Emergency Hartmann's Operation for Colorectal Cancer
Author Information
Author(s): Charbonnet Pierre, Gervaz Pascal, Andres Axel, Bucher Pascal, Konrad Béatrice, Morel Philippe
Primary Institution: University Hospital Geneva, Switzerland
Hypothesis
The study aims to assess the surgical and oncological results of emergency Hartmann's procedure for obstructive or perforated left-sided colorectal cancer.
Conclusion
Hartmann's operation is effective in palliating symptoms in 30% of patients with obstructive/perforated stage IV left-sided colorectal cancer and provides acceptable oncological outcomes for those who can undergo curative resection.
Supporting Evidence
- Operative mortality was 8% and morbidity was 26%.
- Overall 1-, 3-, and 5-year survival rates for patients operated with curative intent were 80%, 54%, and 40%, respectively.
- The presence of lymph node metastases was associated with poor 5-year survival.
Takeaway
Doctors can help patients with serious colon cancer by doing a special surgery called Hartmann's operation, which can make them feel better and sometimes even cure them.
Methodology
A retrospective review of 50 patients who underwent emergency Hartmann's procedure for perforated/obstructive colorectal cancer between 1995 and 2006.
Potential Biases
Potential biases may arise from the retrospective nature of the study and selection of patients.
Limitations
The study is limited by its retrospective design and the small sample size.
Participant Demographics
Median age of patients was 75 years, with 24 males and 26 females.
Statistical Information
P-Value
0.02
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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