Abstract:

After Hartmann′s operation, it is very rare and serious complications for necrosis and perforation of rectal stump with small intestinal obstruction. The diagnosis, treatment and reoperation of a case with necrosis and perforation of rectal stump with complete low intestinal obstruction after laparoscopic Hartmann′s operation were analyzed. We can draw a conclusion that before operation, the local and systemic conditions of rectal cancer should be fully evaluated; Those who can′t be resected can consider operating after radiotherapy and chemotherapy; Whether open or laparoscopic operation is used, the standard should be strictly followed, rectal cancer that can be resected radically should be operated according to the standard of total mesorectal excision (TME); Those who can′t be resected by exploration during operation should choose double lumen loop colostomy.

Key words: Rectal neoplasms, Intestinal obstruction, Sigmoid colostomy, Intestinal gangrene, Bowel perforation