Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago. in World journal of emergency surgery : WJES / World J Emerg Surg. 2024 Apr 16;19(1):14. doi: 10.1186/s13017-024-00543-w.

2024
AOU Alessandria
ASL VCO
AOU San Luigi di Orbassano
AOU Città della Salute di Torino
AOU Novara

Tipo pubblicazione

Observational Study

Autori/Collaboratori (573)Vedi tutti...

Agnoletti V
Scripps Memorial Hospital La Jolla, San Diego, USA.
Catena F
Scripps Memorial Hospital La Jolla, San Diego, USA.
Baiocchi GL
Scripps Memorial Hospital La Jolla, San Diego, USA.

et alii...

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?±?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???3b) were higher in the HP group (P?