학술논문
Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago
Document Type
Clinical report
Author
Perrone, Gennaro; Giuffrida, Mario; Abu-Zidan, Fikri; Kruger, Vitor F.; Livrini, Marco; Petracca, Gabriele Luciano; Rossi, Giorgio; Tarasconi, Antonio; Tian, Brian W. C. A.; Bonati, Elena; Mentz, Ricardo; Mazzini, Federico N.; Campana, Juan P.; Gasser, Elisabeth; Kafka-Ritsch, Reinhold; Felsenreich, Daniel M.; Dawoud, Christopher; Riss, Stefan; Gomes, Carlos Augusto; Gomes, Felipe Couto; Gonzaga, Ricardo Alessandro Teixeira; Canton, Cassio Alfred Brattig; Pereira, Bruno Monteiro; Fraga, Gustavo P.; Zem, Leticia Gonçalves; Cordeiro-Fonseca, Vinicius; de Mesquita Tauil, Renato; Atanasov, Boyko; Belev, Nikolay; Kovachev, Nikola; Meléndez, L. Juan José; Dimova, Ana; Dimov, Stefan; ZeliÄ, Zdravko; Augustin, Goran; BogdaniÄ, Branko; MoriÄ, Trpimir; Chouillard, Elie; Bajul, Melinda; De Simone, Belinda; Panis, Yves; Esposito, Francesco; Notarnicola, Margherita; Lauka, Lelde; Fabbri, Anna; Hentati, Hassen; Fnaiech, Iskander; Aurélien, Venara; Bougard, Marie; Roulet, Maxime; Demetrashvili, Zaza; Pipia, Irakli; Merabishvili, Giorgi; Bouliaris, Konstantinos; Koukoulis, Georgios; Doudakmanis, Christos; Xenaki, Sofia; Chrysos, Emmanuel; Kokkinakis, Stamatios; Vassiliu, Panteleimon; Michalopoulos, Nikolaos; Margaris, Ioannis; Kechagias, Aristotelis; Avgerinos, Konstantinos; Katunin, Jevgeni; Lostoridis, Eftychios; Nagorni, Eleni-Aikaterini; Pujante, Antonio; Mulita, Francesk; Maroulis, Ioannis; Vailas, Michail; Marinis, Athanasios; Siannis, Ioannis; Bourbouteli, Eirini; Manatakis, Dimitrios K.; Tasis, Nikolaos; Acheimastos, Vasileios; Maria, Sotiropoulou; Stylianos, Kapiris; Kuzeridis, Harilaos; Korkolis, Dimitrios; Fradelos, Evangelos; Kavalieratos, George; Petropoulou, Thalia; Polydorou, Andreas; Papacostantinou, Ioannis; Triantafyllou, Tania; Kimpizi, Despina; Theodorou, Dimitrios; Toutouzas, Konstantinos; Chamzin, Alexandros; Frountzas, Maximos; Schizas, Dimitrios; Karavokyros, Ioannis; Syllaios, Athanasios; Charalabopoulos, Alexandros; Boura, Maria; Baili, Efstratia; Ioannidis, Orestis; Loutzidou, Lydia; Anestiadou, Elissavet; Tsouknidas, Ioannis; Petrakis, Georgios; Polenta, Eleni; Bains, Lovenish; Gupta, Rahul; Singh, Sudhir K.; Khanduri, Archana; Bala, Miklosh; Kedar, Asaf; Pisano, Marcello; Podda, Mauro; Pisanu, Adolfo; Martines, Gennaro; Trigiante, Giuseppe; Lantone, Giuliano; Agrusa, Antonino; Di Buono, Giuseppe; Buscemi, Salvatore; Veroux, Massimiliano; Gioco, Rossella; Veroux, Gastone; Oragano, Luigi; Zonta, Sandro; Lovisetto, Federico; Feo, Carlo V.; Pesce, Antonio; Fabbri, Nicolò; Lantone, Giulio; Marino, Fabio; Perrone, Fabrizio; Vincenti, Leonardo; Papagni, Vincenzo; Picciariello, Arcangelo; Rossi, Stefano; Picardi, Biagio; Del Monte, Simone