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Accès ouvert déclaré 2024 article

Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago

19Citations signalées — pas une note de qualité
202Institutions déclarées
32Pays d’affiliation déclarés

Résumé fourni par la source

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 < 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 (≤ 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.

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Contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref
Goodbye Hartmann trial: a prospective, international, multicenter, observational study on the current use of a surgical procedure developed a century ago
Date Crossref
16/04/2024
Éditeur
Springer Science and Business Media LLC
Type
journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.

Institutions déclarées

Ospedale MaggioreOspedale di ParmaGuglielmo da Saliceto HospitalUnited Arab Emirates UniversityUniversidade Estadual de Campinas (UNICAMP)Istituti Ospitalieri di CremonaAzienda Socio Sanitaria Territoriale di CremonaSingapore General HospitalHospital Italiano de Buenos AiresInnsbruck Medical UniversityUniversität InnsbruckMedical University of ViennaUniversidade Federal de Juiz de ForaFundação Padre AlbinoCentro Hospitalar de Vila Nova de GaiaMedical University PlovdivMinisterio de Agricultura y Ganadería de Costa RicaZabok General HospitalUniversity Hospital Centre ZagrebHôpital américain de parisCentre Hospitalier Intercommunal de PoissyCentre Hospitalier Intercommunal de Villeneuve-Saint-GeorgesClinique HartmannHôpital BeaujonAssistance Publique – Hôpitaux de ParisHôpital Léon BérardCentre Hospitalier Universitaire d'AngersUniversity Hospital of LarissaUniversity Hospital of HeraklionUniversity General Hospital AttikonPolyclinic General HospitalTechnological Educational Institute of Eastern Macedonia and ThraceGeneral University Hospital of PatrasTzaneion General HospitalAthens Naval & Veterans HospitalEvangelismos HospitalSt Savas HospitalAretaeio HospitalNational and Kapodistrian University of AthensHippocration General HospitalLaiko General Hospital of AthensAristotle University of ThessalonikiG. Papanikolaou General HospitalChania General Hospital ”St. George”Maulana Azad Medical CollegeInstitute of Medical SciencesHadassah Medical CenterOspedale Papa Giovanni XXIIIAzienda Ospedaliero-Universitaria CagliariAzienda Universitaria Ospedaliera Consorziale - Policlinico BariGastroenterology Hospital "Saverio de Bellis"Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di PalermoUniversity of PalermoUniversity of CataniaCSI PiemonteAzienda Unità Sanitaria Locale di FerraraOspedale San Filippo NeriAzienda Ospedaliero Universitaria San Giovanni BattistaAzienda Socio Sanitaria Territoriale degli Spedali Civili di BresciaAziende Socio Sanitaria Territoriale RhodenseUniversity of MilanAzienda Ospedaliera di Desio e VimercateASST Fatebenefratelli SaccoPresidio OspedalieroOspedale G.B. Morgagni - L.PierantoniRegione PugliaAzienda Sanitaria Ospedaliera S.Croce e Carle CuneoAzienda Ospedaliera Pugliese CiaccioOspedale Civile di VeneziaIRCCS Policlinico San DonatoOspedale Santa MariaIstituti di Ricovero e Cura a Carattere ScientificoOspedale Santa Maria della Misericordia di RovigoUniversity of Naples Federico IIOspedali Riuniti San Giovanni di Dio e Ruggi d'AragonaNuovo Ospedale San Giovanni di DioOspedale di CattinaraAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare ArrigoUniversity of FerraraUniversità Cattolica del Sacro CuoreOspedale San CarloAzienda Socio Sanitaria Territoriale Santi Paolo e CarloOspedale L. BonomoSantissima TrinitàAzienda Sanitaria Unità Locale di