A Case of Laparoscopic Hartmann's Procedure Followed by Laparoscopic Reversal for Perforated Diverticulitis
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- Maemoto Ryo
- Department of Surgery, Saitama Medical Center, Jichi Medical University
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- Tsujinaka Shingo
- Department of Surgery, Saitama Medical Center, Jichi Medical University
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- Sakio Ryotaro
- Department of Surgery, Saitama Medical Center, Jichi Medical University
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- Kakizawa Nao
- Department of Surgery, Saitama Medical Center, Jichi Medical University
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- Takahashi Rei
- Department of Surgery, Saitama Medical Center, Jichi Medical University
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- Hatsuzawa Yuuri
- Department of Surgery, Saitama Medical Center, Jichi Medical University
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- Kimura Yasuaki
- Department of Surgery, Saitama Medical Center, Jichi Medical University
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- Machida Erika
- Department of Surgery, Saitama Medical Center, Jichi Medical University
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- Tamaki Sawako
- Department of Surgery, Saitama Medical Center, Jichi Medical University
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- Ishikawa Hideki
- Department of Surgery, Saitama Medical Center, Jichi Medical University
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- Miyakura Yasuyuki
- Department of Surgery, Saitama Medical Center, Jichi Medical University
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- Rikiyama Toshiki
- Department of Surgery, Saitama Medical Center, Jichi Medical University
Bibliographic Information
- Other Title
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- S状結腸憩室穿孔に対する腹腔鏡下ハルトマン,ハルトマンリバーサル手術の経験
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Abstract
<p>A man in his 60s was referred to our hospital with a diagnosis of perforated diverticulitis in the sigmoid colon. Emergency surgery was indicated for his Hinchey grade III diverticulitis and he underwent laparoscopic Hartmann's procedure. The postoperative course was uneventful and he was discharged without complications. He was then scheduled for laparoscopic Hartmann's reversal at 4 months after the initial surgery. The surgical procedure consisted of takedown of colostomy, adhesiolysis and end-to-side colorectal anastomosis using the same ports placed during the initial surgery.</p><p>The postoperative course was uneventful and he was discharged without complications. Although the efficacy and safety of laparoscopic Hartmann's procedure for perforated diverticulitis and subsequent laparoscopic reversal has recently been demonstrated in the literature, there were few reports from Japan. The optimal surgical approach for perforated diverticulitis must be discussed considering the patient's condition, Hinchey classification, and availability of cooperative medical staff including surgical expertise.</p>
Journal
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- Nippon Daicho Komonbyo Gakkai Zasshi
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Nippon Daicho Komonbyo Gakkai Zasshi 75 (1), 36-43, 2022
The Japan Society of Coloproctology
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Keywords
Details 詳細情報について
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- CRID
- 1390009062454873984
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- NII Article ID
- 130008136692
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- ISSN
- 18829619
- 00471801
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed