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  • Title: [Good results after Hartmann's operation for rectal cancer in high risk patients].
    Author: Togsverd-Bo M, Gögenur I, Harvald T, Fischer A.
    Journal: Ugeskr Laeger; 2010 Sep 27; 172(39):2675-8. PubMed ID: 20920394.
    Abstract:
    INTRODUCTION: The purpose of this study was to evaluate the incidence of per- and postoperative complications of low anterior resection and Hartmann's operation (HO) for rectal cancer. The study was performed in a department with a high frequency of HO. MATERIAL AND METHODS: Patients who had undergone low anterior resection (LA) or HO for rectal cancer at the Department of Surgery, Gentofte Hospital, between 1 January 2001 and 31 December 2007. RESULTS: A total of 187 patients were operated using LA or HO technique during this period. LA was performed in 103 patients and HO in 84 patients. ASA-scores were significantly higher for patients who underwent HO (p = 0.0066). There was no significant difference in complication rates between the two groups (p = 0.385). The 30-day mortality rate was 3.2% (n = 6) for all patients, and it was not significantly different between the two groups (HO 3.6% (n = 3) and LA= 2.9% (n = 3), p = 1). One ASA III patient who underwent LA died from anastomotic leakage whereas no ASA III patients operated with HO died. There was no significant difference between the groups for any other per- and postoperative complication. CONCLUSION: In this material, HO rather than LA seems to be the safer choice for high risk rectal cancer patients with ASA > 3 in terms of mortality rate compared with the national index.
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