J Korean Soc Coloproctol.  1998 Mar;14(1):137-142.

Laparoscopic Reversal of Hartmann's Procedure

• Kim J
• Kim SH
• Lee ES
• Moon HY
• Koo BH

Abstract

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

Keyword

Laparoscopy; Hartmann's procedure; Reversal

MeSH Terms

Abdominal Wall
Aged
Colon
Colostomy
Female
Follow-Up Studies
Humans
Insufflation
Laparoscopy
Postoperative Complications
Sigmoid Neoplasms