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. 2014;8(4):381-3.
doi: 10.1007/s11701-014-0458-z. Epub 2014 Mar 16.

Robotic-assisted reversal of Hartmann's procedure for diverticulitis

Nicola de'Angelis  1 , Emanuele Felli  1 , Daniel Azoulay  1 , Francesco Brunetti  1
Affiliations

Robotic-assisted reversal of Hartmann's procedure for diverticulitis

Nicola de'Angelis et al. J Robot Surg. 2014.

Abstract

The minimally invasive laparoscopic approach for the reversal of Hartmann's procedure (HP) has been shown to be a safe and feasible approach associated with low morbidity and fast recovery. Robotic surgery has not yet been described for HP reversal. We report the case of an 84-year-old man originally operated on in an emergency setting by conventional HP for complicated diverticulitis who underwent a robotic-assisted HP reversal. The surgical procedure and the post-operative follow-up were uneventful, with low post-operative pain, early return to bowel function, and discharge at day 3. The robotic surgery appeared to be a safe, feasible, and valuable approach for HP reversal.

Keywords: Diverticulitis; Hartmann’s procedure; Hartmann’s reversal; Robotic surgery.

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Figures

Fig. 1
Fig. 1
Schematic of the trocar placement. Robotic trocars 1 (RT1), 2 (RT2), and 3 (RT3) were 8-mm trocars. The optical trocar (OT) was a 12-mm trocar. The dotted line at the RT2 level represents the Alexis Laparoscopic System® placed at the site of the previous colostomy
Fig. 2
Fig. 2
Intra-operative photographs. a The colostomy. b After mobilization and colostomy excision, the stapler anvil is introduced into the proximal colon by purse string suturing. c The Alexis Laparoscopic System® and optical trocar placement
See this image and copyright information in PMC

References

    1. Hartmann HA (1921) Nouveau procédé d’ablation des cancers de la partie terminale du colon pelvien. 30th Congress of Surgery, Association Française de Chirurgie, Strasbourg, France, pp 411–414
    1. Roque-Castellano C, Marchena-Gomez J, Hemmersbach-Miller M, Acosta-Merida A, Rodriguez-Mendez A, Farina-Castro R, Hernandez-Romero J. Analysis of the factors related to the decision of restoring intestinal continuity after Hartmann’s procedure. Int J Colorectal Dis. 2007;22(9):1091–1096. doi: 10.1007/s00384-007-0272-4. - DOI - PubMed
    1. Wigmore SJ, Duthie GS, Young IE, Spalding EM, Rainey JB. Restoration of intestinal continuity following Hartmann’s procedure: the Lothian experience 1987–1992. Br J Surg. 1995;82(1):27–30. doi: 10.1002/bjs.1800820110. - DOI - PubMed
    1. Pearce NW, Scott SD, Karran SJ. Timing and method of reversal of Hartmann’s procedure. Br J Surg. 1992;79(8):839–841. doi: 10.1002/bjs.1800790844. - DOI - PubMed
    1. Vermeulen J, Coene PP, Van Hout NM, van der Harst E, Gosselink MP, Mannaerts GH, Weidema WF, Lange JF. Restoration of bowel continuity after surgery for acute perforated diverticulitis: should Hartmann’s procedure be considered a one-stage procedure? Colorectal Dis. 2009;11(6):619–624. doi: 10.1111/j.1463-1318.2008.01667.x. - DOI - PubMed

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