Rossi; Visconti, Diego; Osella, Giulia; Petruzzelli, Luca; Pignata, Giusto; Andreuccetti, Jacopo; D'Alessio, Rossella; Buonfantino, Massimo; Guaitoli, Eleonora; Spinelli, Stefano; Sampietro, Gianluca Matteo; Corbellini, Carlo; Lorusso, Leonardo; Frontali, Alice; Pezzoli, Isabella; Bonomi, Alessandro; Chierici, Andrea; Cotsoglou, Christian; Manca, Giuseppe; Delvecchio, Antonella; Musa, Nicola; Casati, Massimiliano; Letizia, Laface; Abate, Emmanuele; Ercolani, Giorgio; D'Acapito, Fabrizio; Solaini, Leonardo; Guercioni, Gianluca; Cicconi, Simone; Sasia, Diego; Borghi, Felice; Giraudo, Giorgio; Sena, Giuseppe; Castaldo, Pasquale; Cardamone, Eugenia; Portale, Giuseppe; Zuin, Matteo; Spolverato, Ylenia; Esposito, Marialusia; Isernia, Roberta Maria; Di Salvo, Maria; Manunza, Romina; Esposito, Giuseppe; Agus, Marcello; Asti, Emanuele Luigi Giuseppe; Bernardi, Daniele Tiziano; Tonucci, Tommaso Panici; Luppi, Davide; Casadei, Massimiliano; Bonilauri, Stefano; Pezzolla, Angela; Panebianco, Annunziata; Laforgia, Rita; De Luca, Maurizio; Zese, Monica; Parini, Dario; Jovine, Elio; De Sario, Giuseppina; Lombardi, Raffaele; Aprea, Giovanni; Palomba, Giuseppe; Capuano, Marianna; Argenio, Giulio; Orio, Gianluca; Armellino, Mariano Fortunato; Troian, Marina; Guerra, Martina; Nagliati, Carlo; Biloslavo, Alan; Germani, Paola; Aizza, Giada; Monsellato, Igor; Chahrour, Ali Chaouki; Anania, Gabriele; Bombardini, Cristina; Bagolini, Francesco; Sganga, Gabriele; Fransvea, Pietro; Bianchi, Valentina; Boati, Paolo; Ferrara, Francesco; Palmieri, Francesco; Cianci, Pasquale; Gattulli, Domenico; Restini, Enrico; Cillara, Nicola; Cannavera, Alessandro; Nita, Gabriela Elisa; Sarnari, Jlenia; Roscio, Francesco; Clerici, Federico; Scandroglio, Ildo; Berti, Stefano; Cadeo, Alessandro; Filippelli, Alice; Conti, Luigi; Grassi, Carmine; Cattaneo, Gaetano Maria; Pighin, Marina; Papis, Davide; Gambino, Giovanni; Bertino, Vanessa; Schifano, Domenico; Prando, Daniela; Fogato, Luisella; Cavallo, Fabio; Ansaloni, Luca; Picheo, Roberto; Pontarolo, Nicholas; Depalma, Norma; Spampinato, Marcello; D'Ugo, Stefano; Lepre, Luca; Capponi, Michela Giulii; Campa, Rossella Domenica; Sarro, Giuliano; Dinuzzi, Vincenza Paola; Olmi, Stefano; Uccelli, Matteo; Ferrari, Davide; Inama, Marco; Moretto, Gianluigi; Fontana, Michele; Favi, Francesco; Picariello, Erika; Rampini, Alessia; Barberis, Andrea; Azzinnaro, Antonio; Oliva, Alba; Totaro, Luigi; Benzoni, Ilaria; Ranieri, Valerio; Capolupo, Gabriella Teresa; Carannante, Filippo; Caricato, Marco; Ronconi, Maurizio; Casiraghi, Silvia; Casole, Giovanni; Pantalone, Desire; Alemanno, Giovanni; Scheiterle, Maximilian; Ceresoli, Marco; Cereda, Marco; Fumagalli, Chiara; Zanzi, Federico; Bolzon, Stefano; Guerra, Enrico; Lecchi, Francesca; Cellerino, Paola; Ardito, Antonella; Scaramuzzo, Rosa; Balla, Andrea; Lepiane, Pasquale; Tartaglia, Nicola; Ambrosi, Antonio; Pavone, Giovanna; Palini, Gian