Akademik Veri Yönetim Sistemi
“XX. Ulusal ve III. Uluslararası Türk Kolon ve Rektum Cerrahisi Kongresi” ile “XIII. Ulusal ve II. Uluslararası Türk Kolon ve Rektum Cerrahisi Hemşireliği Kongresi”ne, Antalya, Türkiye, 16 - 20 Mayıs 2025, ss.79-80, (Özet Bildiri)
Comparison of single-port laparoscopic versus
open reversal of Hartmann’s procedure: A
single-center study
Halil İbrahim Sevindi1
, Ahmet Akmercan1
, Kerim Deniz Batun1
,
Tayfun Akmercan2
, Tevfik Kıvılcım Uprak1
1
Department of General Surgery, Marmara Univesity, Istanbul, Turkey
2
General Surgery, Iskilip State Hospital, Corum, Turkey
Objective: Comparative studies between minimally invasive
and open techniques of Hartmann’s reversal showed the
benefits of minimally invasive techniques, which include faster
recovery time, less blood loss, and shorter hospital stay. This
study aims to compare the intraoperative and postoperative
outcomes of single-port laparoscopic and open Hartmann’s
reversal.
Materials-Methods: Patients who underwent open
Hartmann’s reversal (OHR) and laparoscopic Hartmann’s
reversal (LHR) between 2019 and 2021 at a single center
were assessed retrospectively. Patient characteristics and
perioperative data were collected and evaluated from the
medical and surgical records.
Results: Forty-seven patients underwent Hartmann’s reversal
operation and were divided into two groups: single-port
laparoscopic Hartmann’s reversal (SPLHR) (n=23) andopen Hartmann’s reversal (OHR) (n=24). The median age,
gender, body mass index (BMI), the American Society of
Anesthesiologists physical status (ASA-PS) scores, and
comorbidities did not significantly differ between the two
groups. Additionally, the median rectal stump length was
significantly longer in the SPLHR group (20 cm, IQR: 15-
30) compared to the OHR group (13.5 cm, IQR: 10-20). The
median estimated blood loss was significantly lower (100 ml,
IQR: 45-145) and also the median operation time was shorter in
the SPLHR group (92 minutes, IQR: 75-118) compared to the
OHR group (120 minutes, IQR: 90-158). Overall postoperative
complications did not differ significantly between groups,
while wound infections were significantly more common in
the OHR group [n=8 (33.3%) vs n=1 (4.3%)]. The SPLHR
group ( median 1 day, IQR:0-1) experienced a shorter time
to liquid diet intake, also resumed soft diet in a shorter time
(median 2 days, IQR: 2-3), and had shorter hospital stay
compared to the OHR group.
Conclusion: The SPLHR technique is a reliable and efficient
method that is easy to perform. It has several advantages in
selected patients compared to the OHR
Keywords: Hartmann’s reversal, single-port laparoscopy