmann's procedure.Br J Surg,1992,79(8):839-841.
[19]
Adams WJ,Mann LJ,Bokey EL,et al.Hartmann's procedure for carcinoma of the rectum and sigmoid colon.Aust NZJ Surg,1992,62(3):200-203.
[20]
Fleming FJ,Gillen P.Reversal of Hartmann's procedure following acute diverticulitis:is timing everything?Int J Colorectal Dis,2009,24(10):1219-1225.
[21]
Geoghegan JG,Rosenberg IL.Experience with early anastomosis after the Hartmann procedure.Ann R Coll Surg Engl,1991,73(2):80-82.
[22]
Ballian N,Zarebczan B,Munoz A,et al.Routine evaluation of the distal colon remnant before Hartmann's reversal is not necessary in asymptomatic patients.J Gastrointest Surg,2009,13(12):2260-2267.
[23]
Vernava AM,Liebscher G,Longo WE.Laparoscopic restoration of intestinal continuity after Hartmann procedure.Surg Laparosc Endosc,1995,5(2):129-132.
[24]
Khaikin M.Laparoscopically assisted reversal of Hartmann's procedure.Surg Endosc,2007,21(7):1256.
[25]
Slawik S,Dixon AR.Laparoscopic reversal of Hartmann's rectosigmoidectomy.Colorectal Dis,2008,10(1):81-83.
[26]
Lucarini L,Galleano R,Lombezzi R,et al.Laparoscopic-assisted Hartmann's reversal with the Dexterity Pneumo Sleeve.Dis Colon Rectum,2000,43(8):1164-1167.
[27]
Borowski DW,Kanakala V,Agarwal AK,et al.Single-port access laparoscopic reversal of Hartmann operation.Dis Colon Rectum,2011,54(8):1053-1056.
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