Marco; Veneroni, Simone; Garulli, Gianluca; Ricci, Claudio; Torre, Beatrice; Russo, Iris Shari; Rottoli, Matteo; Tanzanu, Marta; Belvedere, Angela; Milone, Marco; Manigrasso, Michele; De Palma, Giovanni Domenico; Piccoli, Micaela; Pattacini, Gianmaria Casoni; Magnone, Stefano; Bertoli, Paolo; Pisano, Michele; Massucco, Paolo; Palisi, Marco; Luzzi, Andrea-Pierre; Fleres, Francesco; Clarizia, Guglielmo; Spolini, Alessandro; Kobe, Yoshiro; Toma, Takayuki; Shimamura, Fumihiko; Parker, Robert; Ranketi, Sinkeet; Mitei, Mercy; Svagzdys, Saulius; Pauzas, Henrikas; Zilinskas, Justas; Poskus, Tomas; Kryzauskas, Marius; Jakubauskas, Matas; Zakaria, Andee Dzulkarnaen; Zakaria, Zaidi; Wong, Michael Pak-Kai; Jusoh, Asri Che; Zakaria, Muhammad Nazreen; Cruz, Daniel Rios; Elizalde, Aurea Barbara Rodriguez; Reynaud, Alejandro Baéon; Hernandez, Edgard Efren Lozada; Monroy, Jose maria Victor Palomo; Hinojosa-Ugarte, Diego; Quiodettis, Martha; Du Bois, María Esther; Latorraca, José; Major, Piotr; PÄdziwiatr, MichaÅ; Pisarska-Adamczyk, Magdalena; WalÄdziak, Maciej; Kwiatkowski, Andrzej; Czyżykowski, Åukasz; da Costa, Silvia Dantas; Pereira, Bela; Ferreira, Ana Rita Oliveira; Almeida, Filipe; Rocha, Ricardo; Carneiro, Carla; Perez, Diego Pita; Carvas, João; Rocha, Catarina; Ferreira, Cátia; Marques, Rita; Fernandes, Urânia; Leao, Pedro; Goulart, André; Pereira, Rita Gonçalves; Patrocínio, Sara Daniela Direito; de Mendonça, Nuno Gonçalo Gonçalves; Manso, Maria Isabel Cerqueira; Morais, Henrique Manuel Cardoso; Cardoso, Paulo Sebastião; Calu, Valentin; Miron, Adrian; Toma, Elena Adelina; Gachabayov, Mahir; Abdullaev, Abakar; Litvin, Andrey; Nechay, Taras; Tyagunov, Alexander; Yuldashev, Anvar; Bradley, Alison; Wilson, Michael; Panyko, Arpád; Látecková, Zuzana; Lacko, Vladimír; Lesko, Dusan; Soltes, Marek; Radonak, Jozef; Turrado-Rodriguez, Victor; Termes-Serra, Roser; Morales-Sevillano, Xavier; Lapolla, Pierfrancesco; Mingoli, Andrea; Brachini, Gioia; Degiuli, Maurizio; Sofia, Silvia; Reddavid, Rossella; de Manzoni Garberini, Andrea; Buffone, Angelica; del Pozo, Eduardo Perea; Aparicio-Sánchez, Daniel; Dos Barbeito, Sandra; Estaire-Gómez, Mercedes; Vitón-Herrero, Rebeca; de los Ãngeles Gil Olarte-Marquez, Mª; Gil-Martínez, José; Alconchel, Felipe; Nicolás-López, Tatiana; Rahy-Martin, Aida Cristina; Pelloni, María; Baéolas-Suarez, Raquel; Mendoza-Moreno, Fernando; Nisa, Francisca García-Moreno; Díez-Alonso, Manuel; Rodas, María Elisa Valle; Agundez, María Carmona; Andrés, María Inmaculada Pérez; Moreira, Claudia Cristina Lopes; Perez, Aintzane Lizarazu; Ponce, Iéigo Augusto; González-Castillo, Ana María; Membrilla-Fernández, Estela; Salvans, Silvia; Serradilla-Martín, Mario; Pardo, Pablo Sancho; Rivera-Alonso, Daniel; Dziakova, Jana; Huguet, Jose Mugüerza; Valle, Naila Pagès; Ruiz, Enrique Colás; Valcárcel, Cristina