Laparoscopic versus open Hartmann reversal: a propensity score matching analysis

作者全名："Tan, Li; Liu, Xiao-Yu; Zhang, Bin; Wang, Lian-Lian; Wei, Zheng-Qiang; Peng, Dong"

作者地址："[Tan, Li; Liu, Xiao-Yu; Zhang, Bin; Wang, Lian-Lian; Wei, Zheng-Qiang; Peng, Dong] Chongqing Med Univ, Dept Gastrointestinal Surg, Affiliated Hosp 1, Chongqing 400016, Peoples R China"

通信作者："Peng, D (通讯作者)，Chongqing Med Univ, Dept Gastrointestinal Surg, Affiliated Hosp 1, Chongqing 400016, Peoples R China."

来源：INTERNATIONAL JOURNAL OF COLORECTAL DISEASE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000917418400001

JCR分区：Q1

影响因子：2.5

年份：2023

卷号：38

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Colorectal cancer; Hartmann reversal; Laparoscopic surgery; Propensity score matching

摘要："PurposeThe purpose of this study was to compare the short-term outcomes between laparoscopic Hartmann reversal (LHR) and open Hartmann reversal (OHR) in patients who had undergone Hartmann surgery for colorectal cancer (CRC).MethodsThe patients who underwent Hartmann reversal (HR) at the First Affiliated Hospital of Chongqing Medical University from Jun 2013 to Jun 2022 were retrospectively enrolled. The LHR group and the OHR group were compared using propensity score matching (PSM) analysis.ResultsA total of 89 patients who underwent Hartmann reversal (HR) were enrolled in this study. There were 48 (53.9%) patients in the LHR group and 41 (46.1%) patients in the OHR group. After 1:1 ratio PSM, no difference in baseline information remained (p > 0.05). There was no significant difference in operation time, blood loss, postoperative hospital stay, and postoperative complications (p > 0.05) before and after PSM. In the multivariable logistic regression analysis, pre-operative albumin < 42.0 g/L was an independent risk factor (p = 0.013 < 0.05, OR = 0.248, 95% CI = 0.083-0.741) for the HR-related complications; however, LHR/OHR was not a predictive risk factor (p = 0.663, OR = 1.250, 95% CI = 0.500-3.122).ConclusionBased on the current evidence, although there was no difference in short-term prognosis, LHR still had some advantages considering that it was less invasive to the patient."

基金机构：　

基金资助正文：