Reggio EmiliaOspedale Sant'AnnaOspedale di Circolo di Busto ArsizioOspedale Sant'AnnaAzienda Ospedaliera Santa Maria Degli AngeliUniversity of PaviaOspedale Vito FazziOspedale di Santo SpiritoNovamont (Italy)Aziende Socio Sanitarie Territoriale Ovest MilaneseMarconi UniversityCasa di Cura Villa GardaOspedale “M. Bufalini” di CesenaEnte Ospedaliero Ospedali GallieraUniversità Campus Bio-MedicoASST Melegnano e della MartesanaOspedale "Santa Maria delle Croci" di RavennaOspedale San PaoloCivitaUniversity of FoggiaOspedale Infermi di RiminiAzienda USL di BolognaUniversity of BolognaA. O. Ordine Mauriziano di TorinoAzienda Ospedaliera di Valtellina e ValchiavennaAzienda Socio Sanitaria Territoriale della Valtellina e Alto LarioTenwek HospitalLithuanian University of Health SciencesVilnius UniversityUniversiti Sains MalaysiaHospital Universiti Sains MalaysiaSultan Ismail Specialist HospitalHospital Regional de Alta Especialidad del BajíoSaint Thomas HospitalJagiellonian UniversityWojskowy Instytut Medycyny LotniczejHospital Prof. Dr. Fernando FonsecaUnidade Hospitalar de BragançaAssociation for the Development of Douro ViticultureCentro De Medicina Veterinária Anjos De AssisAlgarve Biomedical CenterCarol Davila University of Medicine and PharmacyCity Clinical HospitalGomel State Medical UniversityPirogov Russian National Research Medical UniversityForth Valley Royal HospitalUniversity Hospital BratislavaComenius University BratislavaTechnical University of KošiceUniversity of Veterinary Medicine in KošiceHospital Clínic de BarcelonaPoliclinico Umberto ISapienza University of RomeUniversity of TurinHospital Universitario Virgen del RocíoHospital General Universitario de Ciudad RealHospital Universitario Virgen de la ArrixacaHospital Universitario de Gran Canaria Doctor NegrínHospital Universitario Príncipe de AsturiasCentro de Implantología Cirugía Oral y MaxilofacialBiogipuzkoa Health Research InstituteHospital Del MarHospital Universitario Miguel ServetHospital Clínico San CarlosHospital Son LlatzerHospital General Universitario Gregorio MarañónHospital General Universitario de Alicante Doctor BalmisInstituto de investigación sanitaria y biomédica de AlicanteHospital Arnau de VilanovaHospital Regional Universitario de MálagaHospital General Universitario de ElcheHospital Universitario Doctor PesetHospital Universitario de ValmeHospital Universitario Infanta SofíaUniversidad de SalamancaComplejo Hospitalario TorrecárdenasHospital Universitario Puerta de Hierro MajadahondaHospital Universitario De CabueñesHospital Universitario Reina SofíaHospital Central de la Defensa Gómez UllaVall d'Hebron Hospital UniversitariSudan Medical Specialization BoardSiriraj HospitalMahidol UniversityTunis UniversityFaculté de médecine de TunisTunis El Manar UniversityHôpital SahloulUniversity of SfaxSamsun UniversitySakarya UniversityErzincan Binali Yıldırım UniversitySağlık Bilimleri Üniversitesiİstanbul Kanuni Sultan Süleyman Eğitim ve Araştırma HastanesiIzmir UniversityElazığ Eğitim ve Araştırma HastanesiSivas State HospitalKoç UniversityJohn Radcliffe HospitalUniversity of OxfordLondon North West Healthcare NHS TrustSt Mark's HospitalHospital de ClínicasWestchester Medical CenterNew York Medical CollegeRiverside University Health System - Medical CenterHarvard UniversityMassachusetts General HospitalWest Virginia UniversityCrozer-Keystone Health SystemCooper University HospitalUniversity of MichiganUniversity of MissouriTrinity Health Ann Arbor HospitalScripps Memorial HospitalAzienda Ospedaliera Universitaria PisanaOspedale di MacerataUniversity of Brescia

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

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