하트만씨 수술의 복강경 복원술
Laparoscopic Reversal of Hartmann’s Procedure
김진, 김선한, 이은숙, 문홍영, 구범환,
소속 상세정보
김진 ( Kim Jin )
고려대학교 의과대학 외과학교실
김선한 ( Kim Seon-Hahn )
고려대학교 의과대학 외과학교실
이은숙 ( Lee Eun-Sook )
고려대학교 의과대학 외과학교실
문홍영 ( Moon Hong-Young )
고려대학교 의과대학 외과학교실
구범환 ( Koo Bum-Hwan )
고려대학교 의과대학 외과학교실
KMID : 0356719980140010137
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.
키워드
Laparoscopy;Hartmann’s procedure;Reversal
원문 및 링크아웃 정보
등재저널 정보