Rey; Moreno, Cristina Ruiz; Salazar, Yeniffer Tatiana Moreno; García, Juan Jesús Rubio; Micó, Silvia Sevila; López, Joaquín Ruiz; Farré, Silvia Pérez; Gomez, Maite Santamaria; Petit, Nuria Mestres; Titos-García, Alberto; Aranda-Narváez, Jose Manuel; Romacho-López, Laura; Sánchez-Guillén, Luis; Aranaz-Ostariz, Veronica; Bosch-Ramírez, Marina; Martínez-Pérez, Aleix; Martínez-López, Elías; Sebastián-Tomás, Juan Carlos; Jimenez-Riera, Granada; Jimenez-Vega, Javier; Cuellar, Jose Aurelio Navas; Campos-Serra, Andrea; Muéoz-Campaéa, Anna; Gràcia-Roman, Raquel; Alegre, Javier Martínez; Pinto, Francisca Lima; O'Sullivan, Sara Nuéez; Antona, Francisco Blanco; Jiménez, Beatriz Muéoz; López-Sánchez, Jaime; Carmona, Zahira Gómez; Fernández, Rocio Torres; Sierra, Isabel Blesa; de León, Laura Román García; Moreno, Verónica Polaino; Iglesias, Eva; Cumplido, Paola Lora; Bravo, Altea Arango; Simó, Ignacio Rey; Domínguez, Carlota López; Caamaéo, Aloia Guerreiro; Lozano, Rafael Calleja; Martínez, Manuel Durán; Torres, Ãlvaro Naranjo; de Quiros, Javier Tomas Morales Bernaldo; Pellino, Gianluca; Cloquell, Miriam Moratal; Moller, Elsa García; Jalal-Eldin, Sami; Abdoun, Ahmed K.; Hamid, Hytham K. S.; Lohsiriwat, Varut; Mongkhonsupphawan, Aitsariya; Baraket, Oussama; Ayed, Karim; Abbassi, Imed; Ali, Ali Ben; Ammar, Houssem; Kchaou, Ali; Tlili, Ahmed; Zribi, Imen; Colak, Elif; Polat, Suleyman; Koylu, Zehra Alan; Guner, Ali; Usta, Mehmet Arif; Reis, Murat Emre; Mantoglu, Baris; Gonullu, Emre; Akin, Emrah; Altintoprak, Fatih; Bayhan, Zulfu; Firat, Necattin; Isik, Arda; Memis, Ufuk; Bayrak, Mehmet; AltintaÅ, Yasemin; Kara, Yasin; Bozkurt, Mehmet Abdussamet; KocataÅ, Ali; Das, Koray; Seker, Ahmet; Ozer, Nazmi; Atici, Semra Demirli; Tuncer, Korhan; Kaya, Tayfun; Ozkan, Zeynep; Ilhan, Onur; Agackiran, Ibrahim; Uzunoglu, Mustafa Yener; Demirbas, Eren; Altinel, Yuksel; Meric, Serhat; Hacim, Nadir Adnan; Uymaz, Derya Salim; Omarov, Nail; Balik, Emre; Tebala, Giovanni D.; Khalil, Hany; Rana, Mridul; Khan, Mansoor; Florence, Charlotte; Swaminathan, Christie; Leo, Cosimo Alex; Liasis, Lampros; Watfah, Josef; Trostchansky, Ivan; Delgado, Edward; Pontillo, Marcelo; Latifi, Rifat; Coimbra, Raul; Edwards, Sara; Lopez, Ana; Velmahos, George; Dorken, Ander; Gebran, Anthony; Palmer, Amanda; Oury, Jeffrey; Bardes, James M.; Seng, Sirivan Suon; Coffua, Lauren S.; Ratnasekera, Asanthi; Egodage, Tanya; Echeverria-Rosario, Karla; Armento, Isabella; Napolitano, Lena M.; Sangji, Naveen F.; Hemmila, Mark; Quick, Jacob A.; Austin, Tyler R.; Hyman, Theodore S.; Curtiss, William; McClure, Amanda; Cairl, Nicholas; Biffl, Walter L.; Truong, Hung P.; Schaffer, Kathryn; Reames, Summer; Banchini, Filippo; Capelli, Patrizio; Coccolini, Federico; Sartelli, Massimo; Bravi, Francesca; Vallicelli, Carlo; Agnoletti, Vanni; Baiocchi, Gian Luca; Catena, Fausto
