Open AccessTHE STOMA REVERSAL AFTER HARTMANN PROCEDURE IN PATIENTS WITH COLORECTAL CANCER OPERATED IN EMERGENCY
Author(s) -
Georgiana Bianca Constantin,
Dorel Firescu,
Daniela Voicu,
Bogdan Ioan Ștefănescu,
Raul Mihailov,
Cristina Șerban,
Rodica Bîrlă,
S Constantinoiu
Publication year - 2020
Publication title -
romanian journal of emergency surgery
Language(s) - English
Resource type - Journals
eISSN - 2668-8085
pISSN - 2668-7453
DOI - 10.33695/rojes.v2i1.21
Subject(s) - stoma (medicine) , medicine , colorectal cancer , surgery , survival rate , emergency surgery , mortality rate , general surgery , cancer
The Hartmann procedure still has an important place in the surgical therapy of complicated colorectal cancers. The morbidity rate can be very high and many patients never undergo the stoma reversal. We conducted a retrospective study on 431 patients with colorectal cancer operated in the second clinic of General Surgery of the Clinical Emergency County Hospital Galati between 2008-2017. 42,53 % of the patients with Hartmann operation had a stoma reversal after a medium period of 5,7 months. The 5-years survival rate in patients with stoma reversal was 4,9 %. The reversal rate in our study is similar to those found in the literature in recent studies, that report percentages of 23,3 %-55,17 %. In our study, the medium period between the emergency Hartmann procedure and the reversal of the stoma was 5,7 months, which is also similar to the data in the literature. We found a 5-years survival rate of 4,9 % in patients with Hartmann reversal, much lower than others’ results. Many stomas initially intended to be temporary, may not be reversed. It is important to optimize the timing of stoma closure. A period of approximately 6 months between the initial operation and the reversal seem to be adequate.