Source
World Journal of Emergency Surgery. April 16, 2024, Vol. 19 Issue 1
Subject
Language
English
ISSN
1749-7922
Abstract
Background Literature suggests colonic resection and primary anastomosis (RPA) instead of Hartmann's procedure (HP) for the treatment of left-sided colonic emergencies. We aim to evaluate the surgical options globally used to treat patients with acute left-sided colonic emergencies and the factors that leading to the choice of treatment, comparing HP and RPA. Methods This is a prospective, international, multicenter, observational study registered on ClinicalTrials.gov. A total 1215 patients with left-sided colonic emergencies who required surgery were included from 204 centers during the period of March 1, 2020, to May 31, 2020. with a 1-year follow-up. Results 564 patients (43.1%) were females. The mean age was 65.9 [+ or -] 15.6 years. HP was performed in 697 (57.3%) patients and RPA in 384 (31.6%) cases. Complicated acute diverticulitis was the most common cause of left-sided colonic emergencies (40.2%), followed by colorectal malignancy (36.6%). Severe complications (Clavien-Dindo [greater than or equal to] 3b) were higher in the HP group (P < 0.001). 30-day mortality was higher in HP patients (13.7%), especially in case of bowel perforation and diffused peritonitis. 1-year follow-up showed no differences on ostomy reversal rate between HP and RPA. (P = 0.127). A backward likelihood logistic regression model showed that RPA was preferred in younger patients, having low ASA score ([less than or equal to] 3), in case of large bowel obstruction, absence of colonic ischemia, longer time from admission to surgery, operating early at the day working hours, by a surgeon who performed more than 50 colorectal resections. Conclusions After 100 years since the first Hartmann's procedure, HP remains the most common treatment for left-sided colorectal emergencies. Treatment's choice depends on patient characteristics, the time of surgery and the experience of the surgeon. RPA should be considered as the gold standard for surgery, with HP being an exception. Keywords: Hartmann's procedure, Ostomy, Emergency surgery, Resection, Primary anastomosis, Left side, Colon, Diverticulitis, Colorectal cancer
Author(s): Gennaro Perrone[sup.1], Mario Giuffrida[sup.2,3], Fikri Abu-Zidan[sup.4], Vitor F. Kruger[sup.5], Marco Livrini[sup.1], Gabriele Luciano Petracca[sup.1], Giorgio Rossi[sup.1], Antonio Tarasconi[sup.6], Brian W. C. A. Tian[sup.7], Elena Bonati[sup.2], Ricardo Mentz[sup.8], Federico N. [...]
Author(s): Gennaro Perrone[sup.1], Mario Giuffrida[sup.2,3], Fikri Abu-Zidan[sup.4], Vitor F. Kruger[sup.5], Marco Livrini[sup.1], Gabriele Luciano Petracca[sup.1], Giorgio Rossi[sup.1], Antonio Tarasconi[sup.6], Brian W. C. A. Tian[sup.7], Elena Bonati[sup.2], Ricardo Mentz[sup.8], Federico N. [...]